Do you need a computed tomographic scan to evaluate suspected appendicitis in young men: an administrative database review
| Autor: | Dmitry Oleynikov, Pradeep K. Pallati, Avishai Meyer, Anton Simorov, Abhijit Shaligram |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Databases Factual Patient Readmission Computed tomographic Young Adult Postoperative Complications Administrative database medicine Appendectomy Humans Hospital Costs Young adult Retrospective Studies business.industry Retrospective cohort study General Medicine Length of Stay Middle Aged Appendicitis medicine.disease United States Outcome and Process Assessment Health Care medicine.anatomical_structure Abdomen Risk Adjustment Surgery Tomography Radiology Suspected appendicitis Tomography X-Ray Computed business |
| Zdroj: | The American Journal of Surgery. 204:1025-1030 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2012.05.024 |
| Popis: | The purpose of this study was to evaluate the impact of computed tomographic (CT) scans of the abdomen on clinical outcomes and costs in young male patients presenting with suspected appendicitis.Discharge data from the University HealthSystem Consortium was accessed for all male patients between 18 and 55 years of age from October 2007 to June 2011.Of a total of 13,228 patients who met the inclusion criteria, 11,340 (85%) were assessed using a CT scan of the abdomen, whereas 1,888 (15%) did not undergo CT evaluation. Patients undergoing CT imaging compared with those without a CT scan had less morbidity (.86% vs 2.2%, P.0001) and fewer 30-day readmissions (1.8% vs 5.13%, P.0001). However, CT imaging resulted in a higher overall length of hospital stay and a higher total cost.This study suggests that in young men with suspected appendicitis, the use of an abdominal CT scan is associated with improved immediate postoperative complications, lower readmission rates with observed higher length of stay, and increased cost of care. |
| Databáze: | OpenAIRE |
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