Key Info

The COVID-19 pandemic has led to national alterations in discharge rates for patients presenting with acute orthopaedic traumatic injuries with onward referral to a virtual fracture clinic (VFC). It is not clear how this will impact on the management of a variety of orthopaedic injuries as well as patient safety and satisfaction.

Aims

This national multi-centre audit aims to primarily assess the impact of COVID-19 on
  • Adherence to the British Orthopaedic Association Standards for Trauma (BOAST 7 and COVID-19 BOASTs)
  • Epidemiology of injuries managed at the VFC
  • Orthopaedic immobilisation techniques
  • Unplanned re-attendances or subsequent changes in management following VFC discharge
  • Patient satisfaction and patient reported outcome measures following VFC discharge

Hospital eligibility

Any hospital in the UK with a Virtual Fracture Clinic (VFC), also referred to as a Trauma Triage Clinic (TTC) or Trauma Assessment Clinic (TAC).

Patient eligibility

All consecutive adult patients (age ≥ 18 years) managed at a virtual fracture clinic.

Team

Individual hospital teams up to five people, who can be trainees, consultants, doctors or medical students, collecting data for a total of four weeks.

Time period audited

Patients will be retrospectively identified, and data collected on all patients who have been managed at a VFC during

  • 00:00 6th May 2019 – 23:59 19th May 2019
  • 00:00 4th May 2020 – 23:59 17th May 2020

Data collection

Local data collected for this audit will need to be anonymised and de-identified before submission using the MAVCOV Audit Data Collection Tool. Telephone questionnaire should only administered for patients who have been discharged from the VFC. The completed MAVCOV Audit Data Collection Tool should be submitted to the MAVCOV Steering Committee by: 30th November 2020.
Any requests to extend the deadline for data submission should be sent to mavcov@nsamr.ac.uk and will be reviewed on a case-by-case basis.

Registration

This study is classified as an audit by South East Scotland Research Ethics Service following review of submitted documentation and does not require ethics review. You should register this study with the Clinical Audit Department at your local hospital using the MAVCOV Audit Registration Form Guidance.

To register as a collaborator, please fill in this form (before 11th October 2020 23:59): https://forms.gle/DVjRRrJTwyhdwzSs9.

Authorship

Participation in this project results in collaborative authorship on all publications, with a PubMed citable ID attributed to all collaborators.

Project documentation

Please see the MAVCOV Project Documentation Hub for more details.

Contact

Please submit all queries to mavcov@nsamr.ac.uk

Please submit data to Samantha.Downie3@nhs.scot

Announcements

Thank you to those who’ve signed up so far. We will get back in touch when applications have closed to organise local teams and provide you with the local information pack to start the audit.

Here is our Project Timeline.

Upcoming key dates:

27th September 2020 (23:59): Round 1 collaborator application deadline
30th September 2020: Local information pack emailed out to successful Round 1 collaborators
11th October 2020 (23:59): Round 2 collaborator application deadline
14th October 2020: Local information pack emailed out to successful Round 2 collaborators
31th October 2020: Local audit registration deadline