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• W3097093325 abstract "Abstract Context In several countries, physiotherapists (PT) have been integrated within emergency departments (EDs) to help manage patients with musculoskeletal disorders (MSKDs). Still, research on the effects of such initiatives is scarce. Objectives To evaluate the effects of direct access PT on MSKD patients consulting the ED in terms of clinical outcomes and use of health care resources. Design, Setting, Participants Randomized controlled trial, academic ED in Quebec City (Canada), participants 18-80 years presenting with a minor MSKD. Intervention Direct access PT at the ED Control Emergency Physicians lead management (EP). Main Outcome Measure Clinical outcomes (pain, interference of pain on function) and use of resources (ED return visit, interventions, diagnostic tests, consultations) were compared between groups at ED discharge and after 1 and 3 months using two-way ANOVAs, log-linear analysis and χ 2 tests. Results Seventy-eight patients suffering from MSKDs were included (40.2 ± 17.6 years old; 44% women). Participants in the PT group (n=40) had statistically lower levels of pain and pain interference at 1- and 3-months. They were recommended fewer imaging tests (38% vs. 78%; p<.0001) and prescription medication (43% vs. 67%; p=.030) at ED discharge, had used less prescription medication (32% vs. 72%; p=.002) and had revisited significantly less often the ED (0% vs. 21%; p=.007) at 1-month than those in the EP group (n=38). At 3 months, the PT group had used less over-the-counter medication (19% vs. 43%; p=.034). Conclusion Patients presenting with a MSKD to the ED with direct access to a PT had better clinical outcomes and used less services and resources than those in the usual care group after ED discharge and up to 3 months after discharge. The results of this study support the implementation of such models of care for the management of this population. Trial Registration This trial is registered at the US National Institutes of Health ( ClinicalTrials.gov ) # NCT04009369 Ethical approval This trial was approved by the Research Ethics Committee of the CHU de Québec - Université Laval #MP-20-2019-4307" @default.
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• W3097093325 date "2020-10-29" @default.
• W3097093325 modified "2023-10-16" @default.
• W3097093325 title "Direct access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: results of a randomized controlled trial" @default.
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• W3097093325 doi "https://doi.org/10.1101/2020.10.28.20221531" @default.
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