Diagnosis of Acute Obstructive Renal Failure by Clinical Ultrasound Performed by the Emergency Physician. (IRASMU)

Toulouse University Hospital

Status: Completed

Conditions: Acute Kidney Failure

Treatments: Diagnostic Test: Emergency physician clinical ultrasound

Study type: Observational

Funder types: Other

Identifiers

NCT06190522

RC31/21/0118

2021-A00777-34 (Other Identifier)

Details and patient eligibility

About

Acute renal failure is frequently diagnosed in the emergency room during a biological assessment. Its discovery requires determining the cause, which may be either functional, or obstructive. The obstructive cause is responsible for 10% of acute renal failure. It is recommended to start the exploration of this pathology with an ultrasound in search of an obstructive cause. However, ultrasound from the radiologist is not always available.

The realization of this ultrasound by the emergency physician would reduce the time to obtain the diagnosis and therefore the time of passage to the emergency room.

No study has yet been carried out to validate the performance of this ultrasound by the emergency physician in the case of acute renal failure.

This study would validate the diagnostic performance of this ultrasound technique in order to identify as quickly as possible patients with acute renal failure whose cause is obstructive.

Full description

Acute renal failure is frequently diagnosed in the emergency room during a biological assessment. Its discovery requires determining the cause, which may be either functional, i.e. kidney dysfunction, or obstructive. The obstructive cause is responsible for 10% of acute renal failure. It is recommended to start the exploration of this pathology with an ultrasound in search of an obstructive cause. However, ultrasound from the radiologist is not always available.

The realization of this ultrasound by the emergency physician would reduce the time to obtain the diagnosis and therefore the time of passage to the emergency room.

No study has yet been carried out to validate the performance of this ultrasound by the emergency physician in the case of acute renal failure.

The aim of this research is to evaluate the performance of clinical ultrasound in the diagnosis of an obstructive cause of acute renal failure by the emergency physician.

Enrollment: 150 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients admitted to an emergency structure
• Patients with acute renal failure (defined by an increase of 1.5 x the baseline serum creatinine value (known or expected according to age and sex))

Exclusion criteria

• Patients unable to express their non-objection
• Patients who have undergone a kidney transplant
• Dialysis patients
• Pregnant women

Trial design

150 participants in 1 patient group

Patients with acute renal failure

Description:

Patients receiving a clinical ultrasound by the on-site emergency physician trained in the technique

Treatment:

Diagnostic Test: Emergency physician clinical ultrasound