[Evaluation of redundancy of tests in acute appendicitis].
| Autor: | Rodríguez Caraballo L; Servicio Cirugía Pediátrica. Hospital Universitari i Politècnic la Fe. Valencia., Carazo Palacios ME; Servicio Cirugía Pediátrica. Hospital Universitari i Politècnic la Fe. Valencia., Couselo Jerez M; Servicio Cirugía Pediátrica. Hospital Universitari i Politècnic la Fe. Valencia., Ibáñez Pradas V; Servicio Cirugía Pediátrica. Hospital Universitari i Politècnic la Fe. Valencia. |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica [Cir Pediatr] 2018 Feb 01; Vol. 31 (1), pp. 29-33. Date of Electronic Publication: 2018 Feb 01. |
| Abstrakt: | Aim: Evaluation of the redundancy of abdominal ultrasound tests in the diagnosis of acute appendicitis in a third level hospital. Material and Methods: Retrospective study of patients treated for suspected acute appendicitis in 2011 at our center. The variables of the study were: age, origin of the patient, blood count, number of ultrasounds performed, surgery and final diagnosis based on surgical findings. We defined as redundant ultrasound the request for a new ultrasound in patients with a final diagnosis of appendicitis and previous positive ultrasound.nd total expressed as percentage of observed / expected lung volume (VPT o/e) and percentage of herniated liver (PHH). We studied: survival, ECMO and associated malformations. Results: 340 patients with a mean age of 9.4 years (range 2-13) were analyzed, 278 of whom had appendicitis and 62 non-specific abdominal pain. 246 were derived from other centers of which 217 (88%) provided an ultrasound. Of the 198 patients referred with positive ultrasound, 76 cases were repeated, of which 78.9% can be considered as redundant. From the total of patients with appendicitis, 29.6% were operated on with 2 or more ultrasounds. Leukocytosis was not found to influence ultrasound redundancy (15,600 vs 15,100, p > 0.05). Conclusion: The 78.9% of the duplicate ultrasounds do not fit the definition of rational use of a diagnostic test. The greater request for ultrasound is not attributable to differences on the blood test results, nevertheless the origin of the patient seems to influence in that request. |
| Databáze: | MEDLINE |
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