Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06083064

Protocol Based Selective Imaging Versus Routine Computed Tomography or Ultrasound in Suspected Appendicitis

Led by Helsinki University Central Hospital · Updated on 2025-03-12

900

Participants Needed

3

Research Sites

267 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The goal of this clinical trial is to compare protocol based selective imaging to routine imaging in adult patients with suspected appendicitis. The main question\[s\] it aims to answer are: * Does protocol based selective imaging using clinical scoring affect clinical outcome? * Does protocol based selective observation combined with score based selective imaging affect clinical outcome? Participants will be randomized into three groups: * Selective imaging based on Adult Appendicitis Score * Selective observation based on Appendicitis Severity Score combined with selective imaging based on Adult Appendicitis Score * Routine imaging using ultrasound and/or computed tomography Researchers will compare selective imaging groups separately with routine imaging to see if number of negative appendectomies or number of complicated appendicitis is not significantly increased.

CONDITIONS

Official Title

Protocol Based Selective Imaging Versus Routine Computed Tomography or Ultrasound in Suspected Appendicitis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Suspicion of appendicitis
Not Eligible

You will not qualify if you...

  • Time from symptom onset over 72 hours
  • Age under 18 years
  • Pregnancy, ruled out by serum or urine HCG measurement in 18- to 49-year-old women
  • CT scan or ultrasound already done within the last 3 days (72 hours)
  • Clinical suspicion of other disease or other reason to perform imaging study
  • Recruited earlier to the same trial

AI-Screening

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Trial Site Locations

Total: 3 locations

1

HUS, Jorvi Hospital

Espoo, Finland

Actively Recruiting

2

HUS, Meilahti Hospital

Helsinki, Finland, 00029

Actively Recruiting

3

HUS, Hyvinkää Hospital

Hyvinkää, Finland

Actively Recruiting

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Research Team

P

Panu Mentula, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

DIAGNOSTIC

Number of Arms

3

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