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Randomized Study Evaluating the Role of Surgeon-Performed Ultrasound in the Management of the Acute Abdomen

Not Applicable
Completed
Conditions
Abdominal Pain
Interventions
Radiation: Surgeon-performed ultrasound
Registration Number
NCT00550511
Lead Sponsor
Karolinska Institutet
Brief Summary

The purpose of this study is to evaluate whether surgeon-performed ultrasound as a supplement to clinical investigation when a patient presents with abdominal pain in the emergency department can improve the management of the patient.

Detailed Description

Surgeon-performed ultrasound bedside in the emergency department when a patient presents with abdominal pain is quite common in Continental Europe and USA. It is considered to be implemented at emergency departments all over Sweden. This is the first randomized study performed to evaluate the method. In our study we compare diagnostic accuracy and further management of patients admitted to the emergency department for abdominal pain, with or without examination with surgeon-performed ultrasound bedside.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
800
Inclusion Criteria
  • Admitted to emergency ward for abdominal pain
  • 18 years or older
Exclusion Criteria
  • Pregnancy
  • Condition that has to be taken care of immediately
  • Inability to communicate with the investigator
  • Previously diagnosed abdominal condition
  • Severe drug or alcohol addiction
  • Dementia

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
UltrasoundSurgeon-performed ultrasoundSurgeon-performed ultrasound as intervention, as a complement to clinical investigation and standardized laboratory testing.
Primary Outcome Measures
NameTimeMethod
Proportion of correct diagnosis6 weeks
Secondary Outcome Measures
NameTimeMethod
Time consumption in emergency department Time to decision about surgical intervention Amount of complementary examinations Amount of hospital admissions Patient satisfaction in the emergency ward and at follow up Consumption of health care2 years
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