Acute Colonic Diverticulitis: Diagnostic Evidence, Demographic and Clinical Features in ree Practice Settings
| Autor: | George F. Longstreth, Rajan L. Iyer, Wansu Chen, Linnette Yen, Paul Hodgkins, Li-Hao Chu, Aniket A. Kawatkar |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
Abdominal pain Leukocytosis Comorbidity California Diverticulitis Colonic Risk Factors Outpatients Ambulatory Care Odds Ratio Aged 80 and over Delivery of Health Care Integrated Managed Care Programs Age Factors Gastroenterology Middle Aged Diverticulitis Prognosis Acute Disease Female medicine.symptom Emergency Service Hospital Adult medicine.medical_specialty Adolescent Fever Young Adult Sex Factors Ambulatory care Predictive Value of Tests Internal medicine medicine Humans Psychiatry Aged Retrospective Studies Inpatients business.industry Racial Groups Retrospective cohort study Emergency department Odds ratio medicine.disease Abdominal Pain Logistic Models Multivariate Analysis Tomography X-Ray Computed business Body mass index |
| Zdroj: | Journal of Gastrointestinal and Liver Diseases. 23:379-386 |
| ISSN: | 1842-1121 1841-8724 |
| DOI: | 10.15403/jgld.2014.1121.234.acdd |
| Popis: | Background & Aims: Diverticulitis is often diagnosed in outpatients, yet little evidence exists on diagnostic evidence and demographic/clinical features in various practice settings. We assessed variation in clinical characteristics and diagnostic evidence in inpatients, outpatients, and emergency department cases and effects of demographic and clinical variables on presentation features.Methods: In a retrospective cohort study of 1749 patients in an integrated health care system, we compared presenting features and computed tomography findings by practice setting and assessed independent effects of demographic and clinical factors on presenting features.Results: Inpatients were older and more often underweight/normal weight and lacked a diverticulitis past history and had more comorbidities than other patients. Outpatients were most often Hispanic/Latino. The classical triad (abdominal pain, fever, leukocytosis) occurred in 78 (38.6%) inpatients, 29 (5.2%) outpatients and 34 (10.7%) emergency department cases. Computed tomography was performed on 196 (94.4%) inpatients, 110 (9.2%) outpatients and 296 (87.6%) emergency department cases and was diagnostic in 153 (78.6%) inpatients, 62 (56.4%) outpatients and 243 (82.1%) emergency department cases. Multiple variables affected presenting features. Notably, female sex had lower odds for the presence of the triad features (odds ratio [95% CI], 0.65 [0.45-0.94], P |
| Databáze: | OpenAIRE |
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