1. Acute abdominal pain 2. Appendicitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients between 5 and 18 years, who are referred by first line health care with the suspicion of acute appendicitis Are the trial subjects under 18? yes Number of subjects for this age range: 60 F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Severe co-morbidity like malignancy, resent abdominal surgery and known inflammatory bowl disease. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The objective of this study is to see whether a patient treating with laxantives and clysmata ensures a quicker diagnosis, which results in less abdominal pain and a better quality of life for the patient. ;Secondary Objective: Not applicable;Primary end point(s): 1. The primary outcome is the pain score given for the abdominal pain. 2. The main study endpoint is the presence of CMV or HHV-6 in the wall of the inflamed appendix, together with serology and RT-PCR for these viruses in blood samples of these patients. ;Timepoint(s) of evaluation of this end point: 1. The end point will be evaluated at the beginning and after each day with or without treatment. 2. This endpoint will be evaluated after the bloodcollection or appendectomy, as soon as possible. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. The secundairy endpoint is the time needed for reaching the final diagnosis. 2. The secondary endpoint is the presence of IgM and IgG antibodies against CMV and HHV-6 in the peripheral blood. To determine the proportion of primary infections and reactivations of HHV-6 and CMV in relation to the acute appendicitis.;Timepoint(s) of evaluation of this end point: 1. The end point will be evaluated at the beginning and after each day with or without treatment. 2. This endpoint will be evaluated after the bloodcollection, as soon as possible. | — |
Countries
Netherlands
Contacts
UMCG