Randomized Study Evaluating the Role of Surgeon-Performed Ultrasound in the Management of the Acute Abdomen
The purpose of this study is to evaluate whether surgeon-performed ultrasound as a supplement to clinical investigation when a patient presents with abdominal pain in the emergency department can improve the management of the patient.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Diagnostic
|Official Title:||Randomized Study Evaluating the Role of Surgeon-Performed Ultrasound in the Management of the Acute Abdomen|
- Proportion of correct diagnosis [ Time Frame: 6 weeks ]
- Time consumption in emergency department Time to decision about surgical intervention Amount of complementary examinations Amount of hospital admissions Patient satisfaction in the emergency ward and at follow up Consumption of health care [ Time Frame: 2 years ]
|Study Start Date:||February 2004|
|Study Completion Date:||June 2005|
Surgeon-performed ultrasound as intervention, as a complement to clinical investigation and standardized laboratory testing.
Radiation: Surgeon-performed ultrasound
After clinical investigation including standardized laboratory tests the patient in the intervention arm is examined with abdominal ultrasound performed by the study surgeon.
Other Name: US
No Intervention: Control
Control group examined with clinical examination including standardized laboratory tests.
Surgeon-performed ultrasound bedside in the emergency department when a patient presents with abdominal pain is quite common in Continental Europe and USA. It is considered to be implemented at emergency departments all over Sweden. This is the first randomized study performed to evaluate the method. In our study we compare diagnostic accuracy and further management of patients admitted to the emergency department for abdominal pain, with or without examination with surgeon-performed ultrasound bedside.
|Principal Investigator:||Johanna Adami, ass prof||Karolinska Institutet, Department of Medicine, Clinical epidemiology unit|
|Study Director:||Anna Lindelius, MD||Karolinska Institutet, Department of Surgery, Stockholm South General Hospital|