Inter-observer Reliability of the TRiP(Cast) Score in Patients With Trauma to a Lower Limb Requiring Immobilisation
Inter-observer Reliability of the Assessment of the Risk of Developing a Venous Thromboembolic Event, the TRiP(Cast) Score, in Patients With Trauma to a Lower Limb Requiring Immobilisation
University Hospital, Angers
302 participants
May 16, 2024
OBSERVATIONAL
Conditions
Summary
The aim of the study isto evaluate the inter-observer reliability of the assessment of venous thromboembolic risk using the TRiP(cast) score in patients presenting with trauma to a lower limb requiring immobilisation, and of the clinicians' assessment using the physician's implicit probability (gestalt) compared with the use of the TRiP(cast) score.
Eligibility
Inclusion Criteria6
- Consultation in one of the emergency departments participating in the study,
- Isolated trauma to a lower limb,
- Rigid immobilisation (plaster or resin) or semi-rigid immobilisation for an expected duration of at least 7 days,
- Patient over 18 years of age,
- Patient affiliated to or benefiting from a social security scheme,
- Patients who have signed a prior informed consent form
Exclusion Criteria7
- Patient taking anticoagulant treatment at the time of the trauma,
- Trauma requiring hospitalisation for more than 48 hours,
- Pregnant, breast-feeding or parturient patients,
- Patient deprived of liberty by judicial or administrative decision,
- Patient under compulsory psychiatric care,
- Patient under legal protection,
- Patients unable to give their free and informed consent
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Interventions
In patients presenting to the emergency department with trauma to a lower limb, the TRiP(cast) score is assessed in accordance with the recommendations. If the patient does not object. The attending physician will then be asked to fill in his implicit assessment of the risk of venous thromboembolism on a paper CRF and then to complete his assessment of the TRiP(cast) score. He will then be free to decide whether or not to anticoagulate the patient. At the same time, a doctor not involved in the patient's care will assess the TRiP(cast) score and record it on a paper CRF. The second doctor's assessment will be independent and will have no impact on the patient's management. The CRFs will then be analysed and stored. Data will be anonymised during data collection and each patient will be assigned an anonymity number.
Locations(1)
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NCT06416280