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Structured Management of Patients With Suspicion of Appendicitis Using a Clinical Score and Selective Imaging

NCT00971438 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1312

Last updated 2015-05-05

No results posted yet for this study

Summary

Patients with acute abdominal pain and suspicion of appendicitis are common. The management of these patients is controversial with large variations between hospitals. The clinical diagnosis is regarded as insufficient necessitating the use of diagnostic techniques like ultrasound, computerized tomography and diagnostic laparoscopy. However, the role of these diagnostic techniques is not clear.

This aim of this prospective interventional study is to analyze the impact of the implementation of a clinical score to improve the clinical diagnosis and to serve as a basis for a structured management of these patients by comparison of the results after the implementation of the score with that of a baseline period. In the group of patients with indeterminate diagnosis according to the clinical score, the value of diagnostic imaging will be evaluated and compared with a period of in-hospital observation by randomization. The hypothesis is that a clinical score will decrease the use of unnecessary diagnostic imaging and unnecessary admissions to hospital for observation.

Conditions

  • Appendicitis

Interventions

PROCEDURE

Diagnostic imaging

Patients with a scoring suggesting an equivocal diagnosis of appendicitis are randomised to diagnostic imaging (CT or US) or repeat examination after inhospital observation

Sponsors & Collaborators

  • Medical Research Council of Southeast Sweden

    collaborator OTHER_GOV

  • Ryhov County Hospital

    lead OTHER

Principal Investigators

  • Roland E Andersson, PhD MD · Linkoeping University

Study Design

Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
10 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2009-09-30
Primary Completion
2012-01-31
Completion
2012-01-31

Countries

  • Sweden

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT00971438 on ClinicalTrials.gov