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APPI-Cost Trial for Perforated Appendicitis

APPI-Cost Trial for Perforated Appendicitis

Recruiting
18 years and older
All
Phase 4

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Overview

The purpose of this study to assess the clinical effectiveness and cost-effectiveness of povidone-iodine (PVI) irrigation in perforated appendicitis, to investigate barriers and facilitators to future implementation of PVI irrigation, and to collect costs and clinical and patient-reported outcomes among patients with non-perforated appendicitis.

Eligibility

Eligibility for Enrollment

Inclusion Criteria:

  • Plan to undergo appendectomy for acute appendicitis

Exclusion Criteria:

  • Preoperative hemodynamic instability requiring ongoing infusion of vasopressors
  • Allergy to iodine
  • Uncontrolled hyper- or hypothyroidism
  • Renal dysfunction
  • Pregnant or breastfeeding
  • Primary language neither English nor Spanish
  • Lack of functioning telephone or email account
  • Incarcerated or in police custody

Eligibility for Randomization

Inclusion Criteria:

  • Enrolled in study preoperatively
  • Intraoperative diagnosis of perforated appendicitis

Exclusion Criteria:

  • Non-perforated appendicitis

Study details
    Perforated Appendicitis

NCT06705842

The University of Texas Health Science Center, Houston

15 October 2025

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