The use of abdominal computed tomography in older ED patients with acute abdominal pain

American Journal of Emergency Medicine

Volumn 23, Issue 3, 2005, Pages 259-265

  Hustey, Fredric M ^a   Meldon, Stephen W ^b   Banet, Gerald A ^c   Gerson, Lowell W ^d   Blanda, Michelle ^d   Lewis, Lawrence M ^c  

^a LERNER RESEARCH INSTITUTE   (United States)

^b METROHEALTH MEDICAL CENTER   (United States)

^c WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d NORTHEAST OHIO MEDICAL UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL PAIN; ADULT; AGED; ANAMNESIS; ARTICLE; CHOLELITHIASIS; COMPUTER ASSISTED TOMOGRAPHY; CONFIDENCE INTERVAL; CONTROLLED STUDY; DIAGNOSTIC PROCEDURE; DISEASE ASSOCIATION; DISEASE COURSE; DIVERTICULITIS; FEMALE; FOLLOW UP; GALLBLADDER DISEASE; HUMAN; INTESTINE OBSTRUCTION; MAJOR CLINICAL STUDY; MALE; NEOPLASM; NEPHROLITHIASIS; PANCREATITIS; PREVALENCE; PRIORITY JOURNAL; PYELONEPHRITIS;

ABDOMINAL PAIN; AGED; AGED, 80 AND OVER; ALGORITHMS; EMERGENCY SERVICE, HOSPITAL; FEMALE; GERIATRICS; HUMANS; MALE; MIDDLE AGED; PATIENT SELECTION; PROSPECTIVE STUDIES; TOMOGRAPHY, X-RAY COMPUTED;

EID: 19544393744     PISSN: 07356757     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajem.2005.02.021     Document Type: Article

References (29)

1. R.D. Powers, and A.T. Guertler Abdominal pain in the ED: stability and change over 20 years Am J Emerg Med 13 1995 301 303
2. McCaig LF, Ly N. National Hospital Ambulatory Medical Care Survey: 2000 Emergency department summary. Hyattsville (Md): National Center for Health Statistics: Department of Health and Human Services & Centers for Disease Control and Prevention; 2002.
3. J.L. Wofford, E. Schwartz, and B.L. Timerding Emergency department utilization by the elderly: analysis of the National Hospital Ambulatory Medical Care Survey Acad Emerg Med 3 1996 694 699
4. C.A. Marco, C.N. Schoenfeld, and P.M. Keyl Abdominal pain in geriatric emergency patients: variables associated with adverse outcomes Acad Emerg Med 5 12 1998 1163 1168
5. T.F. Bugliosi, T.D. Meloy, and L.F. Vukov Acute abdominal pain in the elderly Ann Emerg Med 19 1990 1383 1386
6. M.G. Franz, J. Norman, and P.J. Fabri Increased morbidity of appendicitis with advancing age Am Surg 61 1995 40 44
7. S.R. Lowenstein, C.A. Crescenzi, and D.C. Kern Care of the elderly in the emergency department Ann Emerg Med 15 1986 528 535
8. J.R. Staniland, J. Ditchburn, and F.T. De Dombal Clinical presentation of acute abdomen: study of 600 patients BMJ 3 1972 393 398
9. T.G. Sanson, and K.P. O'Keefe Evaluation of abdominal pain in the elderly Emerg Med Clin North Am 14 3 1996 615 627
10. American College of Emergency Physicians Clinical policy for the initial approach to patients presenting with a chief complaint of nontraumatic acute abdominal pain Ann Emerg Med 23 1994 906
11. M.P. Rosen, D.Z. Sands, and H.E. Longmaid Impact of abdominal CT on the management of patients presenting to the emergency department with acute abdominal pain Am J Roentgenol 174 5 2000 1391 1396
12. P. Taourel, and M.P. Baron Acute abdomen of unknown origin: impact of CT on diagnosis and management Gastrointest Radiol 17 4 1992 287 291
13. D.F. Brown, R.H. Fischer, and R.A. Novelline The role of abdominal computed tomography scanning in patients with non-traumatic abdominal symptoms Eur J Emerg Med 9 4 2002 330 333
14. C.S. Ng, C.J. Watson, and C.R. Palmer Evaluation of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause: prospective randomised study BMJ 325 7377 2002 1387
15. J.T. Nagurney, D.F. Brown, and R.A. Novelline Plain abdominal radiographs and abdominal CT scans for non-traumatic abdominal pain-added value? Am J Emerg Med 17 7 1999 668 671
16. P. Taourel, J. Pradel, and J.M. Fabre Role of CT in the acute nontraumatic abdomen Semin Ultrasound CT MR 16 2 1995 151 164
17. C. Roth, R. Tello, and K. Sutherland Prediction rule for etiology of vague abdominal pain in the emergency room: utility for imaging triage Invest Radiol 37 10 2002 552 556
18. B.A. Urban, and E.K. Fishman Targeted helical CT of the acute abdomen: appendicitis, diverticulitis, and small bowel obstruction Semin Ultrasound CT MR 21 1 2000 20 39
19. P.M. Rao, J.T. Rhea, and R.A. Novelline Helical CT of appendicitis and diverticulitis Radiol Clin North Am 37 5 1999 895 910
20. D. Shrier, J. Skucas, and S. Weiss Diverticulitis: an evaluation by computed tomography and contrast enema Am J Gastroenterol 86 10 1991 1466 1471
21. D.D. Hershko, G. Sroka, and H. Bahouth The role of selective computed tomography in the diagnosis and management of suspected acute appendicitis Am Surg 68 11 2002 1003 1007
22. L.J. Parker, and L.F. Vukov Emergency department evaluation of geriatric patients with acute cholecystitis Acad Emerg Med 4 1 1997 51 55
23. T.T. Hui, K.M. Major, and I. Avital Outcome of elderly patients with appendicitis: effect of computed tomography and laparoscopy Arch Surg 137 9 2002 995 998
24. M. Eskelinen, J. Ikonen, and P. Lipponen Acute appendicitis in patients over the age of 65 years; comparison of clinical and computer based decision making Int J Biomed Comput 36 1994 239 249
25. D.J. Sherlock Acute appendicitis in the over-sixty age group Br J Surg 72 1985 245 246
26. Lewis LM, Banet GA, Blanda M. Etiology and clinical course of abdominal pain in senior patients: a prospective, multi-center study. The Journal of Gerontology: Medical Sciences. [In press].
27. R.M. McNamara, E. Rousseau, and A.B. Sanders Geriatric emergency medicine: a survey of practicing emergency physicians Ann Emerg Med 21 1992 796
28. J.S. Parker, and L.F. Vukov Abdominal pain in the elderly: use of temperature and laboratory testing to screen for surgical disease Fam Med 28 3 1996 193 197
29. F.E. Potts, and L.F. Vukov Utility of fever and leukocytosis in acute surgical abdomens in octogenarians and beyond J Gerontol A Biol Sci Med Sci 54 2 1999 M55 M58