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

Appendicitis Clinical Trial

Official title:

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

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT04885335
• Other study ID #: BAlouhhey_appendicites
• Status: Not yet recruiting
• Start date: June 1, 2021
• Est. completion date: June 1, 2022

Study information

• Verified date: May 2021
• Source: University Hospital, Limoges
• Contact: Quentin Ballouhey, MD
• Phone: 0555049027
• Email: quentin.ballouhey[@]unilim.fr
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 11
• Est. completion date: June 1, 2022
• Est. primary completion date: February 1, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A to 16 Years

Eligibility

Inclusion Criteria:

• Child <16 years

• abdominal symptoms

• consulting in the pediatric emergency department of Limoges University center.

Exclusion Criteria:

• Child >=16 years

Related Conditions & MeSH terms

• Appendicitis
• Emergencies

Intervention

Other:
• PAS (Pediatric Appendicitis Score) survey
Score = 5: appendicitis unlikely. Score = 6: probable appendicitis. core = 7: very probable appendicitis

Locations

Country	Name	City	State
France	Pediatric emergency department	Limoges

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Limoges

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	PAS score	Score = 5: appendicitis unlikely. Score = 6: probable appendicitis. Score = 7: very probable appendicitis	At 5 month
Secondary	Surgery for appendicitis		At 5 month