Effect of Pain Control on the Diagnosis of Acute Appendicitis on the Diagnostic Accuracy of General Surgeon

Seoul National University Hospital234 enrolled

Overview

The pain control in surgical abdomen has been in debate in masking the correct diagnosis. We would like to investigate the effect of pain control on the diagnostic accuracy of surgeon in suspicious appendicitis patients. We would give morphine or placebo to the patients suspected of appendicitis randomly and in double-blinded manner, and then surgeons would exam the patient and give the impression for the possibility of the appendicitis(grading 1 to 4). With this grading, we compare these impression between two groups.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

DIAGNOSTIC

Masking

TRIPLE

Enrollment

234

Conditions

Appendicitis

Interventions

MorphineDRUG

Eligibility

Sex: ALLMin age: 16 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: * the patients suspected of acute appendicitis over 15 years Exclusion Criteria: * less than 15 years * pregnant * allergic to morphine * systolic blood pressure\<100mmHg * received pain killer prior to ED visit * do not consent

Locations (1)

Seoul National University Bundang Hospital, Emergency room

Seongnam-si, Gyeonggi-do, South Korea

Outcomes

Primary Outcomes

AUC of ROC of the impression of diagnosis for the appendicitis by surgeon

Data from ClinicalTrials.gov

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