Clinical trial NCT05402774: Abdominal Pain Management and Point-of-care Ultrasound in the Emergency Department
Official title: Abdominal Pain Management and Point-of-care Ultrasound in the Emergency Department: a Randomized, Prospective, Controlled Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Abdominal Pain
Keywords: Abdominal pain
Cost
Emergency department
Length of stay
point-of-care ultrasound
Lead sponsor: Sakarya University
Sponsor class: OTHER
First posted: 2022-06-02
Enrollment: 207
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: a randomized, prospective, controlled study
Primary purpose: DIAGNOSTIC

Brief summary: Background: Abdominal pain is one of the most common reasons for admission to the emergency department (ED). This study aimed to investigate the effect of point-of-care ultrasound (POCUS) performed during the initial evaluation phase of patients who presented to the ED with abdominal pain on diagnostic processes, length of stay (LOS) in ED, and hospitalization and healthcare costs.

Methodology: This prospective, randomized, controlled, parallel group study was conducted with patients who presented to the Sakarya Education Research Hospital ED with abdominal pain from October 2019 to March 2020. Patients were divided randomly into two groups: control group where standard diagnostic strategies were applied and the POCUS group where POCUS was performed together with standard diagnostic strategies. All data were analyzed using IBM SPSS 21.


Eligibility criteria: Inclusion Criteria:

* age \>18 years
* Patients who presented to the ED with abdominal pain
* Nontraumatic patients

Exclusion Criteria:

* permanent mental disability,
* age \<18 years,
* abdominal trauma within the last 24 hours,
* pregnancy, morbid obesity, repeated admissions,
* referral from an external center to the ED,
* missing patient information.

Primary outcomes:
measure: to measure the effect of POCUS on the Length of stay in emergency department
timeFrame: 6 months
Secondary outcomes:
measure: to measure the effect of POCUS on the average cost of patients, the rate of change in the preliminary diagnosis of the physician, and hospitalization and discharge rate
timeFrame: 1 months after discharge or hospitalisation
Other outcomes:
Locations:
city: Sakarya
country: Turkey
facility: Sakarya University Training and Research Hospital
Study officials:
References:
citation: Laursen CB, Sloth E, Lassen AT, Christensen Rd, Lambrechtsen J, Madsen PH, Henriksen DP, Davidsen JR, Rasmussen F. Point-of-care ultrasonography in patients admitted with respiratory symptoms: a single-blind, randomised controlled trial. Lancet Respir Med. 2014 Aug;2(8):638-46. doi: 10.1016/S2213-2600(14)70135-3. Epub 2014 Jul 3.
citation: Guner NG, Yurumez Y, Yucel M, Alacam M, Guner ST, Ercan B. Effects of Point-of-care Ultrasonography on the Diagnostic Process of Patients Admitted to the Emergency Department with Chest Pain: A Randomised Controlled Trial. J Coll Physicians Surg Pak. 2020 Dec;30(12):1262-1268. doi: 10.29271/jcpsp.2020.12.1262.