Abdominal Pain
Conditions
Keywords
Abdominal pain, Cost, Emergency department, Length of stay, point-of-care ultrasound
Brief summary
Background: Abdominal pain is one of the most common reasons for admission to the emergency department (ED). This study aimed to investigate the effect of point-of-care ultrasound (POCUS) performed during the initial evaluation phase of patients who presented to the ED with abdominal pain on diagnostic processes, length of stay (LOS) in ED, and hospitalization and healthcare costs. Methodology: This prospective, randomized, controlled, parallel group study was conducted with patients who presented to the Sakarya Education Research Hospital ED with abdominal pain from October 2019 to March 2020. Patients were divided randomly into two groups: control group where standard diagnostic strategies were applied and the POCUS group where POCUS was performed together with standard diagnostic strategies. All data were analyzed using IBM SPSS 21.
Interventions
DIAGNOSTIC_TESTpoint-of-care ultrasound
point-of-care ultrasound
Sponsors
Sakarya University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Masking description
At this stage, the patients were divided into two groups: POCUS was applied to patients in the POCUS group after primary clinical evaluation. This procedure was performed in the first hour after the primary clinical evaluations of the patients by evaluating the predetermined parameters in the study form for hepatobiliary, renal, and upper and lower abdominal findings. All processes and results for patients in the control group were followed without any intervention and the results were recorded in the study form.
Intervention model description
a randomized, prospective, controlled study
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* age \>18 years * Patients who presented to the ED with abdominal pain * Nontraumatic patients
Exclusion criteria
* permanent mental disability, * age \<18 years, * abdominal trauma within the last 24 hours, * pregnancy, morbid obesity, repeated admissions, * referral from an external center to the ED, * missing patient information.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| to measure the effect of POCUS on the Length of stay in emergency department | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| to measure the effect of POCUS on the average cost of patients, the rate of change in the preliminary diagnosis of the physician, and hospitalization and discharge rate | 1 months after discharge or hospitalisation |
Countries
Turkey (Türkiye)
Outcome results
None listed