Abdominal Pain Management and Point-of-care Ultrasound in the Emergency Department

NCT05402774 | Completed

• 1 other identifier: 16214662/050.01.04/152
• Study Type: interventional
• Target: 207
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Abdominal pain is one of the most common reasons for admission to the emergency department (ED). This study aimed to investigate the effect of point-of-care ultrasound (POCUS) performed during the initial evaluation phase of patients who presented to the ED with abdominal pain on diagnostic processes, length of stay (LOS) in ED, and hospitalization and healthcare costs. Methodology: This prospective, randomized, controlled, parallel group study was conducted with patients who presented to the Sakarya Education Research Hospital ED with abdominal pain from October 2019 to March 2020. Patients were divided randomly into two groups: control group where standard diagnostic strategies were applied and the POCUS group where POCUS was performed together with standard diagnostic strategies. All data were analyzed using IBM SPSS 21.

Conditions

Abdominal Pain

Keywords

Abdominal pain; Cost; Emergency department; Length of stay; point-of-care ultrasound

Outcome Measures

Primary Outcomes (1)

• to measure the effect of POCUS on the Length of stay in emergency department

  6 months

Secondary Outcomes (1)

• to measure the effect of POCUS on the average cost of patients, the rate of change in the preliminary diagnosis of the physician, and hospitalization and discharge rate

  1 months after discharge or hospitalisation

Study Arms (2)

point-of-care ultrasound group

OTHER

Diagnostic Test: point-of-care ultrasound

Control group

NO INTERVENTION

Interventions

point-of-care ultrasound DIAGNOSTIC_TEST

point-of-care ultrasound

point-of-care ultrasound group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• age \>18 years
• Patients who presented to the ED with abdominal pain
• Nontraumatic patients

You may not qualify if:

• permanent mental disability,
• age \<18 years,
• abdominal trauma within the last 24 hours,
• pregnancy, morbid obesity, repeated admissions,
• referral from an external center to the ED,
• missing patient information.

Sponsors & Collaborators

• Sakarya University: lead

Study Sites (1)

Sakarya University Training and Research Hospital

Sakarya, 54050, Turkey (Türkiye)

Location

Related Publications (2)

• Laursen CB, Sloth E, Lassen AT, Christensen Rd, Lambrechtsen J, Madsen PH, Henriksen DP, Davidsen JR, Rasmussen F. Point-of-care ultrasonography in patients admitted with respiratory symptoms: a single-blind, randomised controlled trial. Lancet Respir Med. 2014 Aug;2(8):638-46. doi: 10.1016/S2213-2600(14)70135-3. Epub 2014 Jul 3.

  PMID: 24998674 BACKGROUND

• Guner NG, Yurumez Y, Yucel M, Alacam M, Guner ST, Ercan B. Effects of Point-of-care Ultrasonography on the Diagnostic Process of Patients Admitted to the Emergency Department with Chest Pain: A Randomised Controlled Trial. J Coll Physicians Surg Pak. 2020 Dec;30(12):1262-1268. doi: 10.29271/jcpsp.2020.12.1262.

  PMID: 33397050 RESULT

MeSH Terms

Conditions

Abdominal Pain; Emergencies

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Signs and Symptoms, Digestive; Disease Attributes; Pathologic Processes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: CARE PROVIDER, OUTCOMES ASSESSOR
• Masking Details: At this stage, the patients were divided into two groups: POCUS was applied to patients in the POCUS group after primary clinical evaluation. This procedure was performed in the first hour after the primary clinical evaluations of the patients by evaluating the predetermined parameters in the study form for hepatobiliary, renal, and upper and lower abdominal findings. All processes and results for patients in the control group were followed without any intervention and the results were recorded in the study form.
• Purpose: DIAGNOSTIC
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Emergency Medicine Specialist

Model Details: a randomized, prospective, controlled study

Study Record Dates

• First Submitted: April 18, 2022
• First Posted: June 2, 2022
• Study Start: October 1, 2019
• Primary Completion: March 1, 2020
• Study Completion: March 1, 2020
• Last Updated: June 2, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)