Bedside Ultrasonography in Acute Patients With Suspected Kidney Involvement

NCT03873701 | Completed

• 1 other identifier: 65004
• Study Type: observational
• Target: 153
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to evaluate the accuracy and implications of the diagnoses and treatment determined by bedside ultrasonography (b-US) of the kidneys compared to current clinical assessment. Potentially diagnosing patients faster and avoiding missing conditions leading to readmission or unnecessary radiation from computed tomography (CT). This study evaluates the use of b-US as a supplement to clinical evaluation, in an unselected group of patients in the emergency department (ED) with signs of kidney involvement. The b-US of the kidneys is performed by a medical student certified in this technique. The evaluation will be based on data collected from a Danish hospital (Odense University Hospital, OUH) in autumn 2018.

Conditions

Hydronephrosis; Pyelonephritis; Urosepsis

Keywords

bedside ultrasonography; emergency department

Outcome Measures

Primary Outcomes (1)

• Ultrasonographic hydronephrosis

  Ultrasonographic hydronephrosis defined by \> 1cm pelvic dilation

  All included patient undergo bedside ultrasonography within 4 hours after admission

Secondary Outcomes (1)

• Clinical consequence of bedside ultrasonographic result

  Within 4 hours after admission

Interventions

bedside ultrasonography DIAGNOSTIC_TEST

Patients suspicious to urinary tract infection with kidney involvement are being examined by ultrasonography to detect hydroneprhosis. The treating clinicians fill out questionnaires to validate the impact of the bedside ultrasonography on the patient care and treatment.

Also known as: Ultrasound

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Single-center population collected from patients with contact to the emergency department (ED) at Odense University Hospital (OUH). Convenience sample.

You may qualify if:

• Suspicion of urinary tract infection and one or more of the following:
• Flank pain
• Fever
• Symptoms when voiding
• Creatinine elevation or 20% elevation from known creatinine level elevation

You may not qualify if:

• Age \< 18 years
• Radiological ultrasonographic examination already performed
• Patients who are not able to consent

Sponsors & Collaborators

• Odense University Hospital: lead
• Odense Patient Data Explorative Network: collaborator

Study Sites (1)

Odense Universitetshospital

Odense C, 5000, Denmark

Location

MeSH Terms

Conditions

Hydronephrosis; Pyelonephritis; Emergencies

Interventions

Ultrasonography

Condition Hierarchy (Ancestors)

Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Nephritis, Interstitial; Nephritis; Pyelitis; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis

Study Officials

• Annmarie T Lassen, Professor

  Forskningsenheden FAM OUH

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: BSc med

Study Record Dates

• First Submitted: October 30, 2018
• First Posted: March 13, 2019
• Study Start: November 2, 2018
• Primary Completion: April 5, 2019
• Study Completion: April 8, 2019
• Last Updated: April 25, 2019

Record last verified: 2019-04

Data Sharing

• IPD Sharing: Will not share

Locations

DK (1)