Evaluation of the Management of Acute Appendicitis Before Emergency Department in Children: a Prospective Study

NCT04885335 | Unknown

• 1 other identifier: BAlouhhey_appendicites
• Study Type: observational
• Target: 11
• Locations: 1 country
• Sites: 1

Brief Summary

Acute appendicitis is the first visceral surgical emergency in pediatrics with about 30,000 cases in children having been described in France. 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.

Conditions

Appendicitis

Outcome Measures

Primary Outcomes (1)

• PAS score

  Score ≤ 5: appendicitis unlikely. Score ≥ 6: probable appendicitis. Score ≥ 7: very probable appendicitis

  At 5 month

Secondary Outcomes (1)

• Surgery for appendicitis

  At 5 month

Interventions

PAS (Pediatric Appendicitis Score) survey OTHER

Score ≤ 5: appendicitis unlikely. Score ≥ 6: probable appendicitis. core ≥ 7: very probable appendicitis

Eligibility Criteria

• Age: 0 Years - 16 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

-Child \<16 years with abdominal symptoms and consulting in the pediatric emergency department of Limoges University center.

You may qualify if:

• Child \<16 years
• abdominal symptoms
• consulting in the pediatric emergency department of Limoges University center.

You may not qualify if:

• Child \>=16 years

Sponsors & Collaborators

• University Hospital, Limoges: lead

Study Sites (1)

Pediatric emergency department

Limoges, 87000, France

Location

Related Publications (1)

• 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.

  PMID: 38373918 DERIVED

MeSH Terms

Conditions

Appendicitis

Interventions

Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Intraabdominal Infections; Infections; Gastroenteritis; Gastrointestinal Diseases; Digestive System Diseases; Cecal Diseases; Intestinal Diseases

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Central Study Contacts

Quentin Ballouhey, MD

CONTACT

0555049027; quentin.ballouhey@unilim.fr

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 9, 2021
• First Posted: May 13, 2021
• Study Start: June 1, 2021
• Primary Completion: February 1, 2022
• Study Completion: June 1, 2022
• Last Updated: May 13, 2021

Record last verified: 2021-05

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)