Bedside Ultrasound study for appendicitis and its utility in the emergency department (Australian ED setting)

Not Applicable

Recruiting

• Conditions: Appendicitis; Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon; Emergency medicine - Other emergency care

• Registration Number: ACTRN12624000109505
• Lead Sponsor: Women's and Children Hospital Network (WCHN)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2024-02-08
• Last Update Posted: 12 February 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

Children between the age 5 to 18 years
-< 5 days duration (120 hours) of pain
-Appendicitis is a differential diagnosis

Exclusion Criteria

-Pain >120 hours duration
- Previous bowel surgery, IBD, chronic pancreatitis, CF, sickle cell disease??
-Medical condition preventing the ability to obtain accurate history –nonverbal?
- Language barrier
-Transplant patients
-Abdominal trauma within two weeks
-Hemodynamic instability requiring resuscitation
-Pregnancy
- Testicular pain

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To determine the diagnostic accuracy of POCUS for appendicitis when performed by ED clinicians. Positive POCUS findings will be compared with the histopathology. [ This study would be carried out from August 2023 to May 2024.<br>RADUS can take up to 1-4 hours if performed during day time working hours. There are no sonographers available on site after hours, therefore, for some patients the formal RADUS would be arranged as next day ultrasound if clinically stable and presentation has been after hours. ]

Secondary Outcome Measures

Name	Time	Method
Proportion of equivocal diagnoses of POCUS as determined by physician<br>[ This will be assessed during data analysis post study. ]