1
40
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Text
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URL Address
<a href="http://doi.org/10.1016/j.jemermed.2019.10.034" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jemermed.2019.10.034</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
ISSN
0736-4679
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<a href="http://ezproxy.neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.jemermed.2019.10.034" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.jemermed.2019.10.034</a>
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Update Year & Number
January 2020 Update
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Emergency Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Systematic Review: The Role of Intravenous and Oral Contrast in the Computed Tomography Evaluation of Acute Appendicitis
Publisher
An entity responsible for making the resource available
The Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-12-13
Subject
The topic of the resource
acute appendicitis; contrast; CT
Creator
An entity primarily responsible for making the resource
Soucy Zachary; Cheng David; Vilke Gary M; Childers Richard
Description
An account of the resource
BACKGROUND: This systematic review provides practicing emergency physicians updated information regarding the role of oral and intravenous contrast in the computed tomography (CT) evaluation of acute appendicitis. METHODS: A PubMed literature search was conducted from January 1, 1996 to December 31, 2018 and limited to human clinical trials written in English with relevant keywords. High-quality studies were identified and then underwent a structured review. Recommendations are made based on the literature review. RESULTS: Fifty-seven articles met criteria for rigorous review, of which 14 were appropriate for citation in this review. Excellent evidence shows that oral contrast does not improve the test characteristics of CT with intravenous contrast (IVCT) in the evaluation of adults suspected of having acute appendicitis. Good evidence shows that noncontrast abdominal CTs have excellent test characteristics for this same group of patients. CONCLUSIONS: Considering its downsides and lack of utility, the medical literature does not support using oral contrast in the evaluation of acute appendicitis. There is no direct evidence showing that IVCT is better than a noncontrast CT in the evaluation of acute appendicitis; however, the available literature is consistent with slightly better test characteristics for IVCTs. Still, if IVCT cannot be obtained in a timely manner, noncontrast CTs are extremely accurate in detecting this disease.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jemermed.2019.10.034" target="_blank" rel="noreferrer noopener">10.1016/j.jemermed.2019.10.034</a>
PMID: 31843324
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2019
acute appendicitis
Cheng David
Childers Richard
Cleveland Clinic Akron General Hospital
Contrast
ct
Department of Emergency Medicine
January 2020 Update
Journal Article
NEOMED College of Medicine
Soucy Zachary
The Journal of emergency medicine
Vilke Gary M
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2005.02.021" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2005.02.021</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
259-265
Issue
3
Volume
23
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The Use Of Abdominal Computed Tomography In Older Ed Patients With Acute Abdominal Pain
Publisher
An entity responsible for making the resource available
American Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
2005-05
Subject
The topic of the resource
acute abdomen; acute appendicitis; age; diagnosis; diverticulitis; Emergency; Emergency Medicine; helical ct; impact; management; utility
Creator
An entity primarily responsible for making the resource
Hustey F M; Meldon S W; Banet G A; Gerson L W; Blanda M; Lewis L M
Description
An account of the resource
The objectives of this study were to determine the prevalence of use of abdominal computed tomography (CT) in older ED patients with acute nontraumatic abdominal pain, describe the most common diagnostic CT findings, and determine the proportion of diagnostic CT results. This was a prospective, observational, multicenter study of 337 patients 60 years or older. History was obtained prospectively; charts were reviewed for radiographic findings, dispositions, diagnoses, and clinical course, and patients were followed up at 2 weeks for additional information. The prevalence of use of abdominal CT was 37%. The most common diagnostic findings were diverticulitis (18%), bowel obstruction (18%), nephrolithiasis (10%), and gallbladder disease (10%). Eight percent of patients had findings suggestive of neoplasm. Overall, 57% of CT results were diagnostic (95% confidence interval [CI], 49%-66%), 75% (95% CI, 63%-84%) for patients requiring acute medical or surgical intervention, and 85% (95% CI, 62%-97%) for patients requiring acute surgical intervention. CT use is highly prevalent in older ED patients with acute abdominal pain. CT results are often diagnostic, especially for patients with emergent conditions. (c) 2005 Elsevier Inc. All rights reserved.
Identifier
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<a href="http://doi.org/10.1016/j.ajem.2005.02.021" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2005.02.021</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2005
acute abdomen
acute appendicitis
Age
American Journal of Emergency Medicine
Banet G A
Blanda M
Diagnosis
Diverticulitis
Emergency
Emergency Medicine
Gerson L W
helical ct
Hustey F M
impact
Journal Article or Conference Abstract Publication
Lewis L M
Management
Meldon S W
utility