N/A
Completed N=1,799
EHR-based Decision Support for Pediatric Acute Abdominal Pain in Emergency Care
Source: ClinicalTrials.gov NCT02633735 ↗Enrolled (actual)
1,799
Serious AEs
3.5%
Results posted
Jul 2020
Primary outcomePrimary: Pre to Post Ratio of Image Use — 1.13; 1.07; 1.03; 1.01 ratio of pre-post use
Summary
Although appendicitis is the most common surgical emergency in children, its diagnosis remains a challenge and thus, emergency department (ED) providers increasingly rely on computed tomography to distinguish appendicitis from other conditions. This project (a) uses electronic health record (EHR) technology to deliver patient-specific clinical decision support to ED providers at the point of care, (b) assesses the impact of this intervention on the use of diagnostic imaging and clinical outcomes, and (c) assesses the impact of the intervention on the costs of care delivered. This innovative project will be a template for extending EHR-based clinical decision support to other domains of emergency care to ultimately improve a broad range of pediatric acute care outcomes.
The proposed intervention, referred to as appy-CDS, is specifically designed for widespread use in EDs and could reduce reliance on advanced diagnostic imaging for pediatric and adolescent patients with acute abdominal pain while maintaining or improving clinical outcomes. Investigators aim to develop and implement an interactive, evidence-based clinical decision support tool to optimize care for children and adolescents presenting to a general or non-pediatric ED with acute abdominal pain.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Pre to Post Ratio of Image Use |
1.13; 1.07; 1.03; 1.01; 1.06; 1.02 | — |
Eligibility Criteria
Inclusion Criteria
- children and adolescents ages 5-20 years with abdominal pain
- internal med, family med, or emergency med trained providers at participating EDs
Exclusion Criteria
- select comorbid conditions
- previous abdominal surgery
- treated for select comorbid conditions
Data sourced from ClinicalTrials.gov (NCT02633735). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.