Crowder, R., Rowland, Andrew 
ORCID: https://orcid.org/0000-0001-9564-0032, Tan, S., Handford, M. and Stuart, M.
2014,
'G29(P) The management of children diagnosed with an uncomplicated clavicle fracture : broad-arm sling and written self-care information versus broad-arm sling and hospital outpatient follow-up'
, Archives of Disease in Childhood, 99 (Suppl)
, A13-A13.
Abstract
Background and objectives: In July 2013 the Paediatric Emergency Department (ED) of a UK District General Hospital seeing approximately 30000 children per year aged under 16 years in the ED, began managing children diagnosed with an uncomplicated (no skin compromise and no clinical neuro-vascular deficit) clavicle fracture with a broad-arm sling and written self-care information, rather than a broad-arm sling and hospital-based fracture clinic follow-up. All other children continued to be referred to the fracture clinic. This study assessed the impact of this change in practice. Methods: A 15 month retrospective review of all children diagnosed with a clavicle fracture was conducted. Referrals to fracture clinic and the number of children re-attending the ED with complications related to the initial injury (for example pain or sling problem) were analysed. All children had a broad-arm sling applied. Results: 91 children were diagnosed with a clavicle fracture, 59 (median 5/month) pre-change in practice and 32 (median 7/month) post-change. 64 (70%) were referred to the fracture clinic, (52 (88%) pre-change in practice and 12 (38%) post-change). The remainder were discharged with written self-care information. In the one month following initial attendance, 3 (5%) re-attended the ED pre-change in practice and 0 (0%) post-change. Conclusions: Children with an uncomplicated clavicle fracture can be appropriately managed with a broad-arm sling 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 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 11:41 |
| URI: | http://usir.salford.ac.uk/id/eprint/42112 |
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