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FRÆÐIGREINAR RANNSÓKN 10. Rothrock SG, Pagane J. Acute Appendicitis in Children: Emergency Department Diagnosis and Management. Ann Emerg Med 2000; 36: 39-51. 11. Salem TA, Molloy RG, O'Dwyer PJ. Prospective study on the role of C-reactive protein (CRP) in patients with an acute abdomen. Ann R Coll Surg Engl 2007; 89: 233-7. 12. Sutton PA, Humes DJ, Purcell G, et al. The role of routine assays of serum amylase and lipase for the diagnosis of acute abdominal pain. Ann R Coll Surg Engl 2009; 91:381-4. 13. Nagumey JT, Brown DFM, Chang YC, et al. Use of diagnostic testing in the emergency department for patients presenting with non-traumatic abdominal pain. J Emerg Med 2003;2 5: 363-71. 14. Ng CS, Watson CJ, Paimer CR, et al. Evaluation of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause: prospective randomised study. BMJ 2002; 325:1387. 15. Sala E, Beadsmoore C, Gibbons D, et al. Unexpected changes in clinical diagnosis: early abdomino-pelvic computed tomography compared with clinical evaluation. Abdom Imaging 2009; 34: 783-7. 16. Stromberg C, Johansson G, Adolfsson A. Acute abdominal pain: Diagnostic impact of immediate CT scanning. World J Surg 2007; 31: 2347-58. 17. Smith JE, Hall EJ. The use of plain abdominal x rays in the emergency department. Emerg Med J 2009; 26:160-3. 18. Onur O, Guneysel O, Unluer EE, et al. „Outpatient follow- up" or /Active clinical observation" in patients with nonspecific abdominal pain in the Emergency Department. A randomized clinical trial. Minerva Chir 2008; 63: 9-15. 19. Laurell H, Hansson LE, Gunnarsson U. Why Do Surgeons Miss Malignancies in Patients with Acute Abdominal Pain? Anticancer Res 2006; 26: 3675-8. 20. Jess P, Bjerregaard B, Brynitz S, et al. Prognosis of Acute Nonspecific Abdominal Pain - A Prospective Study. Am J Surg 1982; 144: 338-40. 21. Adams ID, Chan M, Clifford PC, et al. Computer aided diagnosis of acute abdominal pain: a multicentre study. Br Med J (Clin Res Ed) 1986; 293: 800-4. >■ CC < 5 5 3 W I _l o z LU One year follow-up of patients discharged from the emergency department with non-specific abdominal pai Objective: Non-specific abdominal pain (NSAP) is the most common diagnosis of patients presenting to emergency departments (ED) with abdominal pain. The aim of this retrospective study was to investigate how many NSAP patients were re-admitted within 1 year to the ED with abdominal pain. Material and methods: Included were all patients discharged with NSAP from adult EDs of Landspítali University Hospital (gynecology and pediatric EDs excluded), from January 1,2005 to December 31,2005. Hospital records for patients re-admitted within 12 months with abdominal pain were reviewed. Symptoms, pain location, blood tests and imaging results were registered, also the subsequent discharge diagnosis at re-admission. Results: Out of 62.116 patients attending the EDs in 2005,1411 (2.3%) were diagnosed with NSAP. During 12 months, 112 of these 1411 patients (7.9%) were re-admitted to the ED with abdominal pain, most of them 22 times. Out of 112 patients, 27 (24.1%) were discharged with a more specific diagnosis; cholelithiasis (29.6%), appendicitis (18.5%) and gastrointestinal cancer (7.4%) being the most common diagnosis. The other 85 (76%) patients were diagnosed with NSAP again. Surgery was performed in 17 of the 27 (63%) cases and 8 received specific treatment, most often antibiotics. Conclusion: Almost 8% of discharged NSAP patients were re-admitted within a year for abdominal pain. At re-admission, one of four patients received a more specific diagnosis, most often cholelithiasis or appendicitis. Our results suggest that the diagnosis of patients with NSAP, at the first visit to the ED, could be improved. Gunnarsson OS, Birgisson G, Oddsdottir M, Gudbjartsson T. One year follow-up of patients discharged from the emergency department with non-specific abdominat pain. Icel Med J2011; 97:231-236 Key words: Abdominal pain, non-specific abdominal pain, prognosis, operations, emergency department Correspondence: Tómas Guðbjartsson, tomasgud@landspitali.is Barst: 6. október 2010, - samþykkt til birtingar: 5. janúar 2011 Hagsmunatengsl: Engin 236 LÆKNAblaSií 2011/97
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