Developing a Decision Tool for Diverticulitis in the Emergency Department Using Ultrasound

Northwell Health

Status: Enrolling

Conditions: Diverticulitis

Treatments: Other: Ultrasound

Study type: Observational

Funder types: Other

Identifiers

NCT05832242

22-0649

Details and patient eligibility

About

The purpose of this study is to create a decision tool using ultrasound, patient history, and laboratory values to predict a diagnosis of complicated diverticulitis and whether the patient requires further imaging. The accuracy of the decision tool will be evaluated. This study will also assess the ability of ultrasound to diagnose complicated and simple diverticulitis, and the inter-provider reliability of ultrasound interpretation of diverticulitis

Enrollment: 4,000 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Emergency department patient
• Provider suspicion of diverticulitis
• CT scan ordered

Exclusion criteria

• Pregnant patient
• Prisoner
• Non-English speaking
• Inability to provide informed consent
• Hemodynamically unstable as determined by provider
• Previous abdominal surgery within last 7 days
• Unable to lay flat for ultrasound exam

Trial design

4,000 participants in 2 patient groups

Simple Diverticulitis

Description:

Computed tomograpy scan showing isolated inflammation

Treatment:

Other: Ultrasound

Complicated Diverticulitis

Description:

Computed tomograpy scan evidence of diverticulitis with either an associated abscess, fistula, obstruction, bleeding, phlegmon or perforation.

Treatment:

Other: Ultrasound