Abdominal Pain
Conditions
Keywords
Abdominal pain, ultrasound, surgery, emergency department, diagnostic accuracy
Brief summary
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.
Detailed description
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.
Interventions
After clinical investigation including standardized laboratory tests the patient in the intervention arm is examined with abdominal ultrasound performed by the study surgeon.
Sponsors
Study design
Eligibility
Inclusion criteria
* Admitted to emergency ward for abdominal pain * 18 years or older
Exclusion criteria
* Pregnancy * Condition that has to be taken care of immediately * Inability to communicate with the investigator * Previously diagnosed abdominal condition * Severe drug or alcohol addiction * Dementia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of correct diagnosis | 6 weeks |
Secondary
| Measure | Time frame |
|---|---|
| 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 | 2 years |