Limited Abdominal CT in ED Patients With Abdominal Pain
Withdrawn before enrolling
Conditions studied: Abdominal Pain
In brief
The purpose of the study is to compare the diagnosis and management (treatment and disposition) of adult emergency department patients with acute nontraumatic abdominal pain and tenderness, based on two CT techniques: 1. Standard (complete) abdominal-pelvic CT. The American College of Radiology calls for the cephalad limit of abdominal CT to begin at the dome of the diaphragm, and the caudad limit of pelvic CT to extend through the ischial tuberosities. 2. A z-axis restricted subset of images digitally obtained from the original CT dataset, determined by the region of tenderness identified by the examining emergency physician and marked on the patient prior to the performance of the CT. This z-axis restricted CT does not require any additional radiation exposure to the patient, as it will be produced by computer extraction of data from the original standard abdominal-pelvic CT. The investigators hypothesize that the diagnosis and management will not differ when guided by the two CT scan interpretations. Radiation doses will be calculated for each of the two techniques.
Key facts
- Study ID
- NCT02146521
- Run by
- Duke University
- People needed
- 0
- Starts
- 2017-11-01
- Expected to finish
- 2019-05-01
- Last updated by the study team
- 2018-03-01
Who can join
Age: 18 and older, up to 60. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- emergency department's patients undergoing CT evaluation for acute abdominal pain and tenderness (acute is defined as onset of current episode within 7 days of emergency department presentation).
You may not qualify if…
- neurological disorders
- altered mental status
- history of intra-abdominal surgery in the past 30 days
- BMI higher than 35
- immunocompromised patients
- abdominal trauma in the past 30 days
- CT is ordered for the following indications:
- isolated vomiting
- fever without source
- staging of malignancy
- isolated flank pain or suspected renal colic
Where it is running
- Duke University Medical Center — Durham, North Carolina, United States
Full record on ClinicalTrials.gov
Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.