Diagnostic Accuracy of Emergency Physician Performed Bedside Ultrasound in Suspected Acute Appendicitis

NCT ID: NCT02467959

Last Updated: 2015-06-10

Basic Information

• Recruitment Status: UNKNOWN
• Total Enrollment: 250 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2015-01-31
• Study Completion Date: 2015-12-31

Brief Summary

The aim of the study is to evaluate the diagnostic yield and accuracy of bedside emergency physician performed ultrasound in the diagnosis of acute appendicitis.

Detailed Description

Emergency physician (EP) performed bedside ultrasound is cost effective, repeatable and especially useful in the diagnosis of life treating conditions such as aortic dissection, traumatic bleedings. While abdominal pain is a common complaint in the emergency department and accurate diagnosis of its etiology may affect the patient's outcome, the accuracy and the diagnostic yield of bedside EP performed ultrasound is not well established. The diagnosis of a patient presented to emergency department with right lower abdominal pain is generally problematic and physician has to exclude acute surgical reasons such as acute appendicitis.

In this study, patients who are suspicious to have acute appendicitis base on their clinical findings will be included. EP will record his diagnosis and then patient will undergo emergency physician performed ultrasound. After ultrasound EP will fill the study form according to US findings and record his diagnosis once again.

At the end of the study the investigators evaluate and compare the radiology performed US reports and if there is operational biopsy results with the EP's pre- and post ultrasound diagnosis to estimate the diagnostic yield and accuracy of bedside emergency physician performed ultrasound in the diagnosis of acute appendicitis.

Conditions

Acute Abdomen; Acute Appendicitis

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

Ultrasound

Ultrasound evaluation

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

• Patient presented with the complaint of right lower abdominal pain
• Suspected acute appendicitis

Exclusion Criteria

• Flank pain
• Previous appendectomy
• Pregnancy
• Unstable vital signs
• Frank peritonitis
• US performed before EP's examination

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Antalya Training and Research Hospital

OTHER_GOV

Sponsor Role: lead

Responsible Party

faruk güngör

MD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

faruk güngör, md

Role: STUDY_CHAIR

Antalya Training and Research Hospital

Locations

Antalya Training and Research Hospital, Department of Emergency

Antalya, , Turkey (Türkiye)

Site Status: RECRUITING

Countries

Turkey (Türkiye)

Central Contacts

faruk güngör, md

Role: CONTACT

drfarukgungor@gmail.com

faruk güngör, md

Role: CONTACT

drfarukgungor@gamail.com

Facility Contacts

faruk güngör, MD

Role: primary

drfarukgungor@gmail.com

+902422494400 ext. 3273

References

Hussain S, Rahman A, Abbasi T, Aziz T. Diagnostic accuracy of ultrasonography in acute appendicitis. J Ayub Med Coll Abbottabad. 2014 Jan-Mar;26(1):12-7.

Reference Type: BACKGROUND

PMID: 25358207 (View on PubMed)

Lam SH, Grippo A, Kerwin C, Konicki PJ, Goodwine D, Lambert MJ. Bedside ultrasonography as an adjunct to routine evaluation of acute appendicitis in the emergency department. West J Emerg Med. 2014 Nov;15(7):808-15. doi: 10.5811/westjem.2014.9.21491. Epub 2014 Sep 18.

Reference Type: RESULT

PMID: 25493122 (View on PubMed)

Other Identifiers

AntalyaTRH04

Identifier Type: -

Identifier Source: org_study_id