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

Abdominal Pain Clinical Trial

Official title:

Abdominal Pain Management and Point-of-care Ultrasound in the Emergency Department: a Randomized, Prospective, Controlled Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05402774
• Other study ID #: 16214662/050.01.04/152
• Status: Completed
• Phase: N/A
• Start date: October 1, 2019
• Est. completion date: March 1, 2020

Study information

• Verified date: May 2022
• Source: Sakarya University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 207
• Est. completion date: March 1, 2020
• Est. primary completion date: March 1, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• age >18 years

• Patients who presented to the ED with abdominal pain

• Nontraumatic patients

Exclusion Criteria:

• 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.

Related Conditions & MeSH terms

• Abdominal Pain
• Emergencies

Intervention

Diagnostic Test:
• point-of-care ultrasound
point-of-care ultrasound

Locations

Country	Name	City	State
Turkey	Sakarya University Training and Research Hospital	Sakarya

Sponsors (1)

Lead Sponsor	Collaborator
Sakarya University

Country where clinical trial is conducted

Turkey, 

References & Publications (2)

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 — View Citation

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	to measure the effect of POCUS on the Length of stay in emergency department		6 months
Secondary	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