[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100574884":3},{"organization":4,"outcomesModule":7,"designInfo":26,"detailedDescription":32,"studyPopulation":25,"armGroups":33,"interventions":40,"overallOfficials":25,"centralContacts":46,"locations":56,"responsibleParty":72,"collaborators":25,"id":76,"slug":25,"hasResults":77,"nctId":78,"briefTitle":79,"officialTitle":80,"acronym":81,"eligibilityCriteria":82,"healthyVolunteers":77,"sex":83,"minAge":84,"maxAge":25,"enrollmentInfo":85,"targetDuration":25,"studyType":88,"phases":89,"briefSummary":90,"conditions":91,"keywords":93,"overallStatus":103,"whyStopped":25,"lastUpdateSubmitDate":104,"lastUpdatePostDateStruct":105,"startDateStruct":108,"completionDateStruct":110,"leadSponsor":112,"locationsCount":113},{"fullName":5,"class":6},"Frisius Medisch Centrum","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":25},[9],{"measure":10,"description":11,"timeFrame":12},"Diagnostic accuracy of POCUS","Diagnostic accuracy (sensitivity, specificity, negative predicting value (NPV) and positive predicting value (PPV)) of POCUS in detecting hip fractures by assessing for posttraumatic changes (cortical disruptions, joint effusion and peritrochanteric edema).","From enrollment to the end of POCUS, approximately 10 to 30 minutes",[14,17,20,22],{"measure":15,"description":16,"timeFrame":12},"Difference in diagnostic accuracy of POCUS in diagnosing a femoral neck or pertrochanteric fracture","Difference in diagnostic accuracy (sensitivity, specificity, negative predicting value (NPV) and positive predicting value (PPV)) of POCUS in diagnosing a femoral neck or pertrochanteric fracture",{"measure":18,"description":19,"timeFrame":12},"Difference in diagnostic accuracy of POCUS in detecting hip fractures stratified by operator experience (in years) using POCUS","Difference in diagnostic accuracy (sensitivity, specificity, negative predicting value (NPV) and positive predicting value (PPV)) of POCUS in detecting hip fractures stratified by operator experience (in years) using POCUS",{"measure":21,"description":21,"timeFrame":12},"Difference in effusion measured in mm between the ipsilateral and contralateral hip",{"measure":23,"description":24,"timeFrame":12},"Added value of POCUS in detecting hip fractures compared to the likelihood determined through clinical assessment by the treating physician","Evaluate the added value of POCUS in detecting hip fractures compared to the likelihood determined through clinical assessment by the treating physician (questionnaire: hip fracture clinical suspected yes or no)",null,{"allocation":27,"interventionModel":28,"interventionModelDescription":25,"primaryPurpose":29,"observationalModel":25,"timePerspective":25,"maskingInfo":30},"NA","SINGLE_GROUP","DIAGNOSTIC",{"masking":31,"maskingDescription":25,"whoMasked":25},"NONE","Rationale: Hip (femoral neck and pertrochanteric) fractures account for a significant part of Emergency Department (ED) visits after trauma. Studies suggest that point-of-care ultrasound (POCUS) is a reliable diagnostic tool for fracture assessment. POCUS has several advantages over conventional radiography, such as being portable, cheaper and radiation free. In addition, immediate conversion to ultrasound guided regional anaesthesia upon diagnosis of fracture can improve patient's time to proper analgesia. Moreover, POCUS can potentially be used pre-hospital to rule out hip fractures reducing ED crowding, as well as being a solution for areas where radiography is not readily available (e.g. rural or developing areas).\n\nObjective: Our primary objective is to evaluate the diagnostic capabilities of POCUS regarding patients with suspected hip fracture after trauma compared to radiography, the current standard of care diagnostic tool.\n\nStudy design: Prospective cohort study. Study population: All patients aged 18 and older presenting to the ED with a painful hip after trauma suspected of hip fracture are eligible to be enrolled in this study.\n\nIntervention: Patients enrolled in the study will undergo POCUS of the hip (femoral neck) by the (resident) emergency physician, prior to radiograph imaging.\n\nMain study parameters\u002Fendpoints: Sensitivity, specificity, positive predicting value (PPV) and negative predicting value (NPV) of POCUS in detecting hip fractures by assessing for posttraumatic changes (cortical disruptions, joint effusion and peritrochanteric edema).\n\nInformed consent will be requested and documented.",[34],{"label":35,"type":36,"description":37,"interventionNames":38},"All participants","EXPERIMENTAL","All patients enrolled in the study will undergo POCUS of the hip by the (resident) emergency physician, prior to radiograph imaging.",[39],"Diagnostic Test: POCUS of the hip",[41],{"type":42,"name":43,"description":44,"armGroupLabels":45,"otherNames":25},"DIAGNOSTIC_TEST","POCUS of the hip","POCUS of the hip (proximal femur) by the (resident) emergency physician, prior to radiograph imaging.",[35],[47,52],{"name":48,"role":49,"phone":50,"phoneExt":25,"email":51},"Lisanne M van der Lek, Drs","CONTACT","0031612289385","lisannevdlek@gmail.com",{"name":53,"role":49,"phone":54,"phoneExt":25,"email":55},"Svenja L Haak, MD","0031582867466","svenja.haak2@mcl.nl",[57],{"facility":58,"status":25,"city":59,"state":25,"zip":60,"country":61,"countryCode":62,"cosmosGeoPoint":63,"geoPoint":68,"contacts":69},"Medisch Centrum Leeuwarden","Leeuwarden","8934 AD","Netherlands","NL",{"type":64,"coordinates":65},"Point",[66,67],5.80973,53.20271,{"lat":67,"lon":66},[70,71],{"name":53,"role":49,"phone":54,"phoneExt":25,"email":55},{"name":53,"role":49,"phone":25,"phoneExt":25,"email":25},{"type":73,"investigatorFullName":74,"investigatorTitle":75,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"PRINCIPAL_INVESTIGATOR","Svenja Haak","MD","100574884",false,"NCT06765083","Can We 'hear' Femoral Neck Fractures? Ultrasound Guided Diagnosis of Femoral Neck Fractures","Can We 'hear' Femoral Neck Fractures? Ultrasound Guided Diagnosis of Femoral Neck Fractures.","CHEFF","Inclusion Criteria:\n\n* ≥18 years of age\n* presenting to the ED with a painful hip after trauma, suspected of hip fracture as defined by the attending clinician\n\nExclusion Criteria:\n\n* History of hip fracture or surgical procedure on the bones of the ipsilateral hip (ultrasound images may be unreliable)\n* Presence of foreign body material in the ipsilateral hip\n* Skin defects at the POCUS site e.g. lacerations, infected skin\n* Extensive injuries, extreme pain or neurovascular damage where urgent intervention is required\n* Inability to give informed consent (cognitive impairments, no proficient understanding of the Dutch or English language)","ALL","18 Years",{"count":86,"type":87},83,"ESTIMATED","INTERVENTIONAL",[27],"Hip (femoral neck and pertrochanteric) fractures account for a significant part of Emergency Department (ED) visits after trauma. Studies suggest that point-of-care ultrasound (POCUS) is a reliable diagnostic tool for fracture assessment. POCUS has several advantages over conventional radiography, such as being portable, cheaper and radiation free. In addition, immediate conversion to ultrasound guided regional anaesthesia upon diagnosis of fracture can improve patient's time to proper analgesia. Moreover, POCUS can potentially be used pre-hospital to rule out hip fractures reducing ED crowding, as well as being a solution for areas where radiography is not readily available (e.g. rural or developing areas).\n\nThe primary objective of this study, is to evaluate the diagnostic capabilities of POCUS regarding patients with suspected hip fracture after trauma compared to radiography, the current standard of care diagnostic tool.",[92],"Hip Fractures (i.e. Femoral Neck or Intertrochanteric Hip Fractures)",[94,95,96,97,98,99,100,101,102],"femoral neck","pertrochanteric","hip","fracture","POCUS","ultrasound","diagnostic","Emergency Department","proximal femur","NOT_YET_RECRUITING","2025-01-02",{"date":106,"type":107},"2025-01-09","ACTUAL",{"date":109,"type":87},"2025-01",{"date":111,"type":87},"2025-12",{"name":5,"class":6},1]