Clinical trial NCT06887400: Pocus Triage in Patients Presenting to the Emergency Department with Abdominal Pain
Official title: Comparison of the Effectiveness of Focused Point-of-Care Ultrasonography Triage and Classical Triage in Patients Applying to the Emergency Department with Abdominal Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Abdominal Pain (AP)
Point of Care Ultrasound (POCUS)
Triage
Keywords: Emergency department
Abdominal pain
POCUS
Triage
Lead sponsor: Sakarya University
Sponsor class: OTHER
First posted: 2025-03-20
Enrollment: 262
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: DIAGNOSTIC

Brief summary: Introduction and Objective: This study aimed to reveal the effect of classical triage and Bedside Focused Ultrasonography (POCUS) in addition to classical triage on diagnosis, treatment, emergency department follow-up and its relationship with triage models in patients presenting to the emergency department with abdominal pain complaints.

METHOD: This randomized, controlled, prospective study was conducted with a total of 262 volunteer participants who were divided into two groups as 127 classical triage and 135 POCUS in addition to classical triage with non-traumatic abdominal pain. The decision of which participant would be included in which group was made at a 1:1 ratio using a computer-aided randomization table. The researcher did not intervene in the clinical processes in any way. In this study, the effect of POCUS application performed in addition to classical triage on clinical processes (imaging request, initial analgesia administration time, consultation request, emergency department stay and outcome) in the primary outcome and on triage systems in the secondary outcome were evaluated. IBM SPSS 21.0 software was used for statistical analysis of the data.


Eligibility criteria: Inclusion Criteria:

* Present to the emergency room with abdominal pain
* No history of trauma in the last 48 hours
* Stable hemodynamics

Exclusion Criteria:

* According to the 3-way triage, the color code is red
* Being under the age of 18
* Being pregnant
* Having a history of trauma within the last 48 hours
* Being morbidly obese
* Having mental retardation
* Having repeated emergency room visits
* Being referred from the polyclinic to the emergency room with a diagnosis
* Filling the study form incompletely

Primary outcomes:
measure: Time to initial analgesia
timeFrame: 6 months
measure: Request for additional medical imaging
timeFrame: 6 months
measure: Emergency department length of stay
timeFrame: 6 months
Secondary outcomes:
Other outcomes:
measure: POCUS diagnostic sensitivity
timeFrame: 6 months
measure: Emergency severity index Outcome Measure
timeFrame: 6 months
measure: Manchester Triage System Outcome Measure
timeFrame: 6 months
measure: 3-group triage system Outcome Measure
timeFrame: 6 months
Locations:
city: Sakarya
country: Turkey
facility: Sakarya Training and Research Hospital
state: Adapazarı
Study officials:
References:
citation: Thamburaj R, Sivitz A. Does the use of bedside pelvic ultrasound decrease length of stay in the emergency department? Pediatr Emerg Care. 2013 Jan;29(1):67-70. doi: 10.1097/PEC.0b013e31827b53f9.
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.
citation: Durgun Y, Yurumez Y, Guner NG, Aslan N, Durmus E, Kahraman Y. Abdominal Pain Management and Point-of-care Ultrasound in the Emergency Department: A Randomised, Prospective, Controlled Study. J Coll Physicians Surg Pak. 2022 Oct;32(10):1260-1265. doi: 10.29271/jcpsp.2022.10.1260.