5 Minute 'HOT' Trauma CT Rates Of Detection Study
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Education.
- Who it may be relevant to
- Registry conditions: Trauma (Including Fractures), Trauma Abdomen, Trauma Blunt, Trauma Centers. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United Kingdom
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Randomised Trial (With Integrated Pilot) Evaluating Whether a Standardised Approach, Educational Package (Including Checklist) Improve Recognition of Major Life-threatening Injuries in the Hot Reporting of Trauma Scans
Overview
Many injured patients receive urgent CT imaging to identify major injury. CT imaging of trauma patients is often time critical and the accurate detection of life-threatening findings on this CT is essential. Often following a scan a radiologist is not immediately available to review the imaging, however other members of the trauma team have access to the imaging and may be in a position to provide a "hot" report. In this study we aim to demonstrate if an educational intervention with a checklist improves accuracy of the hot report.
Detailed description
This is a randomised controlled trial to evaluate whether a standardised approach, educational package (with checklist) may improve recognition of major life-threatening injuries in the hot reporting of trauma scans. A pilot study with 20 participants allocated to the two groups on 1:1 ratio which will receive the education package, will inform feasibility of the larger study.
The larger study will recruit 300 participants, 100 on each group on 1:1:1 ratio, to evaluate the primary objective.
Participants will be clinicians who volunteer to participate in an online educational package. Participant data will be collected by the online platform under a unique identifier. Results will then be extracted from the platform and then associated with the demographic data on the trust system.
Following application of inclusion and exclusion criteria, participants will be allocated into one of three groups, and assigned a participant number. The test data set will consist of cases that have been pseudo anonymised with the key stored on trust systems.
Interventions
- Other Education
The three groups will report 2 image banks of 15 CT images each. Image bank A will contain 15 CT images each with a brief history including the mechanism of injury. Image bank B will contain 10 new CT images and 5 CT images contained within image bank A, but with an altered but compatible mechanism of injury. Group 1 will report image bank A, receive the educational intervention and then report image bank B with the checklist. Group 2 will report image bank B, receive the educational interventi
Primary outcome measures
- Rates of detection and error of a hot CT report. [Time frame: 1 year]
Eligibility criteria
Inclusion criteria
- Medical professionals involved in trauma image review.
- This includes clinicians who are emergency department doctors, radiologists and other specialties.
- Non-radiologist clinicians will be participating completing the hot reports, radiologists will be evaluating their submissions and assessing their accuracy.
Exclusion criteria
- Unable to review CT imaging due to lack of previous experience or disability that prevents them from doing so.
- Under 18 years old.
- Not a medical professional or clinician.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Factorial
- Masking
- Single blind
- Primary purpose
- Diagnostic
Study locations
United Kingdom · 1 center
- University Hospitals Plymouth — Plymouth
Identifiers
NCT: NCT07314437 · 25/RAD/176 · 361877 · 70122