Emergency Department Ultrasound in Renal Colic

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Abdominal aortic aneurysm
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Brief Title

Emergency Department Ultrasound in Renal Colic

Official Title

Hydro II: Emergency Department Ultrasound in Renal Colic

Brief Summary

      Renal colic is a common (1300 visits per year at our institution) and painful condition
      caused by stones in the kidney and ureter, and can be mimicked by life threatening conditions
      such as a ruptured abdominal aortic aneurysm (AAA). This can create clinical uncertainty.
      Emergency department targeted ultrasound (EDTU) is performed by an emergency physician at the
      patient's bedside, and has been shown to be accurate, safe, and efficient. We have shown that
      EDTU can accurately identify hydronephrosis, which is a predictor of complications of kidney
      stones. A normal formal ultrasound (US) predicts an uncomplicated clinical course. We will
      assess the accuracy of EDTU for the diagnosis of hydronephrosis, and when normal, whether
      patients can be safely discharged.

Study Type

Observational

Primary Outcome

complications post-ED visit in patients with and without negative EDTU.

Secondary Outcome

 ED length of stay

Condition

Renal Colic

Intervention

EDTU

Study Arms / Comparison Groups

 rule in renal colic
Description:  ED patients with abdominal/flank pain where a diagnosis of renal colic is being considered and undergoing formal imaging while in the ED

Publications

* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.

Recruitment Information

Recruitment Status

Procedure

Estimated Enrollment

414

Start Date

March 2011

Completion Date

December 2013

Primary Completion Date

July 2013

Eligibility Criteria

        Inclusion Criteria:

          -  Age 16 - 65 years

          -  Symptoms suggestive of renal colic

          -  EDTU performed within one hour (before or after) of formal imaging

          -  Imaging study arranged during this ED visit (includes next morning)

        Exclusion Criteria:

          -  Hemodynamic instability (Pulse > 120 or SBP < 90 or requiring vasopressors)

          -  Fever (>38 degrees C)

          -  Leukocytes and nitrites on dipstick urinalysis (evidence of urinary tract infection)

          -  Pregnancy

          -  Inmate

          -  Renal transplant or single functioning kidney

Gender

All

Ages

16 Years - 65 Years

Accepts Healthy Volunteers

No

Contacts

Eric Bruder, MD, ,

Location Countries

Canada

Location Countries

Canada

Administrative Informations

NCT ID

NCT01323842

Organization ID

Hydro II

Responsible Party

Principal Investigator

Study Sponsor

Queen's University

Collaborators

 Ontario Ministry of Health and Long Term Care

Study Sponsor

Eric Bruder, MD, Principal Investigator, Queen's University

Verification Date

November 2015