Feasibility and Impact of a Decision Rule for Imaging of Emergency Department Patients With Suspected Kidney Stone
NCT01869647 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 264
Last updated 2020-03-20
Summary
This is the third phase (feasibility and impact) of a three-phase project designed to derive, validate and test the feasibility and impact of implementing clinical decision support to safely limit the use of Computerized Tomography (CT) and its accompanying radiation and cost in emergency department patients with suspected renal colic.
Hypothesis: Using a before and after model, integration of a clinical prediction rule into decisions about imaging in patients with suspected renal colic will result in a reduction of between 25-50% of radiation received from CT scanning in this population, without adverse affects on patient-centered outcomes.
Conditions
- Kidney Stones
Interventions
- RADIATION
-
Ultra low dose CT scan
Ultra low dose CT scan
- RADIATION
-
Regular CT or Low Dose CT scan
Regular CT or Low Dose CT scan
- RADIATION
-
No imaging
No imaging
Sponsors & Collaborators
-
Agency for Healthcare Research and Quality (AHRQ)
collaborator FED -
Yale University
lead OTHER
Principal Investigators
-
Christopher L Moore, MD · Yale University
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-04-30
- Primary Completion
- 2014-07-31
- Completion
- 2014-07-31
Countries
- United States
Study Locations
More Related Trials
-
Impact of Unenhanced Computed Tomography (CT) in Elderly Patients Admitted to the Emergency Department With Acute Abdominal Pain
NCT02355483 ·Status: COMPLETED ·Phase: NA
-
Low Dose Effects of X-rays in Pediatric Patients Undergoing a CT Examination.
NCT01518673 ·Status: COMPLETED
-
Retrospective Study of CT Scan Indications in Adult Emergency Departments
NCT06985914 ·Status: RECRUITING
-
Cone Beam Computed Tomography (CT) Bladder
NCT00913536 ·Status: COMPLETED ·Phase: NA
-
Improving the Stewardship of Diagnostic Imaging Resources in Alberta Emergency Departments
NCT02410941 ·Status: UNKNOWN ·Phase: NA
-
Computed Tomography Evaluation of Urinary Stones Densities Compared to in Vitro Analysis of Its Chemical Composition
NCT04110574 ·Status: UNKNOWN
-
Comparison of Image Quality Between Ultra-low Dose (ULD) and Standard Dose CT Scans in Detecting Traumatic Brain Injury in the Emergency Room
NCT05210855 ·Status: COMPLETED ·Phase: NA
-
Defining Dosimetric Reference Levels in Computed Tomography Spectral Scanning
NCT07305103 ·Status: ACTIVE_NOT_RECRUITING
-
Facilitating Adaptive Expertise in Learning Computed Tomography
NCT05284838 ·Status: COMPLETED ·Phase: NA
-
Comparing Proposed Algorithm and Current Practice in the Evaluation of Suspected Appendicitis
NCT03324165 ·Status: UNKNOWN ·Phase: NA
-
Contrast-enhanced Ultrasound in Follow-up After Endovascular Aneurysm Repair
NCT01843335 ·Status: TERMINATED
-
Comparison of Imaging Quality Between Spectral Photon Counting Computed Tomography (SPCCT) and Dual Energy Computed Tomography (DECT)
NCT04328181 ·Status: RECRUITING ·Phase: NA
-
CT and Radiologist RCT
NCT03121131 ·Status: COMPLETED ·Phase: NA
-
Emergency Department CT Scanning for Appendicitis
NCT00734825 ·Status: COMPLETED ·Phase: NA
-
Relevance of Whole-body Computed Tomography Prescription in the Emergency Department : an Identification Tool for Low Risk Patients
NCT05588791 ·Status: RECRUITING
-
Developing a Decision Instrument to Guide Abdominal-pelvic CT Imaging of Blunt Trauma Patients
NCT04937868 ·Status: RECRUITING
-
Dual Energy CT Urography With Reduced Iodinated Contrast
NCT02283307 ·Status: COMPLETED ·Phase: NA
-
Prospective Trial for Examining Hematuria Using Computed Tomography
NCT04077359 ·Status: COMPLETED ·Phase: NA
-
Referral Guidelines for Imaging Exams: Impact on Exam Relevance and Associated Delays
NCT01785368 ·Status: COMPLETED ·Phase: NA
-
A Feasibility Study to Assess the Use of Gadolinium in Computed Tomography
NCT02163005 ·Status: WITHDRAWN ·Phase: PHASE4
-
Preparative Fasting Before Contrast-enhanced Computed Tomography
NCT03533348 ·Status: COMPLETED
-
Diagnosis of Acute Appendicitis: Low-dose Computed Tomography (CT) Versus Standard-dose CT
NCT00913380 ·Status: COMPLETED ·Phase: PHASE3
-
The Feasibility Study for Real-time Remote CT Reading for Suspected Acute Appendicitis Using iPhone
NCT02108717 ·Status: COMPLETED ·Phase: NA
-
Low-dose Contrast Media for Low-kVp Abdomen CT
NCT05878665 ·Status: RECRUITING ·Phase: NA
-
Pelvic CT Imaging in Blunt Abdominal Trauma
NCT01828749 ·Status: COMPLETED