Acute non-complicated appendicitis in patients aged 7 to 18
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age: 7-18 years Dg. Primary acute non-complicated appendicitis ALVORADO score = 7 Pain in right lower quadrant of abdomen Blood tests: C-reactive protein = 10 mg/L *If performed: *Il-6 = 39,2 pg/mL *Ultrasound - acute appendicitis signs Are the trial subjects under 18? yes Number of subjects for this age range: 120 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: Positive pregnancy test Diffuse peritonitis Previous abdominal surgery Use of antibiotic drugs in previous 7 days Inflammatory bowel disease Immunosuppresive condition
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To perform a complex clinical and economical study in children with acute appendicitis, provide new criteria for early diagnosis of acute non-complicated appendicitis and its conservative treatment, as well as evaluate cost-efficiency.;Secondary Objective: Not applicable;Primary end point(s): Full recovery. Initial treatment failure - appendectomy performed. 1-year recurrance free.;Timepoint(s) of evaluation of this end point: Day 1-3: in-patient treatment. Day 4-10: out-patient treatment. Follow-up on month 1 and month 12. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Changes in inflammation marker levels during hosital stay. Abdominal pain 1 year after treatment.;Timepoint(s) of evaluation of this end point: Days 1-3 - daily Follow-up on month 12. | — |
Countries
Latvia
Contacts
Riga Stradins University