Emergency Department CT Scanning for Appendicitis

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00734825
Recruitment Status : Completed
First Posted : August 14, 2008
Last Update Posted : June 28, 2012
Information provided by:
WellSpan Health

August 12, 2008
August 14, 2008
June 28, 2012
November 2006
November 2008   (Final data collection date for primary outcome measure)
sensitivity of IV contrast alone for a computed tomography scan for the diagnosis of appendicitis in the adult Emergency Department patient. [ Time Frame: immediate reading + blinded reading within 48 hours ]
Same as current
Complete list of historical versions of study NCT00734825 on Archive Site
If IV contrast alone for CT scan is sensitive for the diagnosis of appendicitis in the adult Emergency department patient [ Time Frame: immediate reading and blinded reading within 48 hours ]
Same as current
Not Provided
Not Provided
Emergency Department CT Scanning for Appendicitis
Emergency Department CT Scanning for Appendicitis: IV Contrast vs. IV and Oral Contrast
The purpose of this study is to compare IV contrast only vs. IV and oral contrast Computed Tomography (CT) for the diagnosis of acute appendicitis in adult patients in our emergency department. A secondary purpose will be to design a specific CT for appendicitis protocol at our institution at the conclusion of this study.
Not Provided
Not Applicable
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Other: Omnipaque
oral contrast for CT scan
  • Active Comparator: 1
    IV contrast
    Intervention: Other: Omnipaque
  • Active Comparator: 2
    IV contrast and oral contrast
    Intervention: Other: Omnipaque
Kepner AM, Bacasnot JV, Stahlman BA. Intravenous contrast alone vs intravenous and oral contrast computed tomography for the diagnosis of appendicitis in adult ED patients. Am J Emerg Med. 2012 Nov;30(9):1765-73. doi: 10.1016/j.ajem.2012.02.011. Epub 2012 May 23.

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
September 2010
November 2008   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • 18 years and older who present to the York Hospital Emergency Department with signs and symptoms suggestive of acute appendicitis, but in whom the diagnosis remains unclear as determined by an attending emergency physician or consulting surgeon and in which a CT scan is needed to further assist in the diagnosis

Exclusion Criteria:

  • pregnant patients
  • patients with known IV dye or oral contrast allergy
  • patients in whom acute appendicitis is not the primary diagnosis
  • patients with renal insufficiency that may have significant adverse effect from IV dye
Sexes Eligible for Study: All
18 Years and older   (Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
Not Provided
United States
Not Provided
Not Provided
Andrew Kepner, MD / Medical Director, WellSpan Health Simulation Center, WellSpan HEalth
WellSpan Health
Not Provided
Principal Investigator: Andrew Kepner, MD WellSpan Health
WellSpan Health
June 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP