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EHR-based Decision Support for Pediatric Acute Abdominal Pain in Emergency Care

NCT02633735 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 5940

Last updated 2020-07-09

Study results available
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Summary

Although appendicitis is the most common surgical emergency in children, its diagnosis remains a challenge and thus, emergency department (ED) providers increasingly rely on computed tomography to distinguish appendicitis from other conditions. This project (a) uses electronic health record (EHR) technology to deliver patient-specific clinical decision support to ED providers at the point of care, (b) assesses the impact of this intervention on the use of diagnostic imaging and clinical outcomes, and (c) assesses the impact of the intervention on the costs of care delivered. This innovative project will be a template for extending EHR-based clinical decision support to other domains of emergency care to ultimately improve a broad range of pediatric acute care outcomes.

The proposed intervention, referred to as appy-CDS, is specifically designed for widespread use in EDs and could reduce reliance on advanced diagnostic imaging for pediatric and adolescent patients with acute abdominal pain while maintaining or improving clinical outcomes. Investigators aim to develop and implement an interactive, evidence-based clinical decision support tool to optimize care for children and adolescents presenting to a general or non-pediatric ED with acute abdominal pain.

Conditions

  • Appendicitis

Interventions

OTHER

Appy CDS

See description under arm/group section

Sponsors & Collaborators

  • Kaiser Permanente

    collaborator OTHER

  • Children's Hospitals and Clinics of Minnesota

    collaborator OTHER

  • HealthPartners Institute

    lead OTHER

Principal Investigators

  • Elyse O Kharbanda, MD, MPH · HealthPartners Institute

  • Anupam B Kharbanda, MD, MSc · Children's Hospital and Clinics of Minnesota

Study Design

Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
5 Years
Max Age
20 Years
Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2017-06-01
Primary Completion
2019-07-31
Completion
2019-07-31

Countries

  • United States

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 NCT02633735 on ClinicalTrials.gov