Emergency Department CT Scanning for Appendicitis
Not Applicable
Completed
- Conditions
- Appendicitis
- Interventions
- Other: Omnipaque
- Registration Number
- NCT00734825
- Lead Sponsor
- WellSpan Health
- Brief Summary
The purpose of this study is to compare IV contrast only vs. IV and oral contrast Computed Tomography (CT) for the diagnosis of acute appendicitis in adult patients in our emergency department. A secondary purpose will be to design a specific CT for appendicitis protocol at our institution at the conclusion of this study.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 244
Inclusion Criteria
- 18 years and older who present to the York Hospital Emergency Department with signs and symptoms suggestive of acute appendicitis, but in whom the diagnosis remains unclear as determined by an attending emergency physician or consulting surgeon and in which a CT scan is needed to further assist in the diagnosis
Exclusion Criteria
- pregnant patients
- patients with known IV dye or oral contrast allergy
- patients in whom acute appendicitis is not the primary diagnosis
- patients with renal insufficiency that may have significant adverse effect from IV dye
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 1 Omnipaque IV contrast 2 Omnipaque IV contrast and oral contrast
- Primary Outcome Measures
Name Time Method sensitivity of IV contrast alone for a computed tomography scan for the diagnosis of appendicitis in the adult Emergency Department patient. immediate reading + blinded reading within 48 hours
- Secondary Outcome Measures
Name Time Method If IV contrast alone for CT scan is sensitive for the diagnosis of appendicitis in the adult Emergency department patient immediate reading and blinded reading within 48 hours