Pediatric Appendicitis Pathway Study
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Purpose
The purpose of this study is to test a standardized approach for children being evaluated for appendicitis in the emergency department. This means that all doctors would use the same approach to diagnose appendicitis in children in the emergency department. This pathway uses two scoring systems to identify patients who are at high and low risks of appendicitis. These scoring systems are based on the patient's symptoms, signs the doctor finds when examining the patient, and their blood tests. The goal of this part of the study is to determine if the investigators' pathway accurately identifies patients who have appendicitis.
| Condition |
|---|
|
Appendicitis |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | Pediatric Appendicitis Pathway Study |
- Sensitivity and specificity of criteria [ Time Frame: 2 Weeks after visit ] [ Designated as safety issue: No ]Sensitivity and specificity of criteria for diagnosing and excluding appendicitis
- Length of stay [ Time Frame: At completion of visit ] [ Designated as safety issue: No ]Length of ED length of stay before and after institution of pathway
- Rates of CT and ultrasound [ Time Frame: After visit ] [ Designated as safety issue: No ]Rates of CT and ultrasound use before and after the pathway
- Admission rate [ Time Frame: After visit ] [ Designated as safety issue: No ]Admission rate before and after institution of pathway
| Estimated Enrollment: | 2000 |
| Study Start Date: | October 2010 |
| Estimated Study Completion Date: | September 2012 |
| Estimated Primary Completion Date: | September 2012 (Final data collection date for primary outcome measure) |
Show Detailed Description Eligibility| Ages Eligible for Study: | 3 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
A consecutive sample of all patients ages 3 through 18 presenting to the Oregon Health and Science University (OHSU) emergency department (ED) for suspicion of appendicitis during the hours in which study staff are available will be prospectively enrolled.
Inclusion Criteria:
- Chief complaint of acute appendicitis
Exclusion Criteria:
- Patients with symptoms greater than 7 days
Contacts and Locations| Contact: Ross J Fleischman, MD, MCR | 503-494-7551 | fleischr@ohsu.edu |
| United States, Oregon | |
| Oregon Health and Science Univerisity | Recruiting |
| Portland, Oregon, United States, 97239 | |
| Principal Investigator: | Ross J Fleischman, MD, MCR | Oregon Health and Science University |
More Information
No publications provided
| Responsible Party: | Ross Fleischman, Assistant Professor, Oregon Health and Science University |
| ClinicalTrials.gov Identifier: | NCT01192620 History of Changes |
| Other Study ID Numbers: | IRB00006596 |
| Study First Received: | August 30, 2010 |
| Last Updated: | May 1, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Oregon Health and Science University:
|
Pediatric Appendicitis Pathway |
Additional relevant MeSH terms:
|
Appendicitis Acute Disease Gastroenteritis Gastrointestinal Diseases Digestive System Diseases |
Cecal Diseases Intestinal Diseases Disease Attributes Pathologic Processes |
ClinicalTrials.gov processed this record on May 19, 2013