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Trial registered on ANZCTR
Registration number
ACTRN12621000771853
Ethics application status
Approved
Date submitted
25/03/2021
Date registered
21/06/2021
Date last updated
21/06/2021
Date data sharing statement initially provided
21/06/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
Characteristics of patients with a head injury that present to a single Australian tertiary emergency department.
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Scientific title
Characteristics, patterns and functional outcomes of head injury patients presenting to a single Australian tertiary emergency department.
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Secondary ID [1]
303781
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Head Injury
321282
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Concussion
321708
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Traumatic Brain Injury
321709
0
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Condition category
Condition code
Emergency medicine
319065
319065
0
0
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Other emergency care
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Injuries and Accidents
319066
319066
0
0
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Other injuries and accidents
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Neurological
319067
319067
0
0
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Other neurological disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Data that will be collated from eMR review, patient demographics, information about presentation (i.e. mechanism of injury, triage Category, observations - Glasgow Coma Score, Loss Of Consciousness, document any signs/symptoms at presentation)
Telephone interview will be completed by ED research volunteers, lead researcher and associate researchers. The two follow up phone call interviews will occur at 10-14 days and four weeks from day of discharge. Interview will take approximately 7-10 minutes.
Topics discussed during interview - signs/symptoms post discharge, return to usual activity (i.e sport, work, school), any further medical follow up post discharge and opportunity to discuss discharge process from ED.
Phase 1: eMR retrospective data audit will commence from 1st January 2019 until 31st December 2021.
Phase 2: Patient recruited for telephone interviews will commence April 2021 the last patient recruited will be 31st December 2021.
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Intervention code [1]
320088
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Determine the number of head injury presentations to one major tertiary referral hospital emergency department.
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Assessment method [1]
326959
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Timepoint [1]
326959
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Cumulative data through retrospective eMR data and will be evaluated at the conclusion of the study 31st December 2021.
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Primary outcome [2]
327788
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Management of patients with head injury who present to one major tertiary referral hospital emergency department.
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Assessment method [2]
327788
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Timepoint [2]
327788
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Cumulative data through retrospective eMR data and will be evaluated at the conclusion of the study 31st December 2021.
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Secondary outcome [1]
394601
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Qualitative outcome assessing the discharge instructions as collected by the telephone interview.
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Assessment method [1]
394601
0
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Timepoint [1]
394601
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4 weeks post conclusion of the study, 31st January 2022
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Secondary outcome [2]
394602
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The types of services patients were referred to in the community as collected by the telephone interview.
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Assessment method [2]
394602
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Timepoint [2]
394602
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4 weeks post conclusion of the study, 31st January 2022
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Eligibility
Key inclusion criteria
Phase 1 medical record audit: All patients (up to 30 years of age) presenting to ED at RNSH from 1st January 2019 - 31st December 2021 (36 months) will be reviewed for evidence of head injuries.
Phase 2 telephone interview: Patients (up to 30 years of age) who present to ED with a head injury will be included in the study and who are discharged home or admitted to the ward.
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Minimum age
No limit
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Maximum age
30
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients older than 31 years, patients given a triage category 1, and patients allocated to the resuscitation area, children identified as a child at risk at time of treatment or children transferred to a tertiary paediatric hospital.
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
Mainly descriptive exploratory data will be presented and summarised using frequencies and percentages. Basic inferential statistics will be used for group comparisons to be undertaken depending on data distribution. Normally distributed data will be analysed using t test and anova. Non normally distributed data will use parametric testing Mann Whitney, Kruskall Wallis, Chi Square and Fischer exact depending on data type and coding.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
19/05/2021
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Date of last participant enrolment
Anticipated
31/12/2021
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Actual
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Date of last data collection
Anticipated
31/01/2022
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Actual
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Sample size
Target
280
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Accrual to date
1
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
19000
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Royal North Shore Hospital - St Leonards
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Recruitment postcode(s) [1]
33542
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2065 - St Leonards
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Funding & Sponsors
Funding source category [1]
308182
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Hospital
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Name [1]
308182
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Royal North Shore Hospital
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Address [1]
308182
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Royal North Shore Hospital
Emergency Department
Reserve Road, St Leonards,
NSW 2065
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Country [1]
308182
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Australia
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Primary sponsor type
Hospital
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Name
Royal North Shore Hospital
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Address
Royal North Shore Hospital
Emergency Department
Reserve Road, St Leonards,
NSW 2065
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Country
Australia
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Secondary sponsor category [1]
308962
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None
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Name [1]
308962
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Address [1]
308962
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Country [1]
308962
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
308167
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Northern Sydney Local Health District Human Research Ethics Committee
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Ethics committee address [1]
308167
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Royal North Shore Hospital Research Office Reserve Road, St Leonards, NSW 2065
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Ethics committee country [1]
308167
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Australia
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Date submitted for ethics approval [1]
308167
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Approval date [1]
308167
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17/02/2021
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Ethics approval number [1]
308167
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2020/ETH00587: Head Injury Study
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Summary
Brief summary
It is unclear what constitutes standardised or routine head injury management whilst in the emergency department (ED). Further, ED head injury discharge processes, management and communication to patients, families and carers is often inconsistent or ad hoc. This inconsistent management of head injury both within the hospital environment and transition to home in the community may not optimise best patient outcomes. Further, how clinicians communicate the discharge plan and manage activities such as return to work/study and or resuming sporting activities needs to be explored further. In addition, patient compliance and adherence with discharge instructions is also critical for optimising the recovery trajectory, health outcomes and avoidable representations and yet little is known about patient compliance and adherence for this group. To date little is known of how concussion is managed in the community by both adults and parents whose child has experienced a head injury and is symptomatic of concussion. Therefore, this study seeks to better understand the characteristics of people that present with head injuries and symptoms of concussion to an ED and how on discharge concussion is managed in the community.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
109774
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Ms Danielle Coates
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Address
109774
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Royal North Shore Hospital
Emergency Department
Reserve Road, St Leonards
NSW 2065
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Country
109774
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Australia
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Phone
109774
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+61 0410400780
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Fax
109774
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Email
109774
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[email protected]
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Contact person for public queries
Name
109775
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Danielle Coates
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Address
109775
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Royal North Shore Hospital
Emergency Department
Reserve Road, St Leonards
NSW 2065
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Country
109775
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Australia
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Phone
109775
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+61 0410400780
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Fax
109775
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Email
109775
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[email protected]
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Contact person for scientific queries
Name
109776
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Margaret Fry
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Address
109776
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Nursing and Midwifery Directorate NSLHD
Level 7 Kolling Building,
Royal North Shore Hospital,
St Leonards, NSW 2065
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Country
109776
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Australia
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Phone
109776
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+61 0417985214
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Fax
109776
0
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Email
109776
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
11658
Study protocol
381679-(Uploaded-12-05-2021-17-01-41)-Study-related document.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF