HANDHELDS AND REGISTRY OF PATIENTS WITH WRIST FRACTURES

  • Dragica Smrke Klinični oddelek za travmatologijo Klinični center Zaloška 2 1525 Ljubljana
  • Blaž Zupan Fakulteta za računalništvo in informatiko Univerza v Ljubljani Tržaška 25 1000 Ljubljana in Department of Molecular and Human Genetics Baylor College of Medicine Houston USA
  • Blaž Lenarčič Fakulteta za računalništvo in informatiko Univerza v Ljubljani Tržaška 25 1000 Ljubljana
  • Zoran Arnež Klinični oddelek za plastično kirurgijo in opekline Klinični center Zaloška 7 1525 Ljubljana
Keywords: wrist fractures, registry of patients, information systems, clinical database, handhelds

Abstract

Background. In the past decade and with increased life expectancy the incidence of wrist fractures has been rising. To improve a quality of treatment of patients with wrist fractures, a protocol specifying the timing and nature of the patient data to be recorded and an appropriate information solution are needed.

Methods. The protocol for acquisition of data on patients with fractures of distal radius was based on internationally accepted standards. Computer-based implementation of the protocol used standard approaches for building databases on handhelds.

Results. We have developed a protocol for data acquisition from patients with fractures of distal radius. The protocol consists of four follow-ups and includes an initial examination, two control exams and a final examination. The application that supports the protocol was implemented on a handheld computer, so that its practical value and ease of use could have been assessed.

Conclusions. The proposed protocol and its handheld-based implementation were already used to acquire the data from more then 100 patients with Colles’ wrist fracture. Only unstable fractures of distal radius with 20 degrees dislocation, potentially including a dorsal fragment, have been considered.

Downloads

Download data is not yet available.

References

Mudgal CS, Psenica J, Jupiter JB. Radiocarpal fracture dislocation. J Hand Surg 1999; 24B: 1: 92–8.

Handoll HH, Madhok R. Surgical interventions for treating distal radial fractures in adults (Cochrane Review). Cochrane Database Syst Rev 2001; 3: CD003209.

Prinčič J, Smrkolj V. Travmatologija. In: Smrkolj V ed. Kirurgija. Ljubljana: Sledi, 1995: 629–47.

Rikli D, Regazzoni P. Distale Radiosfrakturen. Schweitz Med Wochenschr 1999; 129: 776–85.

Cooney WP, Linscheid Rl, Dobyns JH. Fractures and dislocations of the writs. In: Rockwood CA, Green DP, Bucholz RW, Heckman JD eds. Fractures in adults. 4th ed. Philadelphia: Lippincott-Raven Publishers, 1996: 746–855.

Lenoble E, Dumontier C, Goutallier D, Apoil A. Fracture of the distal radius. J Bone Joint Surg (Br) 1995; 77-B: 562–7.

Garvin R, Otto F, McRae D. Using handheld computers to document family practice resident procedure experience. Fam Med 2000; 32: 115–8.

Zupan B, Porenta A, Vidmar G. Odločitve na dlani: sistem za podporo večparametrskemu odločanju na dlančnikih. Informatica Medica Slovenica 2000, 6: 35–41.

Blackman J, Gorman P, Lohensohn R, Kraemer D, Svingen S. The usefulness of handheld computers in surgical group practice. Proc AMIA, 1999: 686–90.

Shifmann RN, Liaw Y, Navedo DD, Freudigman KA. User satisfaction and frustration with a handheld, Pen-based guideline implementation system for asthma. Proc AMIA, 1999: 940–4.

Kattan MW, Wheeler TM, Scardino PT. Postoperative nomogram for disease recurrence after radical prostatectomy for prostate cancer. J Clin Oncol 1999; 17: 1499–507.

Zupan B, Demsar J, Kattan MW, Ohori M, Graefen M, Bohanec M, Beck JR. Orange and decisions-at-hand: Bridging predictive data mining and decision support. In: Proc. of ECML/PKDD2001 Workshop on Integrating Aspects of Data Mining, Decision Support and Meta-Learning Workshop Notes, Prague 2001 (http://ai.ijs.si/branax/iddm-2001-proceedings/).

Wofford MM, Secan R, Herman C, Moran WP, Woofford JL. Clinical documentation: The handheld computer as a survival tool. MD Computing 1998; 15: 352–8.

Sitting D, Jimison H, Hazlehurst B, Churchill B, Lyman J, Mailhot M, Quick E, Simpson D. Techniques for identifying the applicability of new information management technologies in the clinical setting: an example focusing on handheld computers. Proc. AMIA, 2000: 804–8.

Gliatis JD, Plessas SJ, Davis TRC. Outcome of distal radial fractures in young adults. J Hand Surg 2000; 25B: 535–43.

Gartland JJ, Werley CW. Evaluation of healed Colles’ fractures. J Bone Joint Surg (Am) 1951; 33-A: 895–907.

How to Cite
1.
Smrke D, Zupan B, Lenarčič B, Arnež Z. HANDHELDS AND REGISTRY OF PATIENTS WITH WRIST FRACTURES. TEST ZdravVestn [Internet]. 1 [cited 5Aug.2024];71(9). Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/1618
Section
Professional Article