[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100658209":3},{"organization":4,"outcomesModule":7,"designInfo":38,"detailedDescription":37,"studyPopulation":37,"armGroups":47,"interventions":58,"overallOfficials":64,"centralContacts":69,"locations":75,"responsibleParty":117,"collaborators":119,"id":122,"slug":123,"hasResults":124,"nctId":125,"briefTitle":126,"officialTitle":127,"acronym":128,"eligibilityCriteria":129,"healthyVolunteers":124,"sex":130,"minAge":131,"maxAge":37,"enrollmentInfo":132,"targetDuration":37,"studyType":135,"phases":136,"briefSummary":138,"conditions":139,"keywords":145,"overallStatus":155,"whyStopped":37,"lastUpdateSubmitDate":156,"lastUpdatePostDateStruct":157,"startDateStruct":160,"completionDateStruct":162,"leadSponsor":164,"locationsCount":165},{"fullName":5,"class":6},"University of Aarhus","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":37},[9],{"measure":10,"description":11,"timeFrame":12},"Correct preliminary diagnosis","The primary outcome is the correct preliminary diagnosis, defined as agreement between the enrolling physician's preliminary diagnosis and the final adjudicated diagnosis.","From enrollment to after 30 days",[14,17,21,25,29,33],{"measure":15,"description":16,"timeFrame":12},"Inclusion of a correct diagnosis in the differential diagnosis","The proportion of patients in whom the final adjudicated diagnosis is included in the list of differential diagnoses recorded by the physician after the initial clinical assessment.",{"measure":18,"description":19,"timeFrame":20},"Appropriateness of next diagnostic\u002Ftherapeutic step","The proportion of patients in whom the subsequent diagnostic or therapeutic step is concordant with the final diagnosis.","From enrollment and the first 24 hours",{"measure":22,"description":23,"timeFrame":24},"ED length of stay","Time from randomization to physical departure from the ED.","From enrollment and til after 30 days",{"measure":26,"description":27,"timeFrame":28},"ED re-attendance","Re-attendance to the ED within 7 and 30 days following the index visit.","From enrollment and till after 30 days",{"measure":30,"description":31,"timeFrame":32},"Number of additional diagnostic tests","The number of additional diagnostic tests performed after the initial clinical assessment during the index ED visit.","From enrollment til after 30 days",{"measure":34,"description":35,"timeFrame":36},"Physician-reported diagnostic confidence","Measured using a visual analogue scale from 0-100 following the initial clinical assessment.","At enrollment",null,{"allocation":39,"interventionModel":40,"interventionModelDescription":37,"primaryPurpose":41,"observationalModel":37,"timePerspective":37,"maskingInfo":42},"RANDOMIZED","PARALLEL","DIAGNOSTIC",{"masking":43,"maskingDescription":44,"whoMasked":45},"SINGLE","Abdominal point-of-care ultrasound expert panel assessing cine loop recordings for inter-rater agreement will be blinded to the enrolling physician's original findings.",[46],"OUTCOMES_ASSESSOR",[48,54],{"label":49,"type":50,"description":51,"interventionNames":52},"Standard examination + Abdominal point-of-care ultrasound group (Intervention)","EXPERIMENTAL","Participants in the intervention group will undergo an abdominal point-of-care ultrasound examination in addition to the standard clinical examination. The scan will be performed by the enrolling physician as part of the initial bedside assessment, with timing, workflow, equipment, transducer, and preset left to the physician's discretion. The examination typically takes 5-10 minutes, and findings may guide further diagnostics or treatment, again at the physician's discretion.",[53],"Diagnostic Test: Point of care ultrasound",{"label":55,"type":56,"description":57,"interventionNames":37},"Standard examination","NO_INTERVENTION","Participants in the control group will receive a standard clinical assessment, including uptaking the medical history and physical examination of the abdomen and, where clinically indicated, other organ systems, in line with local guidelines. Abdominal POCUS cannot be performed during the ED stay in this group. However, other POCUS modalities (e.g. lung or cardiac ultrasound) or ultrasound performed by a radiologist (after the initial assessment) may still be used if clinically indicated.",[59],{"type":60,"name":61,"description":62,"armGroupLabels":63,"otherNames":37},"DIAGNOSTIC_TEST","Point of care ultrasound","The abdominal point-of-care ultrasound examination is performed by the enrolling emergency physician at the bedside, as part of the initial assessment, rather than by a radiologist or sonographer.\n\nThe examination follows a standardized scanning protocol developed by the study steering committee, covering conditions that are common or critical in the emergency department, accessible to point-of-care ultrasound, and supported by evidence on diagnostic accuracy. The examination typically takes 5 to 10 minutes. Findings may guide further diagnostics or treatment at the physician's discretion.",[49],[65],{"name":66,"affiliation":67,"role":68},"Jesper B Weile, MD., PhD","Dansk: Offentligt hospital (inkl. universitetshospital)","STUDY_CHAIR",[70],{"name":71,"role":72,"phone":73,"phoneExt":37,"email":74},"Ronja L Larsen, MD","CONTACT","+4553609104","ronlar@rm.dk",[76,93,105],{"facility":77,"status":37,"city":78,"state":37,"zip":79,"country":80,"countryCode":81,"cosmosGeoPoint":82,"geoPoint":87,"contacts":88},"Esbjerg Akutafdeling","Esbjerg","8700","Denmark","DK",{"type":83,"coordinates":84},"Point",[85,86],8.45187,55.47028,{"lat":86,"lon":85},[89],{"name":90,"role":72,"phone":91,"phoneExt":37,"email":92},"Peter B Biesenback, MD., PhD.","+45 79185805","Peter.Biesenbach@rsyd.dk",{"facility":94,"status":37,"city":95,"state":37,"zip":79,"country":80,"countryCode":81,"cosmosGeoPoint":96,"geoPoint":100,"contacts":101},"Horsens Akutafdeling","Horsens",{"type":83,"coordinates":97},[98,99],9.85034,55.86066,{"lat":99,"lon":98},[102],{"name":103,"role":72,"phone":37,"phoneExt":37,"email":104},"Jesper B Weile, MD., PhD.","jesper.weile@clin.au.dk",{"facility":106,"status":37,"city":107,"state":37,"zip":37,"country":80,"countryCode":81,"cosmosGeoPoint":108,"geoPoint":112,"contacts":113},"Køge Akutafdeling","Køge",{"type":83,"coordinates":109},[110,111],12.18214,55.45802,{"lat":111,"lon":110},[114],{"name":115,"role":72,"phone":37,"phoneExt":37,"email":116},"Danny Yu, MD","dy@regionsjaelland.dk",{"type":118,"investigatorFullName":37,"investigatorTitle":37,"investigatorAffiliation":37,"oldNameTitle":37,"oldOrganization":37},"SPONSOR",[120],{"name":121,"class":6},"Regionshospitalet Horsens","100658209","point-of-care-ultrasound-for-diagnosing-abdominal-pain-in-the-emergency-department-100658209",false,"NCT07849569","Point-of-Care Ultrasound for Diagnosing Abdominal Pain in the Emergency Department","Effect of Abdominal Point-of-care Ultrasound on Correct Preliminary Diagnosis in Adult Emergency Department Patients With Acute Abdominal Pain: Protocol for a Multicentre, Parallel-group, Randomized Superiority Trial","AbdoPOCUS","Inclusion Criteria:\n\n1. ED contact.\n2. Age ≥18 years.\n3. Non-traumatic, acute abdominal pain, defined as symptom onset ≤7 days prior to presentation, as chief complaint.\n4. Ability to provide written informed consent, as judged by the enrolling physician, and to communicate in Danish or English.\n\nExclusion Criteria:\n\n1. Prior enrollment in the trial.\n2. Patients in whom the cause of the current abdominal pain is considered known at the time of enrolment (previously diagnosed condition explaining the current symptoms, e.g. known symptomatic gallstone disease).\n3. Prior physician assessment of the presenting abdominal complaint during the current ED visit.\n4. Prior ED assessment or received an abdominal ultrasound or CT scan for the same complaint, within the preceding 7 days.\n5. Chronic abdominal pain, defined as abdominal pain persisting or recurring for ≥3 months(17), where the current episode represents an exacerbation of the chronic condition.\n6. Patients requiring immediate critical care or rapid-response team activation.","ALL","18 Years",{"count":133,"type":134},508,"ESTIMATED","INTERVENTIONAL",[137],"NA","The goal of this clinical trial is to learn if adding an abdominal ultrasound scan to the standard examination helps emergency physicians make a correct diagnosis in adults with acute abdominal pain in the emergency department. The main question it aims to answer is:\n\nDoes adding an abdominal point of care ultrasound scan to the standard examination increase the number of patients with acute abdominal pain in the emergency department, who get a correct preliminary diagnosis?\n\nResearchers will compare patients examined with an abdominal point-of-care ultrasound scan in addition to the standard examination to patients examined with the standard examination alone, to see if adding ultrasound improves diagnostic accuracy.\n\nParticipants will:\n\n* Be randomly assigned to also have an abdominal point-of-care ultrasound scan performed by their doctor, or not\n* Have their doctor record a preliminary diagnosis and differential diagnosis\n* Have their medical records reviewed by an independent panel 30 days after their visit, to determine their final diagnosis",[140,141,142,143,144],"Emergency Medicine","POCUS","Abdominal Pain (AP)","Acute Abdominal Pain","Ultrasound",[61,146,147,148,149,144,150,151,152,153,154],"Emergency department","Emergency physician","Abdominal pain","Acute abdominal pain","Bedside ultrasound","Emergency medicine","Randomized controlled trial","Multicenter trial","Diagnostic efficacy","NOT_YET_RECRUITING","2026-09-24",{"date":158,"type":159},"2026-09-30","ACTUAL",{"date":161,"type":134},"2026-10-01",{"date":163,"type":134},"2028-08",{"name":5,"class":6},3]