Effectiveness of Conservative Treatment in Patients With Thoracic and Lumbar Fractures Without Neurological Deficit
Conditions: Thoracic Spine Fracture; Lumbar; Spine, Fracture; Thoracolumbar Burst Fracture; Fracture of Spine, Level Unspecified; Spine Fusion; Spine Fracture Interventions: Other: rehabilitation treatment; Procedure: Spine fusion Sponsors: Sklifosovsky Institute of Emergency Care Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - September 29, 2023 Category: Research Source Type: clinical trials
Assessment of implementation methods in sepsis: study protocol for a cluster-randomized hybrid type 2 trial
This study will be entirely conducted in the Emergency Department at 18 sites. A seco ndary aim is to identify clinical sepsis phenotypes and their impact on treatment outcomes.DiscussionThis cluster-randomized trial, employing implementation science methodology, is timely and important to the field. The hybrid effectiveness-implementation design is likely to have an impact on clinical practice in sepsis management by providing a rigorous evaluation of the 1- and 3-h bundles.FundingNHLBI R01HL162954.Trial registrationClinicalTrials.gov NCT05491941. Registered on August 8, 2022. (Source: Trials)
Source: Trials - September 29, 2023 Category: Research Source Type: clinical trials
Evaluation of negative binomial and zero-inflated negative binomial models for the analysis of zero-inflated count data: application to the telemedicine for children with medical complexity trial
ConclusionsWe recommend that the rate of zero inflation and overdispersion in the outcome should not be the sole and main justification for choosing zero-inflated regression models. Investigators should also consider other data characteristics when choosing a model for count data. In addition, if the performance of the NB and ZINB regression models is reasonably comparable even with ZI outcomes, we advocate the use of the NB regression model due to its clear and straightforward interpretation of the results. (Source: Trials)
Source: Trials - September 27, 2023 Category: Research Source Type: clinical trials
Optimization of the Diagnosis of Bone Fractures in Patients Treated in the Emergency Department by Using Artificial Intelligence for Reading Radiological Images in Comparison With Traditional Reading by the Emergency Doctor.
Conditions: Artificial Intelligence; Bone Fracture Interventions: Device: Artificial intelligence; Procedure: Emergency physician Sponsors: Elsan; Clinique Esquirol Saint Hilaire Recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - September 25, 2023 Category: Research Source Type: clinical trials
Optimization of the Diagnosis of Bone Fractures in Patients Treated in the Emergency Department by Using Artificial Intelligence for Reading Radiological Images in Comparison With Traditional Reading by the Emergency Doctor.
Conditions: Artificial Intelligence; Bone Fracture Interventions: Device: Artificial intelligence; Procedure: Emergency physician Sponsors: Elsan; Clinique Esquirol Saint Hilaire Recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - September 25, 2023 Category: Research Source Type: clinical trials
Palliative care for persons with late-stage Alzheimer ’s and related dementias and their caregivers: protocol for a randomized clinical trial
DiscussionThe study results will determine the efficacy of an intervention that addresses the extraordinary public health impact of late-stage ADRD and suffering due to symptom distress, burdensome treatments, and caregiver strain. While many caregivers prioritize comfort in late-stage ADRD, shared decision-making is rare. Hospitalization creates an opportunity for dementia-specific palliative care, and the study findings will inform care redesign to advance comprehensive dementia-specific palliative care plus transitional care.Trial registrationClinicalTrials.gov NCT04948866. Registered on July 2, 2021. (Source: Trials)
Source: Trials - September 25, 2023 Category: Research Source Type: clinical trials
Refraining From Closed Reduction of Dislocated Distal Radius Fractures in the Emergency Department
Conditions: Wrist Fractures; Distal Radius Fractures; Closed Reduction of Fracture and Application of Plaster Cast; Wrist Injuries; Radius Fracture Distal Interventions: Procedure: closed reduction; Procedure: no closed reduction Sponsor: Maasstad Hospital Recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - September 21, 2023 Category: Research Source Type: clinical trials
Barbed Suture vs Non-Barbed Closure for Emergency Exploratory Laparotomy RCT
Conditions: Laparotomy; Dehiscence Wound; Surgical Site Infections; Trauma Abdomen; Emergency General Surgery Interventions: Device: triclosan-coated barbed suture; Device: triclosan-coated non-barbed suture; Device: Non-coated non-barbed suture Sponsor: University of Southern California Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - September 21, 2023 Category: Research Source Type: clinical trials
Effect of Implementing Emergency Nursing Protocol About Oliguria and Anuria on Patients' Outcomes
Condition: Oliguria Intervention: Other: Nursing protocol Sponsor: Hager AbdelNasser Hussein Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - September 21, 2023 Category: Research Source Type: clinical trials
Barbed Suture vs Non-Barbed Closure for Emergency Exploratory Laparotomy RCT
Conditions: Laparotomy; Dehiscence Wound; Surgical Site Infections; Trauma Abdomen; Emergency General Surgery Interventions: Device: triclosan-coated barbed suture; Device: triclosan-coated non-barbed suture; Device: Non-coated non-barbed suture Sponsor: University of Southern California Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - September 21, 2023 Category: Research Source Type: clinical trials
Refraining From Closed Reduction of Dislocated Distal Radius Fractures in the Emergency Department
Conditions: Wrist Fractures; Distal Radius Fractures; Closed Reduction of Fracture and Application of Plaster Cast; Wrist Injuries; Radius Fracture Distal Interventions: Procedure: closed reduction; Procedure: no closed reduction Sponsor: Maasstad Hospital Recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - September 21, 2023 Category: Research Source Type: clinical trials
