Crowder, R., Rowland, Andrew 
ORCID: https://orcid.org/0000-0001-9564-0032, Handford, M., Tan, S. and Stuart, M.
2014,
'G34(P) The management of children diagnosed with torus (buckle) fractures of the distal radius : wrist splint and written self-care information versus wrist splint and hospital outpatient follow-up'
, Archives of Disease in Childhood, 99 (Suppl)
, A15-A15.
Abstract
Background and objectives: In July 2013, the Paediatric Emergency Department (ED) of a UK District General Hospital ED seeing approximately 30000 children aged under 16 years of age per year in the ED, began managing children diagnosed with a torus fracture of the distal radius with a wrist splint and written self-care information, rather than a wrist splint and hospital-based fracture clinic follow-up. This study assessed the impact of this change in practice. Methods: A 14 month retrospective review of all children diagnosed with a torus fracture of the distal radius was conducted. Referrals to fracture clinic and the number of children re-attending the ED with complications related to the initial injury (such as pain or splint problem) were analysed. All children had appropriate wrist immobilisation. Results: 197 children were diagnosed with a torus fracture of the distal radius. 161 (median 14/month) attended pre-change in practice and 36 (median 12/month) attended post-change. 131 (66%) were referred to the fracture clinic, (126 (78%) pre-change in practice and 5 (14%) post-change). The remainder were discharged with written self-care information. In the one month following initial attendance, 34 (21%) re-attended the ED pre-change in practice and 3 (8%) post-change. Conclusions: Children with a torus fracture of the distal radius can be appropriately managed with a wrist splint and written self-care information, rather than by hospital fracture clinic follow-up. This more efficiently uses healthcare resources, reduces re-attendances during the month following initial injury and reduces social inconvenience for children and their families.
| Item Type: | Article |
|---|---|
| Schools: | Schools > School of Health and Society > Centre for Applied Research in Health, Welfare and Policy |
| Journal or Publication Title: | Archives of Disease in Childhood |
| Publisher: | BMJ Publishing Group |
| ISSN: | 0003-9888 |
| Related URLs: | |
| Depositing User: | Professor Andrew G Rowland |
| Date Deposited: | 11 Apr 2017 09:10 |
| Last Modified: | 20 Jan 2020 11:38 |
| URI: | http://usir.salford.ac.uk/id/eprint/42110 |
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