Accuracy of Point of Care Ultrasound (POCUS) for the Diagnosis of Hip Effusion Among Children in the Pediatric Emergency Department
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hip Effusion
- Sponsor
- Meir Medical Center
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- accuracy of POCUS examination for the detection of hip effusion among limping children
- Last Updated
- 4 years ago
Overview
Brief Summary
Limping is a common complaint among children presenting in the Pediatric ED the evaluation of a limp among infants and toddlers is challenging doe to the lack of specific history and the difficulty in locating the pain - therefore hip sonography is frequently used in the clinical evaluation of these children.
Sonographic examination for the diagnosis of hip effusion is routinely performed by the radiologist, however, since the integration of Point of care Ultrasound (POCUS) as part of the clinical evaluation of children in the ED in many application - Hip pocus is frequently performed by pediatric Emergency Medicine physicians.
The existing data on hip POCUS is scarce and comprised of small uncontrolled studies.
We aimed to examine the specificity and sensitivity of hip Pocus performed by pediatric emergency physicians by comparing it to the scan performed by the radiologist.
the primary outcome measurement is the ability of the POCUS exam to identify or rule out the existence of hip effusion as demonstrated in the formal radiological Ultrasound scan.
Detailed Description
Children (0-18 years) presenting to the PED in Meir medical center with limp pain (not due to trauma) or a limp are recruited After consenting to participate in the study and completing the registration process the primary physician who is an approved researcher by the institutes IRB will perform hip POCUS as part of the clinical evaluation and will record his interpretation in the medical file. A formal ultrasound scan will be perfumed additionally by the radiologist. Both examination will be reviewed by POCUS lead physician and the Pediatric radiologist. The patient's clinical and epidemiological data will be extracted from the electronic chart.
Investigators
Eligibility Criteria
Inclusion Criteria
- •pediatric patients presenting to the PED with the complaint of a limp or a lower limb pain
Exclusion Criteria
- •trauma patients
- •patients with an obvious diagnosis other than pain resulting from the hip joint on their physical examination.
Outcomes
Primary Outcomes
accuracy of POCUS examination for the detection of hip effusion among limping children
Time Frame: both examination are performed during the same 1 day ED visit.
POCUS examination results compared to formal radiology ultrasound examination performed .