Abdominal PainNCT01154517
Utility of the History and Physical Exam in the Emergency Department
An observational study of Abdominal Pain and Back Pain, run by Henry Ford Health System at 1 site in United States.
Trial summary
The study is trying to prove that the history and physical exam (H\&P) in the emergency department is the most important tool in exam of patients. The investigator is attempting to correlate the time of the H\&P of residents and attendings to the accuracy of diagnosis. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Abdominal Pain, Back Pain, Dyspnea
- How many people
- 128 participants
- Where
- 1 siteUnited States
- Study dates
- Jul 2009to Jun 2010
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Emergency Department Patients
Who may be able to join
- Anyone over the age of 18 with a generalized complaints able to provide consent
Who cannot join
- Anyone under 18 yrs and anyone with a very specific, system based complaint.
Trial locations and contacts
1 site in 1 country.
United States1 site
Henry Ford Macomb Hospital
Clinton Township, Michigan, 48038
About this study
The study is trying to prove that the history and physical exam (H\&P) in the emergency department is the most important tool in exam of patients. The investigator is attempting to correlate the time of the H\&P of residents and attendings to the accuracy of diagnosis.
Read the detailed description
The purpose of the study is to examine the utility of the history and physical exam in the emergency room towards obtaining a diagnosis. The goal of this observational study is to correlate physician level of experience and time spent on history and physical exam, to the correct diagnosis.
The aim of this study is:
- To draw a connection between time and accuracy of the history and physical exam.
- To draw a connection between time and level of experience as a physician based on post-graduate level.
- To assess the number of laboratory and radiographic studies and the post-graduate level.
- To assess the relevance of the labs and radiographs ordered. (Relevance is defined as something that changes plan of care.)
Time is a critical component of the ED physician. Our study will analyse if modern medicine has created a more laboratory/image based need to ascertain a diagnosis or if history and physical examination alone can predict the ultimate diagnosis.
- Conditions
- Abdominal Pain, Back Pain, Dyspnea, Headache, Weakness
- Medical subject headings
- Abdominal Pain, Back Pain, Dyspnea, Headache, Asthenia
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jul 2010 (estimated)
- Study startJul 2009
- Primary completionJun 2010
- Study completionJun 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Abdominal PainStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Time perspective
- Prospective
- Enrolment
- 128 participants (actual)
Sponsor and investigators
- Lead sponsor
- Henry Ford Health System
- Sponsor type
- University, hospital or other
- Investigators
- Jennifer Stevenson, DO, Study director, Henry Ford Macomb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01154517
- Sponsor's protocol ID
- 3617
- Status last verified
- Jul 2009
- First submitted
- 30 Jun 2010
- Last updated
- 1 Jul 2010
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Jul 2010. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Utility of the History and Physical Exam in the Emergency Department
- ClinicalTrials.gov ID
- NCT01154517
- Acronym / sponsor ID
- 3617
- Conditions
- Abdominal Pain, Back Pain, Dyspnea, Headache, Weakness
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 128 participants (actual)
- Lead sponsor
- Henry Ford Health SystemUniversity, hospital or other
- Study start
- Jul 2009
- Primary completion
- Jun 2010 (actual)
- Study completion
- Jun 2010 (actual)
- First posted
- 1 Jul 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study is trying to prove that the history and physical exam (H\&P) in the emergency department is the most important tool in exam of patients. The investigator is attempting to correlate the time of the H\&P of residents and attendings to the accuracy of diagnosis.
Detailed description
The purpose of the study is to examine the utility of the history and physical exam in the emergency room towards obtaining a diagnosis. The goal of this observational study is to correlate physician level of experience and time spent on history and physical exam, to the correct diagnosis.
The aim of this study is:
- To draw a connection between time and accuracy of the history and physical exam.
- To draw a connection between time and level of experience as a physician based on post-graduate level.
- To assess the number of laboratory and radiographic studies and the post-graduate level.
- To assess the relevance of the labs and radiographs ordered. (Relevance is defined as something that changes plan of care.)
Time is a critical component of the ED physician. Our study will analyse if modern medicine has created a more laboratory/image based need to ascertain a diagnosis or if history and physical examination alone can predict the ultimate diagnosis.
Study design
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Emergency Department Patients
Key inclusion criteria (1 listed)
- Anyone over the age of 18 with a generalized complaints able to provide consent
Key exclusion criteria (1 listed)
- Anyone under 18 yrs and anyone with a very specific, system based complaint.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Not reported in the source record.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jul 2010.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jennifer Stevenson, DO study director
Henry Ford Macomb
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Abdominal Pain and Back Pain, run by Henry Ford Health System at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Jul 2010. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jul 2010.