Bedside Ultrasonography in Acute Patients With Suspected Kidney Involvement

Completed

• Conditions: Pyelonephritis; Hydronephrosis; Urosepsis

• Registration Number: NCT03873701
• Lead Sponsor: Odense University Hospital

Brief Summary

The aim of this study is to evaluate the accuracy and implications of the diagnoses and treatment determined by bedside ultrasonography (b-US) of the kidneys compared to current clinical assessment. Potentially diagnosing patients faster and avoiding missing conditions leading to readmission or unnecessary radiation from computed tomography (CT).

This study evaluates the use of b-US as a supplement to clinical evaluation, in an unselected group of patients in the emergency department (ED) with signs of kidney involvement. The b-US of the kidneys is performed by a medical student certified in this technique. The evaluation will be based on data collected from a Danish hospital (Odense University Hospital, OUH) in autumn 2018.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-10-30
• Study Start: 2018-11-02
• Study First Submitted QC: 2019-03-12
• Study First Posted: 2019-03-13
• Status Verified: 2019-04
• Primary Completion: 2019-04-05
• Study Completion: 2019-04-08
• Last Update Submitted: 2019-04-24
• Last Update Posted: 2019-04-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 153

Inclusion Criteria

• Suspicion of urinary tract infection and one or more of the following:
• Flank pain
• Fever
• Symptoms when voiding
• Creatinine elevation or 20% elevation from known creatinine level elevation

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Exclusion Criteria

• Age < 18 years
• Radiological ultrasonographic examination already performed
• Patients who are not able to consent

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Ultrasonographic hydronephrosis	All included patient undergo bedside ultrasonography within 4 hours after admission	Ultrasonographic hydronephrosis defined by \> 1cm pelvic dilation

Secondary Outcome Measures

Name	Time	Method
Clinical consequence of bedside ultrasonographic result	Within 4 hours after admission	Clinicians responsible for the primary clinical assessment determine treatment and further examinations before and after the ultrasonographic results.

Trial Locations

Locations (1)

Odense Universitetshospital; 🇩🇰 Odense C, Denmark