Hair apposition technique for scalp laceration repair: a randomized controlled trial comparing physicians and nurses (HAT 2 study).
OBJECTIVE
The hair apposition technique (HAT) is a new method of closing scalp lacerations in which hairs on either side of the wound are twisted together and secured with a tissue adhesive. We aimed to compare the effectiveness, complications, and benefits of HAT performed by nurses or doctors in a randomized, prospective trial.


METHODS
We conducted the study in the ED from November 2002 to February 2005. Subjects were randomized to receive HAT either by doctors or nurses. All wounds were evaluated 7 days later. The outcomes wound infection, wound healing, bleeding, and overall complications were measured, setting +/-5% in the differences of the outcomes between the doctors and nurses as equivalence.


RESULTS
There were 88 and 76 patients in the doctor and nurse groups, respectively. There were no significant differences in all short-term outcomes between the doctors and nurses except for length of the procedure. The doctors had a shorter mean duration of procedure than the nurses (9.0 +/- 5.6 vs 12.8 +/- 7.5 minutes, P = .001).


CONCLUSIONS
The HAT can be safely performed by trained nurses with equivalent outcomes as doctors.
Ong
Marcus Eng Hock
ME
Department of Emergency Medicine, Singapore General Hospital, Singapore 169608, Singapore. marcus.ong.e.h@sgh.com.sg <marcus.ong.e.h@sgh.com.sg>u
Chan
Yiong Huak
YH
Teo
Josephine
J
Saroja
S
S
Yap
Susan
S
Ang
Pauline Hwee Yen
PH
Lim
Swee Han
SH
D000287:Administration, Topical; D000328:Adult; D002983:Clinical Competence; D005260:Female; D006197:Hair; D006801:Humans; D022125:Lacerations / Q000601:surgery*; D008297:Male; D009726:Nurses; D010147:Pain Measurement; D010820:Physicians; D011446:Prospective Studies; D013536:Suture Techniques; D014014:Tissue Adhesives / Q000008:administration & dosage*; D016896:Treatment Outcome
D014014:Tissue Adhesives