ArticleIrish journal of medical science2019
Electronic referrals for virtual fracture clinic service using the National Integrated Medical Imaging System (NIMIS).
Article in Irish journal of medical science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Direct discharge of patients with simple stable musculoskeletal injuries as an alternative to routine follow-up: a systematic review of the current literature.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Pooled it
- Are Virtual Fracture Clinics During the COVID-19 Pandemic a Potential Alternative for Delivering Fracture Care? A Systematic Review.Clinical orthopaedics and related research · 2020Pooled it
- Are Virtual Fracture Clinics really "safe"? - An evaluation of the capability of a District General Hospital Virtual Fracture Clinic pathway to detect safeguarding issues.Journal of clinical orthopaedics and trauma · 2025Article
- Patients' experiences of a Virtual Fracture Assessment Clinic Pathway: A qualitative study.PloS one · 2025Article
- Article
- The introduction of the trauma triage clinic at a district general hospital: safety and efficacy during the first year of implementation.Annals of the Royal College of Surgeons of England · 2022Article
- The impact of digitisation of a virtual fracture clinic on referral quality, outcomes and assessment times.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- CORR Synthesis: What Evidence Is Available for the Continued Use of Telemedicine in Orthopaedic Surgery in the Post-COVID-19 Era?Clinical orthopaedics and related research · 2021Review
- Direct discharge from the emergency department of simple stable injuries: a propensity score-adjusted non-inferiority trial.Trauma surgery & acute care open · 2021Article
- Cost-effectiveness of direct discharge from the emergency department of patients with simple stable injuries in the Netherlands.Trauma surgery & acute care open · 2021Article
- How useful are virtual fracture clinics?: a systematic review.Bone & joint open · 2020Review
- An analysis of virtual fracture clinics in orthopaedic trauma in the UK during the coronavirus crisis.EFORT open reviews · 2020Review
- Design and implementation of an acute Trauma and Orthopaedic ePlatform (TOP) referral system utilising existing secure technology during the COVID-19 pandemic.Bone & joint open · 2020Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionVirtual fracture clinics (VFC) are now prevalent across many orthopaedic services in the UK and Ireland. The management of a variety of musculoskeletal injuries using the VFC model has been demonstrated to be safe, cost-effective and associated with high levels of patient satisfaction. Referrals were made available through the National Integrated Medical Imaging System (NIMIS). NIMIS allows for electronic movement of patient images throughout the Irish health service.
methodsA retrospective review of 157 orthopaedic fracture referrals from a regional hospital was performed. The referrals were received during a 6-week period between May 2016 and June 2016. Each of these referrals was sent electronically. These referrals were reviewed each day by a consultant-led multi-disciplinary team.
resultsThirty (93%) patients agreed or strongly agreed that they received adequate information in relation to the VFC when they attended the emergency department (ED). All patients except for one either agreed or strongly agreed that they were satisfied with their recovery (97%). Fifteen parents advised us that they would have had to take time off to attend fracture clinic with their child. Two patients attended their general practitioner (GP) or ED to seek further pain relief following their injuries. Only one patient reported a poor clinical outcome. Nine (28%) patients reported that they would have preferred a face-to-face appointment rather than being treated by the VFC.
conclusionVirtual review of orthopaedic trauma patients results in satisfactory patient outcomes. Clinical outcomes were acceptable with minimal additional medical attention required following injury. Electronic transfer of information allows for the virtual service to operate from sites long distances from the primary orthopaedic centre. The NIMIS is a safe and confidential means of collaborating with other institutions and has huge potential in the areas of trauma care delivery, clinical conferencing and other image-based disciplines.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.