Validation of the Diagnostic Score for Acute Lower Abdominal Pain in Women of Reproductive Age

Jearwattanakanok, Kijja; Yamada, Sirikan; Suntornlimsiri, Watcharin; Smuthtai, Waratsuda; Patumanond, Jayanton

doi:10.1155/2014/320926

Cited by 5 publications

(2 citation statements)

References 21 publications

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“…Other common diagnoses were ovarian cysts and inflammatory conditions of the genitourinary tracts. When compared to other studies, here our findings were contradictory: estimates of pelvic inflammatory disease were lower in some cases [18] and higher in others [6]. The proportion of non-inflammatory ovarian and tubal disorders in our study was higher than in studies by Asch et al [1], Curtis et al [6] and Jearwattanakanok et al [18].…”

contrasting

confidence: 99%

Patients Presenting to the Emergency Unit with Gynaecological Lower Abdominal Pain, with and without Pathological Clinical Findings – Service Utilisation, Pain History, Implications

Siedentopf

Wowro

Möckel

et al. 2016

Geburtshilfe Frauenheilkd

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Introduction: Few studies have evaluated the utilisation of emergency gynaecological services, although lower abdominal pain (LAP) is one of the most common symptoms prompting emergency presentation. Although such pain may be caused by potentially life-threatening gynaecological diseases, very often no clinical cause is found. The aim of this study was to describe the characteristics of emergency presentations in order to enable quicker identification of real emergencies in routine clinical practice. Materials and Methods: Standardised, so-called first aid cards of 1066 consecutive patients with LAP presenting acutely to one emergency unit were analysed in this retrospective, cross-sectional study. Results: Over one third of cases did not constitute actual medical emergencies on objective criteria, with investigations yielding ?no pathological findings?. Parameters were identified that more often lead to hospital admission, e.g. palpation of a mass/resistance or at least one pathological ultrasound finding. In addition, it was found that symptoms of longer duration (average 8 days), and not only acute LAP, were also often experienced by patients as emergencies. Conclusion: A diagnosis of ?no pathological findings?, which was common in our study, suggests a subjective experience of an emergency from the patient?s point of view, although the possibility of unrecognised pathology has to be borne in mind. Apart from functional disorders, the origins of symptoms may include psychosomatic causes and psychosocial problems, which cannot be further defined in the emergency care setting. Also, the phenomenon of increased utilisation of emergency services parallel to the assumed opening hours of routine outpatient care facilities must be seen in a critical light.

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confidence: 99%

Patients Presenting to the Emergency Unit with Gynaecological Lower Abdominal Pain, with and without Pathological Clinical Findings – Service Utilisation, Pain History, Implications

Siedentopf

Wowro

Möckel

et al. 2016

Geburtshilfe Frauenheilkd

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“…It has been postulated that CPR scores fail to properly evaluate this subgroup of patients because the scores cannot adequately exclude the presence of gynecological pathologies. In fact, a diagnostic scale has been developed for the management of acute abdominal pain in women of reproductive age 34 .…”

Section: Discussionmentioning

confidence: 99%

Clinical prediction rules in acute appendicitis: which combination of variables is more effective at predicting?

Olmo¹,

Concejo-Cutoli²,

Vaquero-Puerta³

et al. 2022

CIRU

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Background: Clinical prediction rules have been designed to reduce variability and improve the diagnostic process. However, there are no unanimous criteria regarding which of them is the most efficient for the diagnosis of acute appendicitis. Aim: The primary aim of this study was to assess the diagnostic efficacy of the most commonly used clinical prediction rules. The second aim was to identify the combination of the smallest number of clinical and analytical variables that would allow a costeffective diagnostic approach. Methods: A retrospective observational study was conducted of 458 patients who were evaluated for right iliac fossa pain between January 2010 and December 2016. The scores tested were Alvarado, AIR, RIPASA, and AAS. Univariate and multiple regressions were used for validation. Results: Alvarado one was the most efficient to establish a positive diagnosis of acute appendicitis. However, the most simplified and predictive combination variables included anorexia, white blood cell count > 8275 leukocytes/μL, neutrophilia (> 75%), abdominal pain < 48 h, migrating pain, and temperature out the range of 37-39ºC. Conclusions: A new and effective CPR (HMC score) for predicting appendicitis in patients presenting with the right iliac fossa pain has been established.

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Douleurs pelviennes aiguës en contexte septique et aseptique chez la femme

Pages-Bouic

Millet

Curros-Doyon

et al. 2015

Journal de Radiologie Diagnostique et Interventionnelle

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Validation of the Diagnostic Score for Acute Lower Abdominal Pain in Women of Reproductive Age

Cited by 5 publications

References 21 publications

Patients Presenting to the Emergency Unit with Gynaecological Lower Abdominal Pain, with and without Pathological Clinical Findings – Service Utilisation, Pain History, Implications

Patients Presenting to the Emergency Unit with Gynaecological Lower Abdominal Pain, with and without Pathological Clinical Findings – Service Utilisation, Pain History, Implications

Clinical prediction rules in acute appendicitis: which combination of variables is more effective at predicting?

Douleurs pelviennes aiguës en contexte septique et aseptique chez la femme

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