NCT06333106|Completed
Loading search results
Sponsor study identifier
interventional
247
1 country
6
Study Start
May 2, 2024
Actual (reported)Primary Completion
March 3, 2025
Actual (reported)Study Completion
March 3, 2025
Actual (reported)Many medical and paramedical specialties regularly use point-of-care ultrasound (PoCUS) in clinical practice. The diagnosis of fecal impaction is quite common in the elderly living in nursing homes with a prevalence of 47.3%. Fecal impaction remains a major source of morbidity, while its etiology is often multifactorial and its diagnosis challenging. Current recommendations for the diagnosis of fecal impaction support the use of plain abdominal x-rays. PoCUS is a non-irradiating procedure and a clinical diagnostic tool that can be used in a variety of ways during abdominal examinations. Most scientific societies encourage the use of PoCUS to respond to a specific clinical question rather than to provide a diagnosis, which is usually confirmed by conventional ultrasound. However, the combination of physical examination and PoCUS may improve the diagnostic approach. This multicentric prospective study protocol aims to evaluate the diagnostic accuracy of PoCUS in patients aged 75 years or older with suspected fecal impaction in the emergency department compared with plain abdominal x-ray (or abdominal CT scan if required as part of the emergency department investigations).
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
March 3, 2025
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
March 20, 2024
Actual (reported)March 27, 2024
Actual (reported)May 2, 2024
Actual (reported)March 3, 2025
Actual (reported)March 3, 2025
Actual (reported)Evaluation of the diagnostic value of clinical ultrasound in the diagnosis of fecal impaction in the emergency room
Sensitivity and specificity of PoCUS in the diagnosis of fecal impaction compared to abdominal radiography (or abdominal CT) as a diagnostic reference tool with likelihood ratios and positive and negative predictive values.
2 hours
Influence of BMI on the diagnosis of fecal impaction at PoCUS
2 hours
Influence of bladder repletion on the diagnosis of fecal impaction using PoCUS
2 hours
Influence of patient echogenicity on the diagnosis of fecal impaction using PoCUS
2 hours
Any patients aged 75 years or older coming to the ED and for whom the emergency physician suspects fecal impaction.
Evaluation of the diagnostic value of clinical ultrasound in the diagnosis of fecal impaction in the emergency room
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Clinique Saint-Jean, Bruxelles
Brussels, 1000, Belgium
Cliniques Universitaires Saint-Luc
Brussels, 1200, Belgium
Grand Hôpital de Charleroi
Charleroi, 6000, Belgium
Jolimont
La Louvière, 7100, Belgium
Université de Liège
Liège, 4000, Belgium
Clinique Saint Pierre Ottignies
Ottignies-Louvain-la-Neuve, 1340, Belgium
Meadley B, Olaussen A, Delorenzo A, Roder N, Martin C, St Clair T, Burns A, Stam E, Williams B. Educational standards for training paramedics in ultrasound: a scoping review. BMC Emerg Med. 2017 Jun 17;17(1):18. doi: 10.1186/s12873-017-0131-8.
Soucy ZP, Mills LD. American Academy of Emergency Medicine Position Statement: Ultrasound Should Be Integrated into Undergraduate Medical Education Curriculum. J Emerg Med. 2015 Jul;49(1):89-90. doi: 10.1016/j.jemermed.2014.12.092. Epub 2015 Apr 29. No abstract available.
Andrea Penaloza, MD, PhD
Cliniques universitaires Saint-Luc- Université Catholique de Louvain
247 participants (actual enrollment reported by the registry).
First Submitted
March 20, 2024
First Posted
March 27, 2024
Study Start
May 2, 2024
Actual (reported)Primary Completion
Contact the study team to confirm eligibility.
Cantisani V, Dietrich CF, Badea R, Dudea S, Prosch H, Cerezo E, Nuernberg D, Serra AL, Sidhu PS, Radzina M, Piscaglia F, Bachmann Nielsen M, Ewertsen C, Saftoiu A, Calliada F, Gilja OH. EFSUMB Statement on Medical Student Education in Ultrasound [long version]. Ultrasound Int Open. 2016 Mar;2(1):E2-7. doi: 10.1055/s-0035-1569413.
Nicholas E, Ly AA, Prince AM, Klawitter PF, Gaskin K, Prince LA. The Current Status of Ultrasound Education in United States Medical Schools. J Ultrasound Med. 2021 Nov;40(11):2459-2465. doi: 10.1002/jum.15633. Epub 2021 Jan 15.
Prosch H, Radzina M, Dietrich CF, Nielsen MB, Baumann S, Ewertsen C, Jenssen C, Kabaalioglu A, Kosiak W, Kratzer W, Lim A, Popescu A, Mitkov V, Schiavone C, Wohlin M, Wustner M, Cantisani V. Ultrasound Curricula of Student Education in Europe: Summary of the Experience. Ultrasound Int Open. 2020 Jun;6(1):E25-E33. doi: 10.1055/a-1183-3009. Epub 2020 Aug 31.
Atkinson P, Bowra J, Lambert M, Lamprecht H, Noble V, Jarman B. International Federation for Emergency Medicine point of care ultrasound curriculum. CJEM. 2015 Mar;17(2):161-70. doi: 10.1017/cem.2015.8.
Hayward SA, Janssen J. Use of thoracic ultrasound by physiotherapists: a scoping review of the literature. Physiotherapy. 2018 Dec;104(4):367-375. doi: 10.1016/j.physio.2018.01.001. Epub 2018 Feb 2.
Rey E, Barcelo M, Jimenez Cebrian MJ, Alvarez-Sanchez A, Diaz-Rubio M, Rocha AL. A nation-wide study of prevalence and risk factors for fecal impaction in nursing homes. PLoS One. 2014 Aug 22;9(8):e105281. doi: 10.1371/journal.pone.0105281. eCollection 2014.
Barcelo M, Jimenez-Cebrian MJ, Diaz-Rubio M, Rocha AL, Rey E. Validation of a questionnaire for assessing fecal impaction in the elderly: impact of cognitive impairment, and using a proxy. BMC Geriatr. 2013 Mar 7;13:24. doi: 10.1186/1471-2318-13-24.
Sommers T, Petersen T, Singh P, Rangan V, Hirsch W, Katon J, Ballou S, Cheng V, Friedlander D, Nee J, Lembo A, Iturrino J. Significant Morbidity and Mortality Associated with Fecal Impaction in Patients Who Present to the Emergency Department. Dig Dis Sci. 2019 May;64(5):1320-1327. doi: 10.1007/s10620-018-5394-8. Epub 2018 Dec 8.
Corban C, Sommers T, Sengupta N, Jones M, Cheng V, Friedlander E, Bollom A, Lembo A. Fecal Impaction in the Emergency Department: An Analysis of Frequency and Associated Charges in 2011. J Clin Gastroenterol. 2016 Aug;50(7):572-7. doi: 10.1097/MCG.0000000000000458.
Kinnunen O, Jauhonen P, Salokannel J, Kivela SL. Diarrhea and fecal impaction in elderly long-stay patients. Z Gerontol. 1989 Nov-Dec;22(6):321-3.
Matsumoto M, Misawa N, Tsuda M, Manabe N, Kessoku T, Tamai N, Kawamoto A, Sugama J, Tanaka H, Kato M, Haruma K, Sanada H, Nakajima A. Expert Consensus Document: Diagnosis for Chronic Constipation with Faecal Retention in the Rectum Using Ultrasonography. Diagnostics (Basel). 2022 Jan 25;12(2):300. doi: 10.3390/diagnostics12020300.
Miller DL, Abo A, Abramowicz JS, Bigelow TA, Dalecki D, Dickman E, Donlon J, Harris G, Nomura J. Diagnostic Ultrasound Safety Review for Point-of-Care Ultrasound Practitioners. J Ultrasound Med. 2020 Jun;39(6):1069-1084. doi: 10.1002/jum.15202. Epub 2019 Dec 23.
Booth TC, Jackson A, Wardlaw JM, Taylor SA, Waldman AD. Incidental findings found in "healthy" volunteers during imaging performed for research: current legal and ethical implications. Br J Radiol. 2010 Jun;83(990):456-65. doi: 10.1259/bjr/15877332. Epub 2010 Mar 24.
Dupriez F, Tollet J, Nely H, Steenebruggen F, Peyskens L, Marissiaux L, Germeau B, Collard A, Mordant C, Thoma M, Penaloza A, de Castro BR. Point-of-care ultrasound diagnostic accuracy for fecal impaction in the emergency department: a prospective study. Intern Emerg Med. 2025 Nov 3. doi: 10.1007/s11739-025-04150-8. Online ahead of print.
March 3, 2025
Actual (reported)Study Completion
March 3, 2025
Actual (reported)Last Updated
June 4, 2025
Record last verified: 2025-05
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
JSON downloads include source attribution and retrieval details alongside the unchanged original record or the separately normalized values.
Source retrieved: