Ulus Travma Acil Cerrahi Derg. 2023; 29(8): 920-928 | DOI: 10.14744/tjtes.2023.29797

Ayak bileði burkulmasý olan hastalarda PRICE ve POLICE tedavi protokollerinin ayak bileði fonksiyonu üzerindeki etkilerinin karþýlaþtýrýlmasý

Ömer Yusuf Erdurmuþ¹, Ahmet Burak Oguz², Sinan Genc², Ayca Koca², Müge Günalp Eneylý², Onur Polat^2
1Ordu Devlet Hastanesi, Acil Servis, Ordu, Türkiye
²Ankara Üniversitesi, Týp Fakültesi, Acil Týp Anabilim Dalý, Ankara, Türkiye

AMAÇ: Ayak bileði burkulmasý acil servise sýk baþvuru nedenidir. Mevcut tedavi modaliteleri arasýnda Koruma, Optimal Yükleme, Buz uygulama, Kompresyon ve Elevasyon (POLICE) ve Koruma, Dinlenme, Buz uygulama, Kompresyon ve Elevasyon (PRICE) yer alýr. Bu çalýþma PRICE ve POLICE tedavi protokollerinin etkilerini karþýlaþtýrmayý amaçlamýþtýr.
GEREÇ VE YÖNTEM: Bu randomize kontrollü çalýþma, 15 Ekim 2020 ile 15 Ekim 2021 tarihleri arasýnda Ankara Üniversitesi Acil Týp Anabilim Dalý’nda gerçekleþtirildi. Hastalarý POLICE veya PRICE tedavi gruplarýna atamak için çift kör randomizasyon kullanýldý.
BULGULAR: Toplam 109 hasta alýndý. POLICE grubunda, baþvuru anýndaki ve yaralanmayý takip eden 14. gündeki Amerikan Ortopedik Ayak ve Ayak Bileði Skorlarý (AOFAS) arasýndaki medyan fark 34.5 (IQR: 27.25–41.75), PRICE grubununki ise 24 (IQR: IQR: 15.5–35). POLICE grubunda baþvuru anýndaki ve yaralanmayý takip eden 14. gündeki Ayak ve Ayak Bileði Özürlülük Ýndeksi (FADI) skorlarýndaki farkýn ortanca deðeri 42 (IQR: 35.25–50), PRICE grubununki ise 31 olarak saptandý (IQR: 22–41.5).
SONUÇ: POLICE tedavi protokolü, PRICE tedavi protokolüne göre daha etkili ve hýzlý iyileþme saðladý.

Anahtar Kelimeler: Ayak bileði burkulmasý, acil týp; mobilizasyon; aðrý; tedavi.

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Comparison of the effects PRICE and POLICE treatment protocols on ankle function in patients with ankle sprain

Ömer Yusuf Erdurmuþ¹, Ahmet Burak Oguz², Sinan Genc², Ayca Koca², Müge Günalp Eneylý², Onur Polat^2
1Department of Emergency Service,Ordu State Hospital, Ordu-Türkiye
²Department of Emergency Medicine, Ankara University School of Medicine, Ankara-Türkiye

BACKGROUND: Ankle sprain is a frequent reason for presentation to the emergency department. Current treatment modalities include Protection, Optimal Loading, Ice, Compression, and Elevation (POLICE) and Protection, Rest, Ice, Compression, and Elevation (PRICE). This study aimed to compare the effects of PRICE and POLICE treatment protocols.
METHODS: This randomized controlled study was conducted between October 15, 2020, and October 15, 2021, at Ankara University’s Department of Emergency Medicine. Double-blind randomization was used to assign patients to either the POLICE or PRICE treatment groups.
RESULTS: In total, 109 patients were included. In the POLICE group, the median difference between the American Orthopedic Foot and Ankle Scores on admission and the 14th day following the injury was 34.5 (IQR: 27.25–41.75), while that of the PRICE group was 24 (IQR: 15.5–35). In the POLICE group, the median value of the difference in the Foot and Ankle Disability Index scores on admission and the 14th day following the injury was 42 (IQR: 35.25–50), while that of the PRICE group was 31 (IQR: 22–41.5).
CONCLUSION: The POLICE treatment protocol provided more effective and faster recovery than the PRICE treatment protocol.

Keywords: Ankle sprain, emergency department; mobilization; pain; treatment.

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ATIF KOPYALA