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Utility of Abdominal Ultrasound in the Evaluation of Children With Blunt Trauma | Clinical Trials | Clareo Health

COMPLETEDNA

Utility of Abdominal Ultrasound in the Evaluation of Children With Blunt Trauma

NCT01540318•University of California, Davis

Summary

The major goal of this project is to conduct a randomized controlled trial studying an initial evaluation strategy with abdominal ultrasound versus a strategy without abdominal ultrasound for the evaluation of children with blunt abdominal trauma. The proposal's objectives are to compare the following variables in those that randomize to abdominal ultrasound versus those that do not: 1. rate of abdominal CT scanning 2. time to emergency department disposition 3. the rate of missed/delayed diagnosis of intra-abdominal injury 4. the costs.

Eligibility

Age

0 - 18 years

Sex

ALL

Healthy Volunteers

Inclusion Criteria

•Blunt torso trauma resulting from a significant mechanism of injury
•* Motor vehicle collision: greater than 60 mph, ejection, or rollover
•* Automobile versus pedestrian/bicycle: automobile speed \> 25 mph
•* Falls greater than 20 feet in height
•* Crush injury to the torso
•* Physical assault involving the abdomen
•* Decreased level of consciousness (Glasgow Coma Scale score \< 15 or below age-appropriate behavior) in association with blunt torso trauma
•Blunt traumatic event with any of the following (regardless of the mechanism):
•* Extremity paralysis
•* Multiple long bone fractures (e.g., tibia and humerus fracture)
+1 more criteria

Exclusion Criteria

•No concern for inter-abdominal injury or no planned evaluation for possible IAI
•Prehospital or ED age adjusted Hypotension
•Prehospital or initial ED GCS score ≤ 8
•Presence of an abdominal "seat belt sign" - continuous area of erythema/contusion completely across the lower abdomen secondary to a lap belt
•Penetrating trauma: stab or gunshot wounds
•Traumatic injury occurring \> 24 hours prior to the time of presentation to the ED
•Transfer of the patient to the UCDMC ED from an outside facility with abdominal CT scan, diagnostic peritoneal lavage, or laparotomy previously performed
•Patients with known disease processes resulting in intraperitoneal fluid including liver failure and the presence of ventriculoperitoneal shunts

Locations (1)

UC Davis Medical Center

Sacramento, California, United States

Key Dates

Start Date

February 1, 2012

Primary Completion Date

January 1, 2016

Completion Date

January 1, 2016

Last Updated

January 16, 2019

Enrollment

925

ACTUAL participants

Conditions

Abdominal Injuries

Interventions

Abdominal Ultrasound (FAST examination)

PROCEDURE

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COMPLETED

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Data Source & Attribution

This clinical trial information is sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

ClinicalTrials.gov last update: January 16, 2019Data synced to Clareo: March 29, 2026

Modifications: This data has been reformatted for display purposes. Eligibility criteria have been parsed into inclusion/exclusion sections. Location data has been geocoded to enable distance-based search. For the authoritative and most current information, please visit ClinicalTrials.gov.

Neither the United States Government nor Clareo Health make any warranties regarding the data. Check ClinicalTrials.gov frequently for updates.

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