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Issue Date
2011-04
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One year follow-up of patients discharged from the emergency department with non-specific abdominal painCitation
Læknablaðið 2011, 97(4):231-6Abstract
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 ≥2 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.Tilgangur: Óútskýrðir kviðverkir er algengasta greining sjúklinga sem leita á bráðamóttöku vegna kviðverkja. Tilgangur þessarar afturskyggnu rannsóknar var að kanna afdrif þessara sjúklinga ári eftir útskrift af bráðamóttöku. Efniviður og aðferðir: Rannsóknin náði til allra sjúklinga sem útskrifaðir voru með óútskýrða kviðverki af bráðamóttökum Landspítala í Foss-vogi og við Hringbraut, 1. janúar til 31. desember 2005. Ekki voru teknir með sjúklingar á bráðamóttöku kvenna- eða barnadeildar. Skoðaðar voru sjúkraskrár sjúklinga sem leituðu aftur á bráðamóttöku vegna kviðverkja næstu 12 mánuði og skráð einkenni, staðsetning verkja, rannsóknaniðurstöður og útskriftargreining við endurkomu. Niðurstöður: Alls leituðu 62.116 sjúklingar á bráðamóttökur Landspítala árið 2005 og voru 1411 (2,3%) þeirra útskrifaðir með greininguna óútskýrðir kviðverkir. Á næstu 12 mánuðum leituðu 112 (7,9%) sjúklingar aftur á bráðmóttöku vegna kviðverkja, flestir tvisvar eða oftar. Við endurkomu fengu 27 (24,1%) af 112 sértæka greiningu, en 85 voru útskrifaðir aftur með óútskýrða kviðverki. Gallsteinar greindust hjá 8 (29,6%), botnlangabólga hjá 5 (18,5%) og krabbamein hjá tveimur (7,4%) sjúklingum. Skurðaðgerð var framkvæmd hjá 17 sjúklinganna (63%) við endurkomu. Ályktun: Tæp 8% sjúklinga með óútskýrða kviðverki leituðu aftur á bráðamóttöku innan árs vegna kviðverkja. Um fjórðungur fékk sértæka greiningu við endurkomu sem leiddi til skurðaðgerðar í rúmlega helmingi tilfella, oftast vegna gallsteinavandamála eða botnlangabólgu. Niðurstöður benda til að bæta megi greiningu sjúklinga með kviðverki þegar þeir koma fyrst á bráðamóttöku.
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