Establishment and Application of Early Risk Stratification Method for Acute Abdominal Pain in Adults
| Autor: | Zhen Zhou, Hong Zhao, Ci Tian, Hong-Li Xiao, Baoen Wang, Yu Wang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal pain lcsh:Medicine Hematocrit Gastroenterology Risk Assessment law.invention Acute Abdominal Pain Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine law Risk Factors Internal medicine medicine Humans 030212 general & internal medicine Risk factor Emergency Risk Factor Stratification Blood urea nitrogen Aged Aged 80 and over Chi-Square Distribution medicine.diagnostic_test business.industry 030503 health policy & services lcsh:R General Medicine Middle Aged Intensive care unit Surgery Abdominal Pain Intensive Care Units ROC Curve Vomiting Defecation Original Article Female medicine.symptom 0305 other medical science business Abdominal surgery |
| Zdroj: | Chinese Medical Journal Chinese Medical Journal, Vol 130, Iss 5, Pp 530-535 (2017) |
| ISSN: | 0366-6999 |
| Popis: | Background: Acute abdominal pain is a common symptom of emergency patients. The severity was always evaluated based on physicians' clinical experience. The aim of this study was to establish an early risk stratification method (ERSM) for addressing adults with acute abdominal pain, which would guide physicians to take appropriate and timely measures following the established health-care policies. Methods: In Cohort 1, the records of 490 patients with acute abdominal pain that developed within the past 72 h were enrolled in this study. Measurement data and numeration data were compared with analysis of variance and Chi-square test, respectively. Multiple regression analysis calculated odd ratio (OR) value. P and OR values showed the impacts of factors. ERSM was established by clinical experts and statistical experts according to Youden index. In Cohort 2, data from 305 patients with acute abdominal pain were enrolled to validate the accuracy of the ERSM. Then, ERSM was prospectively used in clinical practice. Results: The ERSM was established based on the scores of the patient’s clinical characteristics: right lower abdominal pain+ 3 × diffuse abdominal pain+ 3 × cutting abdominal pain+ 3 × pain frequency + 3 × pain duration+ fever + 2 × vomiting + 5 × stop defecation+ 3 × history of abdominal surgery + hypertension history + diabetes history + hyperlipidemia history + pulse + 2 × skin yellowing + 2 × sclera yellowing + 2 × double lung rale + 10 × unconsciousness + 2 × right lower abdominal tenderness + 5 × diffuse abdominal tenderness + 4 × peritoneal irritation + 4 × bowel sounds abnormal+ 10 × suspicious diagnosis + white blood cell count + hematocrit + glucose + 2 × blood urea nitrogen+ 3 × creatine + 4 × serum albumin + alanine aminotransferase + total bilirubin + 3 × conjugated bilirubin + amylase. When the score was |
| Databáze: | OpenAIRE |
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