Evaluación de conocimientos y aplicación de Reglas de Ottawa en para atención de pacientes con trauma de tobillo y medio pie y su correlación radiográfica en el servicio de emergencia.

Abstract

The present study evaluates the knowledge and application of the Ottawa Rules in physicians in the care of patients with ankle and half foot trauma and their radiographic correlation in the Emergency department. The high incidence of ankle and half foot trauma is detected in the emergency services of Ecuador. A quantitative cross-sectional observational descriptive study was carried out and has two observation units: doctors and radiographs requested in the care of patients with ankle and half foot trauma. We worked with a non-probabilistic-sequential sample, where 101 medical procedures or care and 96 requested radiographs were studied; In turn, a survey of 28 doctors working in the Emergency Service was conducted. For the universal analysis, percentages, averages, standard deviation, median, interquartile range were calculated; and for the bivariate analysis, odds ratio was calculated, Fisher's exact test was used as a statistical significance test. The results obtained provide insight into the importance and versatility of the Ottawa Rules for acute ankle and half foot trauma in emergency services in the environment of Ecuador. In addition, by not applying them, a large number of unnecessarily requested radiographs are evidenced, increasing the waiting time of patients, radiation received and increased use of resources.