The Use Of Abdominal Computed Tomography In Older Ed Patients With Acute Abdominal Pain

Title

The Use Of Abdominal Computed Tomography In Older Ed Patients With Acute Abdominal Pain

Creator

Hustey F M; Meldon S W; Banet G A; Gerson L W; Blanda M; Lewis L M

Publisher

American Journal of Emergency Medicine

Date

2005
2005-05

Description

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.

Subject

acute abdomen; acute appendicitis; age; diagnosis; diverticulitis; Emergency; Emergency Medicine; helical ct; impact; management; utility

Format

Journal Article or Conference Abstract Publication

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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

Citation

Hustey F M; Meldon S W; Banet G A; Gerson L W; Blanda M; Lewis L M, “The Use Of Abdominal Computed Tomography In Older Ed Patients With Acute Abdominal Pain,” NEOMED Bibliography Database, accessed December 7, 2021, https://neomed.omeka.net/items/show/10273.

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