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Sponsored by: |
Duke University |
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Information provided by: | Duke University |
ClinicalTrials.gov Identifier: | NCT00673374 |
To determine the correlation between the region of abdominal tenderness determined by the examining physician and the location of acute pathology diagnosed on abdominal CT. We hypothesize that the acute pathology diagnosed by CT will lie within the region marked on the abdominal wall by the examining physician prior to CT.
Condition | Intervention |
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Abdominal Pain |
Device: radio-opaque adhesive skin markers |
Study Type: | Observational |
Study Design: | Cohort, Prospective |
Official Title: | Correlation of Location of Abdominal Tenderness With Acute CT Abnormalities in Emergency Department Patients |
Estimated Enrollment: | 2400 |
Study Start Date: | May 2008 |
Estimated Study Completion Date: | July 2010 |
Estimated Primary Completion Date: | July 2010 (Final data collection date for primary outcome measure) |
Groups/Cohorts | Assigned Interventions |
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1
All consecutive emergency department patients undergoing abdominal CT for non-traumatic abdominal pain and tenderness will be prospectively enrolled, except for those meeting pre-specified exclusion criteria.
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Device: radio-opaque adhesive skin markers
The examining physician will place a radio-opaque skin marker (Beekley Corporation, Ortho-SPOTS® Order Code 187; 6mm spherical markers) at the point of maximal tenderness to direct abdominal palpation indicated by the patient. Additional markers will be placed at the cephalad and caudad limits of the region of tenderness, defined as the point at which the patient no longer complains of direct tenderness to palpation.
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Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Sampling Method: | Non-Probability Sample |
All consecutive emergency department patients undergoing abdominal CT for non-traumatic abdominal pain and tenderness will be prospectively enrolled, with the following exceptions. For study purposes, "abdominal pain and tenderness" is defined as pain and tenderness to direct palpation in the region anterior to the mid-axillary line bilaterally, and extending from the costal margins to the inguinal ligaments. Consequently, patients undergoing CT for indications such as isolated vomiting, fever without source, staging of malignancies, isolated flank pain or suspected renal colic, or other indications that do not meet the above definition will not be enrolled.
Inclusion Criteria:
Exclusion Criteria:
United States, North Carolina | |
Duke University Medical Center | |
Durham, North Carolina, United States, 27710 |
Principal Investigator: | Joshua S Broder, MD | Duke University Health System |
Responsible Party: | Duke University Health System ( Joshua Broder, MD ) |
Study ID Numbers: | Pro00004904 |
Study First Received: | March 9, 2008 |
Last Updated: | December 26, 2008 |
ClinicalTrials.gov Identifier: | NCT00673374 History of Changes |
Health Authority: | United States: Institutional Review Board |
emergency acute nontraumatic abdominal pain |
tenderness CT scan radiation diagnosis |
Signs and Symptoms Signs and Symptoms, Digestive Abdominal Pain |
Emergencies Pain Congenital Abnormalities |
Signs and Symptoms Disease Attributes Pathologic Processes Signs and Symptoms, Digestive |
Abdominal Pain Emergencies Pain |