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The Bristol Hip View For Evaluation of Fractured Neck of Femur
ISRCTN ISRCTN04356218
ClinicalTrials.gov identifier
Public title The Bristol Hip View For Evaluation of Fractured Neck of Femur
Scientific title
Acronym N/A
Serial number at source N0234175548
Study hypothesis 1. Will a modified plain radiograph view (X-ray) help in the diagnosis of fractures to the femoral neck to avoid missed fractures?
2. Does the proposed radiographic view statistically increase the visibility of fractured femoral necks when reviewed by orthopaedic surgeons and radiologists?
Lay summary Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Injury, Occupational Diseases, Poisoning: Factures
Participants - inclusion criteria Patients who present with a history and examination compatible with a fracture of the upper femur.
Participants - exclusion criteria Patients will be excluded if they are unable to understand the study details and hence unable to provide written consent. As the study involves a small additional dose of radiation anybody under 60 years old will be excluded
Anticipated start date 01/01/2006
Anticipated end date 31/12/2006
Status of trial Completed
Patient information material
Target number of participants Proposed number of patients: 150
Interventions Our aims are to see if the modified radiographic view, in addition to the standard series of 2 radiographs increases the pick up rate and visibility of femoral neck fractures.

The standard 2 radiographs that are already done will act as the control.

How subjects are approached:
Patients presenting to the emergency department with a history and examination findings consistent with a fractured upper femur will have the study explained by the examining doctor. The patients will be consented to have an additional radiograph as well as the standard series. The patient will be X-rayed as standard and then the additional radiograph will be performed.

All other treatment will be as standard.
Primary outcome measure(s) The anonymised radiographs will be reviewed by anonymised observers, orthopaedic surgeons, A&E staff and radiologists. The anonymised radiographs will be randomised and any abnormality noted by anonymised observers via a questionnaire. The questionnaire will remain confidential and will not hold any patient identification or personal information. Any further information which is evident from the additional view is to be recorded. Note is made of the confidence of the initial diagnosis, and how the additional radiograph has helped. The proposal has been made after discussion with orthopaedic surgeons, A&E staff and the radiographer-lead to ensure the pathway is feasible and will not add significantly to the workload of the department.
Secondary outcome measure(s) Not provided at time of registration
Sources of funding North Bristol NHS Trust (UK)
NHS R&D Support Funding
Trial website
Publications
Contact name Dr  M  Bradley
  Address Southmead Hospital
Westbury on Trym
  City/town Bristol
  Zip/Postcode BS105NB
  Country United Kingdom
  Tel +44 01179595524
  Fax +44
  Email mike.bradley@nbt.nhs.uk
Sponsor Record Provided by the NHSTCT Register - 2006 Update - Department of Health
  Address The Department of Health, Richmond House, 79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.dh.gov.uk/Home/fs/en
Date applied 29/09/2006
Last edited 11/10/2011
Date ISRCTN assigned 29/09/2006
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