Evidence map›Paper›PMID 34183341›Full record

ArticleBMJ open2021

Thromboembolic risk stratification by TRiP(cast) score to rationalise thromboprophylaxis in patients with lower leg trauma requiring immobilisation: a study protocol of the casting stepped-wedge cluster randomised trial.

Delphine Douillet, Jeremie Riou, Maximilien Thoma, Thomas Moumneh, Astrid Darsonval, Albert Trinh-Duc, Olivier Hugli, Anthony Chauvin, Andrea Penaloza, Pierre-Marie Roy

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04064489 (Thromboembolic Risk Stratification by TRIP Score), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04064489 nacompletednot on this map

Thromboembolic Risk Stratification by TRIP Score (Cast) to Guide Physicians in Preventive Treatment Prescriptions for Patients With Lower Limb Trauma Requiring Brace or Casting.

TypeinterventionalSponsorUniversity Hospital, AngersRan2020 to 2022Enrolled2,123ConditionsLower Limb Trauma, Venous Thromboembolism, StratificationArmsTRIPscore
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 3 countries.

Delphine DouilletEmergency Department, University Hospital Centre Angers, Angers, France delphinedouillet@gmail.com.ORCID 0000-0001-7986-7552
Jeremie RiouBiostatistics and Methodology Department, University Hospital Centre Angers, Angers, France.
Maximilien ThomaEmergency Department, Cliniques universitaires Saint-Luc, Bruxelles, Belgium.
Thomas MoumnehEmergency Department, University Hospital Centre Angers, Angers, France.
Astrid DarsonvalDepartment of Pharmacy, Angers University Hospital Centre, Angers, France.
Albert Trinh-DucEmergency Department, Hospital Centre of Agen, Agen, France.ORCID 0000-0002-7931-7996
Olivier HugliEmergency Department, University Hospital of Lausanne, Lausanne, Switzerland.ORCID 0000-0003-2312-1625
Anthony ChauvinEmergency Department, Hôpital Lariboisière, Assistance Publique - Hôpitaux de Paris APHP, Université de Paris, Paris, France.ORCID 0000-0001-8819-0061
Andrea PenalozaEmergency Department, Cliniques universitaires Saint-Luc, Bruxelles, Belgium.
Pierre-Marie RoyEmergency Department, University Hospital Centre Angers, Angers, France.ORCID 0000-0003-4811-6793
Centre National de la Recherche Scientifique · FRCliniques Universitaires Saint-Luc · BECentre Hospitalier Agen - Nérac · FRUniversité d'Angers · FRUniversité Paris Cité · FRUniversity Hospital of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with lower limb trauma requiring orthopaedic immobilisation may be at risk of venous thromboembolism but opinions differ about who may benefit from thromboprophylactic anticoagulant treatment.The aim of this CASTING study is to demonstrate the safety of thromboprophylaxis based on the Thrombosis Risk Prediction for patients with cast immobilisation (TRiP(cast) score with regards to the 3-month incidence of symptomatic venous thromboembolism events in low-risk patients not receiving thromboprophylaxis, as well as the usefulness of this strategy on the rate of patients receiving anticoagulant treatment in comparison to current practice. METHODS AND ANALYSIS: CASTING will be a stepped-wedge cluster randomised controlled clinical trial, performed in 15 emergency departments in France and Belgium. With their informed consent, outpatients admitted to one of the participating emergency departments for a lower limb trauma requiring orthopaedic immobilisation without surgery will be included. All centres will begin the trial with the 'observational period' and, every 2 weeks, 1 centre will be randomly assigned to switch to the 'interventional period' and to apply the TRiP(cast) score, in which only patients with a score ≥7 will receive thromboprophylactic anticoagulant treatment. The primary endpoint is the rate of clinical thromboembolic events within 90 days following the inclusion of low-risk patients not receiving thromboprophylaxis. ETHICS AND DISSEMINATION: The protocol has been approved by the Comité de Protection des Personnes Sud I (Ethics Review ID-RCB: 2019-A01829-48) for France and the Comité d'éthique hôpital-facultaire Saint Luc (N° B403201941338) for Belgium. It is carried out in accordance with the Declaration of Helsinki and Good Clinical Practice guidelines. The findings of this study will be disseminated in peer-reviewed journals and at scientific conferences. TRIAL REGISTRATION NUMBER: NCT04064489.

Indexed as

AnticoagulantsVenous ThromboembolismBelgiumFranceHumansLegRandomized Controlled Trials as TopicRisk AssessmentAnticoagulantsaccident & emergency medicineadult orthopaedicsfoot & anklevascular medicine

Identifiers

PMID34183341
PMCPMC8240567
OpenAlexW3174054835

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.