5 Minute 'HOT' Trauma CT Rates Of Detection Study

University Hospital Plymouth NHS Trust

Status: Not yet enrolling

Conditions: Trauma Blunt; Trauma Centers; Trauma (Including Fractures); Trauma Abdomen

Treatments: Other: Education

Study type: Interventional

Funder types: Other

Identifiers

NCT07314437

25/RAD/176

70122 (Other Identifier)

361877 (Other Identifier)

Details and patient eligibility

About

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.

Full 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.

Enrollment: 300 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

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.

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Single Blind

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300 participants in 3 patient groups

Group 3 Control Group

No Intervention group

Description:

No intervention. Control Group.

Group 1 Intervention Group A Images

Experimental group

Description:

Group 1 will report image bank A, receive the educational intervention and then report image bank B with the checklist.

Treatment:

Other: Education

Group 2 Intervention Group B Images

Experimental group

Description:

Group 2 will report image bank B, receive the educational intervention and then report image bank A.

Treatment:

Other: Education