Mesenteric Ischemia in the Emergency Department: a Retrospective Multicenter Study

Acute Mesenteric Ischemia in the Emergency Department: Incidence, Early Recognition and Risk Stratification From an Observational Multicenter Study

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02772913

Enrollment

500

Registered

2016-05-16

Start date

2016-08-31

Completion date

2017-10-31

Last updated

2017-05-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute Mesenteric Ischemia

Brief summary

Acute mesenteric ischemia is a life-threatening condition characterized by high mortality if unrecognized early. This multicenter retrospective observational study will review the emergency departments's (ED) notes of all patients discharged from hospital with a diagnosis of acute mesenteric ischemia in 2014-2015 comparing it with those admitted to the ED for abdominal pain in the same timeframe.

Detailed description

Acute mesenteric ischemia is a condition characterized by non-specific presentation (typical clinical presentation is considered abdominal pain out of proportion to examination) that may be under-recognized in the Emergency Department. Early identification and treatment is essential to improve outcome as mortality rate is attested around 80% if untreated within few hours from onset. The investigators aim to review the emergency department's clinical notes of patients discharged from hospital in 2014 and 2015 diagnosed with acute mesenteric ischemia. Furthermore the investigators will consider patients admitted for abdominal pain in the same time frame without acute mesenteric ischemia and we will compare presentation symptoms, medical history, medications, vitals, laboratory markers and imaging finding of the two groups. From this comparison, the investigators will be able to clarify the incidence among general population and among patients presenting acute abdominal pain. Finally, using multivariate analysis, the investigators may identify those variables predictive of acute mesenteric ischemia. This study will be held in three university hospitals and all data analyzed together.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* ICD-9 diagnosis of acute mesenteric ischemia in 2014 and 2015 * Admitted to hospital after Emergency Department assessment * age\>18

Exclusion criteria

* age\<18 * post-traumatic or post-surgery related acute mesenteric ischemia * lack of assessment in the Emergency Department

Design outcomes

Primary

Measure	Time frame
In-hospital mortality	30 days from hospital admission

Secondary

Measure	Time frame
in-hospital adverse outcome: cardiac arrest, ICU admission, septic shock, major bleeding.	30 days from hospital admission

Countries

Italy

Contacts

Primary ContactStefano Sartini, MD

stefano.sartini@asl3.liguria.it+39 3402638395

Backup ContactMarcello Pastorelli, Professor

marcello.pastorelli@unisi.it+39 0577586660

Outcome results