Condition: Blunt Trauma to Abdomen · Wounds and Injuries · Abdomen Injury · Sponsor: University of California, Davis
Bleeding from intra-abdominal injuries is a leading cause of traumatic deaths in children. Abdominal CT is the reference standard test for diagnosing intra-abdominal injuries. Compelling reasons exist, however, to both aggressively evaluate injured children for intra-abdominal injuries with CT and to limit abdominal CT evaluation to solely those at non-negligible risk. The focused assessment sonography for trauma (FAST) examination can help focus patient evaluation in just this manner by potentially safely decreasing abdominal CT use in low risk children. This research study is a multicenter, randomized, controlled trial to determine whether use of the FAST examination, a bedside abdominal ultrasound, impacts care in 3,194 hemodynamically stable children with blunt abdominal trauma. The overall objectives of this proposal are 1) to determine the efficacy of using the FAST examination during the initial evaluation of children with blunt abdominal trauma, and 2) to identify factors associated with abdominal CT use in children considered very low risk for IAI after a negative FAST examination. The long-term objective of the research is to determine appropriate evaluation strategies to optimize the care of injured children, leading to improved quality of care and a reduction in morbidity and mortality.
This description comes directly from the study's public registry record.
James F Holmes, MD, MPH · 916-734-1533 · jfholmes@ucdavis.edu
Nathan Kuppermann, MD, MPH · 916-734-1535 · nkuppermann@ucdavis.edu
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| University of California, Davis Medical Center | Sacramento, California, United States | Recruiting |
| University of Colorado, Anschutz Medical Center and Children's Hospital Colorado | Aurora, Colorado, United States | Recruiting |
| Emory University Children's Healthcare of Atlanta | Atlanta, Georgia, United States | Recruiting |
| Cincinnati Children's Hospital Medical Center | Cincinnati, Ohio, United States | Recruiting |
| The Research Institute at Nationwide Children's Hospital | Columbus, Ohio, United States | Recruiting |
| University of Texas Southwestern Medical Center | Dallas, Texas, United States | Recruiting |
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Source record: clinicaltrials.gov/study/NCT05910567