About this trial
This multicenter, prospective observational study will evaluate national and international practice variations (if present) in the emergency management of patients admitted to hospital with haematuria, inform a consensus guideline for best practice and provide evidence to design an implementation study to optimise haematuria management pathway.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients are included if they are over 16 years of age or older and admitted to a participating urological secondary care centre
admitted as an emergency with haematuria as the primary or secondary diagnosis under the primary or joint care of urology
Disqualifiers
any patients under 16 years of age
patients with catheter-related urethral trauma (defined as haemturia immediately after insertion of a urethral catheter that was documented as traumatic by the clinician, with no previous history of haemturia prior to catheter insertion)
patients that are in hospital less than 24 hours.
Trial population
Patients will be included consecutively if they are over 18 years of age and admitted to a participating secondary care centre as an emergency with haematuria under the primary or joint care of the urology team.
Trial design
Case-only
Prospective
Treatments tested in this trial
Inpatient work-up and management
Other interventionThe study hypothesis is that there is significant international and national variation in the diagnostic workup and management of patients requiring admission to the hospital with haematuria. Increased length of stay and poor outcomes in terms of mortality and healthcare costs are associated with management practices. The CRF will collect datapoints on inpatient work-up and management.
Treatment groups
Trial outcomes
Primary outcomes
Length of inpatient stay
Number of calendar days between the day of admission in the index hospital admission episode and the day of discharge from the hospital.
Secondary outcomes
Mortality rate
Readmission rate
Time to definitive diagnosis
Defined as the number of days between original presentation and final diagnosis.
Number of days alive and out of hospital
Composite endpoint - cumulative days alive and out of hospital
Sponsors and contacts
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