Bedside Ultrasonography in Acute Patients With Suspected Kidney Involvement

The aim of this study is to evaluate the accuracy and implications of the diagnoses and treatment determined by bedside ultrasonography (b-US) of the kidneys compared to current clinical assessment. Potentially diagnosing patients faster and avoiding missing conditions leading to readmission or unnecessary radiation from computed tomography (CT).

This study evaluates the use of b-US as a supplement to clinical evaluation, in an unselected group of patients in the emergency department (ED) with signs of kidney involvement. The b-US of the kidneys is performed by a medical student certified in this technique. The evaluation will be based on data collected from a Danish hospital (Odense University Hospital, OUH) in autumn 2018.

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Key information

Conditions

Hydronephrosis Disease Attributes Emergencies Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Kidney Diseases Male Urogenital Diseases Nephritis Nephritis, Interstitial Pathologic Processes Pathological Conditions, Signs and Symptoms Pyelitis Pyelonephritis Urogenital Diseases Urologic Diseases Urosepsis

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Odense Universitetshospital

Odense C, 5000, Denmark

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Suspicion of urinary tract infection and one or more of the following:
Flank pain
Fever
Symptoms when voiding
Creatinine elevation or 20% elevation from known creatinine level elevation

Exclusion criteria

Age < 18 years
Radiological ultrasonographic examination already performed
Patients who are not able to consent

Treatment and study plan

bedside ultrasonography

Diagnostic Test

Patients suspicious to urinary tract infection with kidney involvement are being examined by ultrasonography to detect hydroneprhosis. The treating clinicians fill out questionnaires to validate the impact of the bedside ultrasonography on the patient care and treatment.

Other names: Ultrasound

Primary outcomes

Ultrasonographic hydronephrosis

Time frame: All included patient undergo bedside ultrasonography within 4 hours after admission

Ultrasonographic hydronephrosis defined by > 1cm pelvic dilation

Secondary outcomes

Clinical consequence of bedside ultrasonographic result

Time frame: Within 4 hours after admission

Clinicians responsible for the primary clinical assessment determine treatment and further examinations before and after the ultrasonographic results.

Sponsors and collaborators

Lead sponsor

Odense University Hospital

Other

Collaborators

Odense Patient Data Explorative Network

Registry information

Important dates

Study start: 2018
Primary completion: 2019
Study completion: 2019
First posted: Mar 13, 2019
Registry last updated: Apr 25, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed