RecruitingACTRN12610000967088

ketonuria in acute abdomen of preschool children without a history of diabetes mellitus

Frequency of ketonuria in the acute abdomen of preschool children without a history of diabetes mellitus - a diagnostic study


Sponsor

SeongRyul Ryu

Enrollment

178 participants

Start Date

Nov 1, 2010

Study Type

Observational

Conditions

Summary

The preschool children have had problem in diagnosis of appendicitis because of poor history taking and inappropriate response to physical examination. The leukocytosis with differential counts or C reactive protein as indicators of inflammation were not to predict further invasive evaluation like immediate computed tomography or intraabdominal sonography in acute abdomen. The hyperketonemia without past history of diabetes mellitus have been used a indicator to decide severity of illness for admission and treatment. So ketonuria was not qualified test for ketoacidosis, but it might be helpful. Therefore if preschool child had positive ketonuria and abdominal pain, then immediate computed tomography or abdominal ultrasonography should be done to rule out surgical diseases like appendicitis. And urinalysis should be absolutely neccesory procedure in emergency room.


Eligibility

Sex: Both males and femalesMin Age: 2 YearssMax Age: 5 Yearss

Plain Language Summary

Simplified for easier understanding

This study is looking at whether the presence of ketones (a chemical marker) in the urine of young children aged 2–5 with stomach pain can help doctors decide whether to do urgent scans to check for appendicitis. Researchers want to know if a simple urine test could guide faster diagnosis of serious surgical conditions in this age group. You may be eligible if: - Your child is a preschool-aged child (2 to 5 years old) - Your child had a urine test performed using the first urine sample collected in the emergency room - Your child does not have a history of diabetes - Your child was confirmed to have appendicitis You may NOT be eligible if: - Your child has a history of diabetes - The urine test was done at another facility or was not the first sample of the day - The urine test was done after a period of observation - Your child did not have a urine test - Your child had a negative appendectomy result Talk to your doctor about whether this trial might be right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

urinalysis in emergency room as initial laboratory (within 1 hour after visiting emergency room)

urinalysis in emergency room as initial laboratory (within 1 hour after visiting emergency room)


Locations(1)

Korea, Republic Of

View Full Details on ANZCTR

For the most up-to-date information, visit the official listing.

Visit

ACTRN12610000967088