Evaluation of the Management of Acute Appendicitis Before Emergency Department in Children: a Prospective Study
NCT ID: NCT04885335
Last Updated: 2021-05-13
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
11 participants
OBSERVATIONAL
2021-06-01
2022-06-01
Brief Summary
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It concerns 0.3% of children under 15 with a maximum frequency between 8 and 13 years of age. Acute appendicitis has a significant morbidity rate of 8% and a mortality rate under 0.1%.
10 to 25% of the children admitted to emergency rooms for abdominal pain have appendicitis.
In 20 to 30% of the cases, the initial symptoms are atypical, which explains the difficulty in diagnosing.
The purpose of our study is to evaluate the quality of general practitioners in the diagnosis of acute appendicitis, its severity and the diagnostic criteria used.
Furthermore, it is not as easy to evaluate pain or examine a complaint in children as it is in adults.
Appendicectomy is the treatment of choice for all acute appendicitis. The importance of early diagnosis and treatment is, therefore, essential. Many predictive diagnostic scores have been studied over the years. The Pediatric Appendicitis Score (PAS) using typical symptoms of acute appendicitis and biological items was published in 2002. Nowadays, it is still considered as a reference and has been validated by other studies.
Most of the patients suffering from abdominal pain first consult their general practitioner.
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Detailed Description
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Conditions
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Study Design
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OTHER
PROSPECTIVE
Interventions
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PAS (Pediatric Appendicitis Score) survey
Score ≤ 5: appendicitis unlikely. Score ≥ 6: probable appendicitis. core ≥ 7: very probable appendicitis
Eligibility Criteria
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Inclusion Criteria
* abdominal symptoms
* consulting in the pediatric emergency department of Limoges University center.
Exclusion Criteria
0 Years
16 Years
ALL
No
Sponsors
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University Hospital, Limoges
OTHER
Responsible Party
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Locations
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Pediatric emergency department
Limoges, , France
Countries
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Central Contacts
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Facility Contacts
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References
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Vevaud K, Dallocchio A, Dumoitier N, Laspougeas A, Labrunie A, Belgacem A, Fourcade L, Ballouhey Q. A prospective study to evaluate the contribution of the pediatric appendicitis score in the decision process. BMC Pediatr. 2024 Feb 19;24(1):131. doi: 10.1186/s12887-024-04619-z.
Other Identifiers
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BAlouhhey_appendicites
Identifier Type: -
Identifier Source: org_study_id
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