Pathology is common in subsequent visits after admission for non-specific abdominal pain
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- a5549_0
Final published version, 159 KB, PDF document
INTRODUCTION: Although not supported by evidence, there may be a risk of overlooking pathological findings at patients' return visit after emergency admission for non-specific abdominal pain (NSAP). The primary aim of this study was to evaluate the risk of missed acute pathology in patients primarily discharged with NSAP and re-admitted within three months.
METHODS: This was a retrospective review of hospital records within a three-month period (1 September-30 November, 2014) in a university hospital with unrestricted referral of abdominal emergency patients. Patients fulfilling the criteria for NSAP were included in the study.
RESULTS: Among the 1,474 patients admitted with acute abdominal pain, 390 (26%) were discharged with NSAP; 16% of the patients who were discharged with NSAP were re-admitted for abdominal pain. At their return visit, 39% received a verified specific diagnosis, corresponding to 6% of all patients with the NSAP diagnosis. A total of 40% of the early re-admissions of patients with NSAP were related to the biliary tract (cholelithiatis, cholangitis and cholecystitis). Co-morbidity, nausea, vomiting and increased white blood cell count at the primary admission were significantly associated with a risk of missing a specific diagnosis (p < 0.05).
CONCLUSIONS: This study found that only 6% of the patients who were admitted for acute abdominal pain and were discharged with no diagnosis had a somatic condition. However, risk of pathological findings at the return visit was relatively high among patients discharged with NSAP.
FUNDING: none.
TRIAL REGISTRATION: not relevant.
Original language | English |
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Article number | A5549 |
Journal | Danish Medical Journal |
Volume | 66 |
Issue number | 7 |
Number of pages | 5 |
ISSN | 1603-9629 |
Publication status | Published - 2019 |
- Abdomen, Acute/diagnosis, Abdominal Pain/diagnosis, Adult, Denmark, Diagnosis, Differential, Emergency Service, Hospital/statistics & numerical data, Female, Humans, Logistic Models, Male, Middle Aged, Patient Discharge/statistics & numerical data, Physical Examination, Recurrence, Referral and Consultation, Retrospective Studies
Research areas
Links
- https://ugeskriftet.dk/files/scientific_article_files/2019-06/a5549_0.pdf
Final published version
ID: 238526984