Quantifying the usefulness of CT in evaluating seniors with abdominal pain

European Journal of Radiology

Volumn 61, Issue 2, 2007, Pages 290-296

  Lewis, Lawrence M ^a   Klippel, Allen P ^a   Bavolek, Rebecca A ^a   Ross, Laura M ^b   Scherer, Tara M ^b   Banet, Gerald A ^a  

^a WASHINGTON UNIVERSITY   (United States)

^b UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Acute abdomen or abdominal pain; Emergency outpatient unit; Medical decision making

Indexed keywords

COMPUTERIZED TOMOGRAPHY; DECISION MAKING; DIAGNOSIS; PATIENT TREATMENT;

ACUTE ABDOMEN OR ABDOMINAL PAIN; EMERGENCY OUTPATIENT UNIT; MEDICAL DECISION-MAKING;

MEDICAL IMAGING;

ABDOMINAL PAIN; ABDOMINAL SCINTISCANNING; ACUTE ABDOMEN; ADULT; AGED; AGING; ANAMNESIS; ARTICLE; CLINICAL ASSESSMENT; CLINICAL COMPETENCE; CLINICAL EXAMINATION; CLINICAL PRACTICE; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; DIAGNOSTIC VALUE; EMERGENCY HEALTH SERVICE; FEMALE; HUMAN; INTERMETHOD COMPARISON; LABORATORY DIAGNOSIS; MAJOR CLINICAL STUDY; MALE; MEDICAL DECISION MAKING; OUTPATIENT CARE; PHYSICIAN; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS;

ABDOMINAL PAIN; AGED; DIAGNOSIS, DIFFERENTIAL; EMERGENCY SERVICE, HOSPITAL; FEMALE; GASTROINTESTINAL DISEASES; HUMANS; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; TOMOGRAPHY, X-RAY COMPUTED; UROLOGIC DISEASES;

EID: 33846302799     PISSN: 0720048X     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ejrad.2006.09.014     Document Type: Article

References (32)

1. McCaig L.F., and Burt C.W. National Hospital Ambulatory Medical Care Survey: 2003 emergency department summary. Adv Data (2005) 1-38
2. Bugliosi T.F., Meloy T.D., and Vukov L.F. Acute abdominal pain in the elderly. Ann Emerg Med 19 (1990) 1383-1386
3. van Geloven A.A., Biesheuvel T.H., Luitse J.S., et al. Hospital admissions of patients aged over 80 with acute abdominal complaints. Eur J Surg 166 (2000) 866-871
4. Burns R.P., Cochran J.L., Russell W.L., et al. Appendicitis in mature patients. Ann Surg 201 (1985) 695-704
5. Horattas M.C., Guyton D.P., and Wu D. A reappraisal of appendicitis in the elderly. Am J Surg 160 (1990) 291-293
6. Kauvar D.R. The geriatric acute abdomen. Geriatr Emerg Care 9 (1993) 547-558
7. Lee J.F., Leow C.K., and Lau W.Y. Appendicitis in the elderly. Aust NZ J Surg 70 (2000) 593-596
8. Parker J.S., Vukov L.F., and Wollan P.C. Abdominal pain in the elderly: use of temperature and laboratory testing to screen for surgical disease. Fam Med 28 (1996) 193-197
9. Lewis L.M., Banet G.A., Blanda M., et al. Etiology and clinical course of abdominal pain in senior patients: a prospective, multicenter study. J Gerontol A: Biol Sci Med Sci 60 (2005) 1071-1076
10. Brown D.F., Fischer R.H., Novelline R.A., et al. The role of abdominal computed tomography scanning in patients with non-traumatic abdominal symptoms. Eur J Emerg Med 9 (2002) 330-333
11. Ng C.S., Watson C.J.E., Palmer C.R., et al. Evaluation of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause: prospective randomized study. BMJ 325 (2002) 1387-1395
12. Esses D., Birnbaum A., Bijur P., et al. Ability of CT to alter decision making in elderly patients with acute abdominal pain. Am J Emerg Med 22 (2004) 270-272
13. Rosen M.P., Siewert B., Sands D.Z., et al. Value of abdominal CT in the emergency department for patients with abdominal pain. Eur Radiol 13 (2003) 418-424
14. Rao P.M., Rhea J.T., Novelline R.A., et al. Helical CT technique for the diagnosis of appendicitis: prospective evaluation of a focused appendix CT examination. Radiology 202 (1997) 139-144
15. Kahn K.L., Pearson M.L., Harrison E.R., et al. Health care for black and poor hospitalized Medicare patients. JAMA 271 15 (1994) 1169-1174
16. Ford E., Newman J., and Deosaransingh K. Racial and ethnic differences in the use of cardiovascular procedures: findings from the California Cooperative Cardiovascular Project. Am J Public Health 90 7 (2000) 1128-1134
17. Neumayer L., and Kennedy A. Imaging in appendicitis: a review with special emphasis on the treatment of women. Obstet Gynecol 102 (2003) 1404-1409
18. Rao P.M., Rhea J.T., Novelline R.A., et al. The computed tomography appearance of recurrent and chronic appendicitis. Am J Emerg Med 16 (1998) 26-33
19. Walker S., Haun W., Clark J., et al. The value of limited computed tomography with rectal contrast in the diagnosis of acute appendicitis. Am J Surg 180 (2000) 450-454 discussion 454-455
20. Kirkpatrick I.D., Kroeker M.A., and Greenberg H.M. Biphasic CT with mesenteric CT angiography in the evaluation of acute mesenteric ischemia: initial experience. Radiology 229 (2003) 91-98
21. Klein H.M., Lensing R., Klosterhalfen B., et al. Diagnostic imaging of mesenteric infarction. Radiology 197 (1995) 79-82
22. Taourel P.G., Deneuville M., Pradel J.A., et al. Acute mesenteric ischemia: diagnosis with contrast-enhanced CT. Radiology 199 (1996) 632-636
23. Hustey F.M., Meldon S.W., Banet G.A., et al. The use of abdominal computed tomography in older ED patients with acute abdominal pain. Am J Emerg Med 23 (2005) 259-265
24. Malone A.J. Unenhanced CT in the evaluation of the acute abdomen: the community hospital experience. Semin Ultrasound CT MR 20 (1999) 68-76
25. Mindelzun R.E., and Jeffrey R.B. Unenhanced helical CT for evaluating acute abdominal pain: a little more cost, a lot more information. Radiology 205 (1997) 43-45
26. Nagurney J.T., Sane S., Brown D.F., et al. Physician certainty in the diagnosis of abdominal pain. AEM 10 (2003) 563-564
27. Rosen M.P., Sands D.Z., Longmaid III H.E., et al. Impact of abdominal CT on the management of patients presenting to the emergency department with acute abdominal pain. Am J Roentgenol 174 (2000) 1391-1396
28. Ross L.M., Banet G.A., Bavolek R.A., et al. The usefulness of abdominal computerized tomography in diagnostic and disposition decision-making in the emergency evaluation of elderly patients with abdominal pain. Ann Emerg Med 44 (2004) S-68
29. ACEP clinical policy for the initial approach to patients presenting with a chief complaint of non-traumatic abdominal pain. Ann Emerg Med 29 (2000) 1-8
30. Colucciello S. Assessing abdominal pain in adults: a rational, cost-effective, and evidence-based strategy. Emerg Med Pract 1 (1999) CT evaluation of seniors with abdominal pain
31. Cameron C., and Naylor C.D. No impact from active dissemination of the Ottawa Ankle Rules: further evidence of the need for local implementation of practice guidelines. CMAJ 160 (1999) 1165-1168
32. Banet G.A., McClay J.C., and Lewis L.M. Epidemiology and evaluation of abdominal pain in elderly patients: a comparison between the National Health Ambulatory Medical Care Survey and a Prospective Multi-Center Study. Ann Emerg Med 42 (2003) S-27