Point-of-care Ultrasound to Assess Hydronephrosis in Patients With Acute Kidney Injury in the Emergency Department

Phase

N/A

Condition

Kidney Disease

Urinary Incontinence

Nephropathy

Treatment

N/A

Clinical Study ID

NCT06040736

RECHMPL21_0158

Ages > 18
All Genders

Study Summary

Acute kidney injury (AKI) is a common diagnosis in the emergency department (ED), and urinary tract obstruction is a contributing cause that requires rapid diagnosis and therapeutic management. This observational study aims at assessing the accuracy of point-of-care ultrasound (POCUS), performed by the emergency physician (EP) for the detection of dilatation or distension of the kidney secondary to urinary tract obstruction, in emergency department patients presenting with acute kidney injury (AKI). Participants will undergo a bedside POCUS of the urinary tract by the EP followed by central imaging evaluation by a radiologist (either ultrasound or renal computed tomography (CT) or both). Researchers will compare both diagnosis. Study hypothesis is that trained emergency physicians can rapidly and reliably diagnose renal tract obstruction at POCUS in the context of AKI.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Patient with acute kidney injury defined by changes in serum creatinine (sCr) levelbetween the index sCr at ED admission and pre and/or post sCr controls (KidneyDisease Improving Global Outcome criteria)
Patient who does not oppose to the use of their data

Exclusion

Exclusion Criteria:

Vesical globe
Polycystic kidney disease
Known renal tumor
Horseshoe kidney

Study Design

July 02, 2020

September 30, 2023

Study Description

Acute kidney injury (AKI) is a common diagnosis in the emergency department (ED), and urinary tract obstruction is a contributing cause that requires rapid diagnosis and therapeutic management. Hydronephrosis is a dilatation or distension of the kidney secondary to urinary tract obstruction. It can be diagnosed at ultrasonography or computed tomography. Assessment of the renal tract and detection of hydronephrosis is a core component of the emergency medicine Point-of-Care Ultrasound (Pocus) curriculum. The primary objective of this study is to compare the performance of point-of-care ultrasound performed by the emergency physician to that of central radiology imaging (US or CT) by a radiologist, to diagnose hydronephrosis in patients presenting with AKI in the ED. All imaging exams will be performed as part of routine evaluation, Pocus will be carried out by a trained EP blinded from radiology imaging results.

Connect with a study center

university hospital of Montpellier
Montpellier,
France
Site Not Available
university hospital of Montpellier
Montpellier 2992166,
France
Site Not Available

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