ArticleJournal of children's orthopaedics2021
One and done? Outcomes from 3961 patients managed via a virtual fracture clinic pathway for paediatric fractures.
Article in Journal of children's orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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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.
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Who cites it
4 citing papers in PubMed, 8 citations in OpenAlex.
- Review
- 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
- How safe and effective are paediatric virtual fracture clinics? A systematic review.Frontiers in digital health · 2023Review
- Virtual fracture clinics: be vigilant for the ligamentous elbow injury.Journal of surgical case reports · 2022Article
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
purposeThe aim of this paper is to describe our experience with a virtual fracture management pathway in the setting of a paediatric trauma service.
methodsAll patients referred to the virtual fracture clinic service from the Paediatric Emergency Department (PED) were prospectively collected. Outcome data of interest (patients discharged, referred for urgent operative treatment, referred back to emergency department for further evaluation, referred for face-to-face clinical assessment and all patients who re-presented on an unplanned basis for further management of the index injury) were compiled and collated. Cost analysis was performed using established costing for a virtual fracture clinic within the Irish Healthcare System.
resultsThere were a total of 3961 patients referred to the virtual fracture clinic from the PED. Of these, 70% (n = 2776) were discharged. In all, 26% (n = 1033) were referred to a face-to-face appointment. Of discharged patients, 7.5% (n = 207) required an unplanned face-to-face evaluation. A total of 0.1% (n = 3) subsequently required operative treatment relating to their index injury. Implementation of the virtual fracture clinic model generated calculated savings of €254 120.
conclusionThis prospective evaluation has demonstrated that a virtual fracture clinic pathway for minor paediatric trauma is safe, effective and brings significant cost savings. LEVEL OF EVIDENCE: II.
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