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Trial registered on ANZCTR
Registration number
ACTRN12610000967088
Ethics application status
Approved
Date submitted
30/10/2010
Date registered
10/11/2010
Date last updated
9/02/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
ketonuria in acute abdomen of preschool children without a history of diabetes mellitus
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Scientific title
Frequency of ketonuria in the acute abdomen of preschool children without a history of diabetes mellitus - a diagnostic study
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Secondary ID [1]
252990
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
appendicitis in preschool children
258527
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Condition category
Condition code
Oral and Gastrointestinal
258686
258686
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
urinalysis in emergency room as initial laboratory (within 1 hour after visiting emergency room)
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Intervention code [1]
257511
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Not applicable
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Comparator / control treatment
Author collected data in gastroenteritis and colitis ( who needed admission), May 2004 to July 2010. Then other( nurse ) had collected comparator according to inclusional criteria, urinalysis was done with first voiding urine in emergency room and no history of diabetes mellitus and preschool children, and counts of comparator initially were more than 2 perons than one of each age and each sex of appendicitis. Then author removed inadequate cases, so final comparator was 99 cases.
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Control group
Historical
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Outcomes
Primary outcome [1]
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frequency of ketonuria in appendicitis and comparator were 55/79 (69.6%) and 52/99 (52.5%)
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Assessment method [1]
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Timepoint [1]
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immediately after baseline
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Secondary outcome [1]
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nil
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Assessment method [1]
266164
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Timepoint [1]
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nil
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Eligibility
Key inclusion criteria
1. preschool children
2. did urinalysis with first voiding urine in emergency room
3. no history of diabetes mellitus
4. confirmed appendicitis
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Minimum age
2
Years
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Maximum age
5
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. history of diabetes mellitus
2. urinalysis was done at other place or not first voiding urine
3. urinalysis was done after a period of observation to do repeated examination
4. no urinalysis
5. negative appendectomy
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/11/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
178
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3010
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Korea, Republic Of
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State/province [1]
3010
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
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SeongRyul Ryu
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Address [1]
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Samsung Changwon Hospital, Hapsung 2-dong Changwon, 630-723
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Country [1]
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Korea, Republic Of
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Primary sponsor type
Other
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Name
SeongRyul Ryu
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Address
Samsung Changwon Hospital, Hapsung 2-dong Changwon, 630-723
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Country
Korea, Republic Of
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Secondary sponsor category [1]
257209
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None
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Name [1]
257209
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Address [1]
257209
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Country [1]
257209
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Samsung Changwon Hospital IRB (institutional review board)
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Ethics committee address [1]
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Samsung Changwon Hospital, Hapsung 2-dong Changwon, 630-723
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Ethics committee country [1]
259973
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Korea, Republic Of
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Date submitted for ethics approval [1]
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06/10/2010
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Approval date [1]
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21/10/2010
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Ethics approval number [1]
259973
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2010-SCMC-037-00
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Summary
Brief 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.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
31851
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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SeongRyul Ryu, M.D.
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Address
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Samsung Changwon Hospital, Hapsung 2-dong, Changwon, 630-723
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Country
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Korea, Republic Of
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Phone
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82-10-6335-6222
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Fax
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82-55-290-6584
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Email
15098
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[email protected]
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Contact person for scientific queries
Name
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SeongRyul Ryu, M.D.
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Address
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Samsung Changwon Hospital, Hapsung 2-dong, Changwon, 630-723
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Country
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Korea, Republic Of
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Phone
6026
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82-10-6335-6222
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Fax
6026
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82-55-290-6584
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Email
6026
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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