EmergenciesNCT02980081
Abdominal Plain X-ray in the Emergency Departement
An observational study of Emergencies and Diagnostic Imaging, run by University Hospital, Geneva at 1 site in Switzerland.
Trial summary
There are only few recognized indications for the realization of plain abdominal X-rays in the emergency departement. The objective of this study is to explore the reasons for abdominal plain X-rays prescription in the Emergency departments (EDs) of two hospitals. Read more about this study
- Who is it for?
- Ages 16 years and older
- Conditions the study is for
- Emergencies, Diagnostic Imaging, Abdomen, Acute
- What is being tested?
- abdominal plain x-ray
- How many people
- 1,997 participants
- Where
- 1 siteSwitzerland
- Study dates
- Nov 2016to Jun 2017
- 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 16 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: All adult patients during one year in 2 EDs in the state of Geneva, Switzerland, with a prescription of an abdominal plain x-ray
Who may be able to join
- >= 16 years
- prescription of an abdominal plain x-ray during their stay in the ED
Who cannot join
- < 16 y
- no abdominal plain x-ray prescribed
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Abdominal Plain X-ray in the Emergency Departement: Really Usefull?
There are only few recognized indications for the realization of plain abdominal X-rays in the emergency departement.
The objective of this study is to explore the reasons for abdominal plain X-rays prescription in the Emergency departments (EDs) of two hospitals.
Read the detailed description
All abdominal plain x-rays prescription will be reviewed in order to identify reasons for prescribing this exam. The indications will be compared to international guidelines in order to identify whether abdominal plain x-rays are overprescribed. Reasons for overprescription will be identify by chart review.
- Conditions
- Emergencies, Diagnostic Imaging, Abdomen, Acute
- Being tested
- abdominal plain x-ray
- Medical subject headings
- Emergencies, Abdomen, Acute
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
abdominal plain x-rayOther
Abdominal plain x-ray as prescribed by the emergency physician
| Study group | Role | What they receive |
|---|---|---|
| Plain abdominal x-ray | All patients admitted to 2 EDs and with a prescription of an abdominal plain x-ray. Receives: Other: abdominal plain x-ray |
What is being measured
The primary outcome is the main question the study is designed to answer.
Indications for abdominal plain x-ray prescription
Identification of the indications for abdominal plain x-ray and of the number of patients with appropriate indications accordingly to international guidelines
Measured: Within 24 hours after ED admission
Secondary outcomes (1)
Number and types of other prescribed radiological exams
Describe whether other radiological exams (CT, ultrasonography, MRI) have been performed and their indications.
Measured: Within 24 hours after ED admission
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Dec 2016 (estimated)
- Study startNov 2016
- Primary completionJun 2017
- Study completionJun 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for EmergenciesStudies of the same condition, open and under way.
- More trials run by University Hospital, GenevaThe sponsor's other registered studies.
- 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
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 1,997 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Hospital, Geneva
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Olivier T. Rutschmann, University Hospital, Geneva
- Investigators
- Omar Kherad, MD, MPH, Principal investigator, Hopital de La Tour
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02980081
- Sponsor's protocol ID
- CCER 2016-00104
- Status last verified
- Jul 2017
- First submitted
- 24 Nov 2016
- Last updated
- 27 Jul 2017
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Publications
Bertin CL, Ponthus S, Vivekanantham H, Poletti PA, Kherad O, Rutschmann OT. Overuse of plain abdominal radiography in emergency departments: a retrospective cohort study. BMC Health Serv Res. 2019 Jan 14;19(1):36. doi: 10.1186/s12913-019-3870-2.
PubMed 30642302
Study at a glance
From the registry record, last updated by the sponsor on 27 Jul 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Abdominal Plain X-ray in the Emergency Departement: Really Usefull?
- ClinicalTrials.gov ID
- NCT02980081
- Acronym / sponsor ID
- CCER 2016-00104
- Conditions
- Emergencies, Diagnostic Imaging, Abdomen, Acute
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 1,997 participants (actual)
- Lead sponsor
- University Hospital, GenevaUniversity, hospital or other
- Study start
- Nov 2016 (actual)
- Primary completion
- Jun 2017 (actual)
- Study completion
- Jun 2017 (actual)
- First posted
- 2 Dec 2016 (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.
There are only few recognized indications for the realization of plain abdominal X-rays in the emergency departement.
The objective of this study is to explore the reasons for abdominal plain X-rays prescription in the Emergency departments (EDs) of two hospitals.
Detailed description
All abdominal plain x-rays prescription will be reviewed in order to identify reasons for prescribing this exam. The indications will be compared to international guidelines in order to identify whether abdominal plain x-rays are overprescribed. Reasons for overprescription will be identify by chart review.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Plain abdominal x-ray | – | Other: abdominal plain x-rayAll patients admitted to 2 EDs and with a prescription of an abdominal plain x-ray. |
Who may qualify
- Ages
- 16 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- All adult patients during one year in 2 EDs in the state of Geneva, Switzerland, with a prescription of an abdominal plain x-ray
Key inclusion criteria (2 listed)
- >= 16 years
- prescription of an abdominal plain x-ray during their stay in the ED
Key exclusion criteria (2 listed)
- < 16 y
- no abdominal plain x-ray prescribed
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| abdominal plain x-rayAbdominal plain x-ray as prescribed by the emergency physician | Other | Plain abdominal x-ray |
Primary outcome
Indications for abdominal plain x-ray prescription
Time frame: Within 24 hours after ED admission
Identification of the indications for abdominal plain x-ray and of the number of patients with appropriate indications accordingly to international guidelines
1 secondary outcome
Number and types of other prescribed radiological exams
Time frame: Within 24 hours after ED admission
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 27 Jul 2017.
- Derived from this study: PubMed 30642302Bertin CL, Ponthus S, Vivekanantham H, Poletti PA, Kherad O, Rutschmann OT. Overuse of plain abdominal radiography in emergency departments: a retrospective cohort study. BMC Health Serv Res. 2019 Jan 14;19(1):36. doi: 10.1186/s12913-019-3870-2.
- Individual participant dataSharing planned: No
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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.
Omar Kherad, MD, MPH principal investigator
Hopital de La Tour
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 Emergencies and Diagnostic Imaging, run by University Hospital, Geneva at 1 site in Switzerland.
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 2 inclusion and 2 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 27 Jul 2017. 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 Switzerland. 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.
What does the primary outcome measure?
Indications for abdominal plain x-ray prescription (time frame: Within 24 hours after ED admission). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02980081, which also lists 1 linked publication.
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 27 Jul 2017.