Prospective evaluation of emergency physician performed bedside ultrasound to detect acute appendicitis

European Journal of Emergency Medicine

Volumn 15, Issue 2, 2008, Pages 80-85

  Fox, J Christian ^a   Solley, Matthew ^a   Anderson, Craig L ^a   Zlidenny, Alexander ^a   Lahham, Shadi ^a   Maasumi, Kasra ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Abdominal pain; Appendicitis; Diagnostic imaging; Emergency ultrasound

Indexed keywords

ABDOMINAL PAIN; ACUTE APPENDICITIS; ADOLESCENT; ADULT; AGED; ANALGESIA; ANOREXIA; ARTICLE; CHILD; COMPUTER ASSISTED TOMOGRAPHY; CONFIDENCE INTERVAL; DIAGNOSTIC ACCURACY; DIAGNOSTIC APPROACH ROUTE; DIAGNOSTIC IMAGING; ECHOGRAPHY; EMERGENCY PHYSICIAN; EMERGENCY WARD; EVALUATION; FEMALE; FEVER; GROUPS BY AGE; HUMAN; IMAGE DISPLAY; LAPAROSCOPY; LEUKOCYTE COUNT; MAJOR CLINICAL STUDY; MALE; NAUSEA; OUTCOME ASSESSMENT; POINT OF CARE TESTING; PRIORITY JOURNAL; PROBABILITY; SENSITIVITY AND SPECIFICITY; SYMPTOM; TEMPERATURE; VOMITING; APPENDICITIS; CLINICAL COMPETENCE; EDUCATION; EMERGENCY HEALTH SERVICE; EMERGENCY MEDICINE; HOSPITAL INFORMATION SYSTEM; MIDDLE AGED; PRESCHOOL CHILD; PROSPECTIVE STUDY; SINGLE BLIND PROCEDURE; STATISTICAL MODEL; UNITED STATES;

ABDOMINAL PAIN; ADOLESCENT; ADULT; AGED; APPENDICITIS; CALIFORNIA; CHILD; CHILD, PRESCHOOL; CLINICAL COMPETENCE; EMERGENCY MEDICINE; FEMALE; HUMANS; LIKELIHOOD FUNCTIONS; MALE; MIDDLE AGED; POINT-OF-CARE SYSTEMS; PROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; SINGLE-BLIND METHOD; TRAUMA CENTERS;

EID: 45549095432     PISSN: 09699546     EISSN: None     Source Type: Journal    
DOI: 10.1097/MEJ.0b013e328270361a     Document Type: Article

References (49)

1. Brewer BJ, Golden GT, Hitch DC, Rudolf LE,Wangensteen SL. Abdominal pain. An analysis of 1000 consecutive cases in a university hospital emergency room. Am J Surg 1976; 131 :219-223.
2. Caterino S, Cavallini M, Meli C, Murante G, Schiffino L, Lotito S, Toncher F. Acute abdominal pain in emergency surgery. Clinical epidemiologic study of 450 patients. Ann Ital Chir 1997; 68 :807-817; Discussion 817-818.
3. Simmen HP, Decurtins M, Rotzer A, Duff C, Brutsch HP, Largiader F. Emergency room patients with abdominal pain unrelated to trauma: prospective analysis in a surgical university hospital. Hepatogastroenterology 1991; 38 :279-282.
4. Andersson RE, Hugander AP, Ghazi SH, Ravn H, Offenbartl SK, Nystrom PO, Olaison GP. Why does the clinical diagnosis fail in suspected appendicitis? Eur J Surg 2000; 166 :796-802.
5. Graff L, Russell J, Seashore J, Tate J, Elwell A, Prete M, et al . False-negative and false-positive errors in abdominal pain evaluation: failure to diagnose acute appendicitis and unnecessary surgery. Acad Emerg Med 2000; 7 :1244-1255.
6. Guss DA, Richards C. Comparison of men and women presenting to an ED with acute appendicitis. Am J Emerg Med 2000; 18 :372-375.
7. Rothrock SG, Green SM, Dobson M, Colucciello SA, Simmons CM. Misdiagnosis of appendicitis in nonpregnant women of childbearing age. J Emerg Med 1995; 13 :1-8.
8. Jones K, Pena AA, Dunn EL, Nadalo L, Mangram AJ. Are negative appendectomies still acceptable? Am J Surg 2004; 188 :748-754.
9. Kaiser S, Mesas-Burgos C, Soderman E, Frenckner B. Appendicitis in children - impact of US and CT on the negative appendectomy rate. Eur J Pediatr Surg 2004; 14 :260-264.
10. Ponsky TA, Huang ZJ, Kittle K, Eichelberger MR, Gilbert JC, Brody F, Newman KD. Hospital- and patient-level characteristics and the risk of appendiceal rupture and negative appendectomy in children. JAMA 2004; 292 :1977-1982.
11. Jahn H, Mathiesen FK, Neckelmann K, Hovendal CP, Bellstrom T, Gottrup F. Comparison of clinical judgment and diagnostic ultrasonography in the diagnosis of acute appendicitis: experience with a score-aided diagnosis. Eur J Surg 1997; 163 :433-443.
12. Soda K, Nemoto K, Yoshizawa S, Hibiki T, Shizuya K, Konishi F. Detection of pinpoint tenderness on the appendix under ultrasonography is useful to confirm acute appendicitis. Arch Surg 2001; 136 :1136-1140.
13. Jeffrey RB Jr, Laing FC, Lewis FR. Acute appendicitis: high-resolution real-time US findings. Radiology 1987; 163 :11-14.
14. John H, Neff U, Kelemen M. Appendicitis diagnosis today: clinical and ultrasonic deductions. World J Surg 1993; 17 :243-249.
15. Kamel IR, Goldberg SN, Keogan MT, Rosen MP, Raptopoulos V. Right lower quadrant pain and suspected appendicitis: nonfocused appendiceal CT - review of 100 cases. Radiology 2000; 217 :159-163.
16. Pena BM, Taylor GA, Fishman SJ, Mandl KD. Costs and effectiveness of ultrasonography and limited computed tomography for diagnosing appendicitis in children. Pediatrics 2000; 106 :672-676.
17. Puylaert JB, Rutgers PH, Lalisang RI, de Vries BC, van derWerf SD, Dorr JP, Blok RA. A prospective study of ultrasonography in the diagnosis of appendicitis. N Engl J Med 1987; 317 :666-669.
18. Rao PM, Rhea JT, Novelline RA, Mostafavi AA, McCabe CJ. Effect of computed tomography of the appendix on treatment of patients and use of hospital resources. N Engl J Med 1998; 338 :141-146.
19. Rettenbacher T, Hollerweger A, Gritzmann N, Gotwald T, Schwamberger K, Ulmer H, Nedden DZ. Appendicitis: should diagnostic imaging be performed if the clinical presentation is highly suggestive of the disease? Gastroenterology , 2002; 123 :992-998.
20. Rice HE, Arbesman M, Martin DJ, Brown RL, Gollin G, Gilbert JC, et al . Does early ultrasonography affect management of pediatric appendicitis? A prospective analysis. J Pediatr Surg 1999; 34 :754-758; Discussion 758-759.
21. Pena BM, Taylor GA, Fishman SJ, Mandl KD. Effect of an imaging protocol on clinical outcomes among pediatric patients with appendicitis. Pediatrics 2002; 110 :1088-1093.
22. Puig S, Hormann M, RebhandlW, Felder-Puig R, Prokop M, Paya K. US as a primary diagnostic tool in relation to negative appendectomy: six years experience. Radiology 2003; 226 :101-104.
23. Wilson EB, Cole JC, Nipper ML, Cooney DR, Smith RW. Computed tomography and ultrasonography in the diagnosis of appendicitis: when are they indicated? Arch Surg 2001; 136 :670-675.
24. Roosevelt GE, Reynolds SL. Does the use of ultrasonography improve the outcome of children with appendicitis? Acad Emerg Med 1998; 5 :1071-1075.
25. Colson M, Skinner KA, Dunnington G. High negative appendectomy rates are no longer acceptable. Am J Surg 1997; 174 :723-726; Discussion 726-727.
26. Reynolds SL, Jaffe D, Glynn W. Professional liability in a pediatric emergency department. Pediatrics 1991; 87 :134-137.
27. Von Titte SN, McCabe CJ, Ottinger LW. Delayed appendectomy for appendicitis: causes and consequences. Am J Emerg Med 1996; 14 :620-622.
28. Trautlein JJ, Lambert RL, Miller J. Malpractice in the emergency department - review of 200 cases. Ann Emerg Med 1984; 13 ( 9 Pt 1 ):709-711.
29. EU Council Directive (1997). Health protection of individuals against the dangers of ionizing radiation in relation to medical exposure. EU Directive 1997/43/Euratom, 30 June 1997. http://www.e-radiography.net/regsetc/ Ionising%20Radiation%20Medical%20Exposure%20Regs%202000.htm
30. Her Majesty's Stationery Office (2000). The ionising radiation (medical exposure) regulations. Statutory Instrument 2000, no. 1059.
31. Siegel MJ, Carel C, Surratt S. Ultrasonography of acute abdominal pain in children. JAMA 1991; 266 :1987-1989.
32. Skaane P, Amland PF, Nordshus T, Solheim K. Ultrasonography in patients with suspected acute appendicitis: a prospective study. Br J Radiol 1990; 63 :787-793.
33. Worrell JA, Drolshagen LF, Kelly TC, Hunton DW, Durmon GR, Fleischer AC. Graded compression ultrasound in the diagnosis of appendicitis. A comparison of diagnostic criteria. J Ultrasound Med 1990; 9 : 145-150.
34. Bendeck SE, Nino-Murcia M, Berry GJ, Jeffrey RB Jr. Imaging for suspected appendicitis: negative appendectomy and perforation rates. Radiology 2002; 225 :131-136.
35. Emil S, Mikhail P, Laberge JM, Flageole H, Nguyen LT, Shaw KS, et al . Clinical versus sonographic evaluation of acute appendicitis in children: a comparison of patient characteristics and outcomes. J Pediatr Surg 2001; 36 :780-783.
36. Lee SL,Walsh AJ, Ho HS. Computed tomography and ultrasonography do not improve and may delay the diagnosis and treatment of acute appendicitis. Arch Surg 2001; 136 :556-562.
37. Chen SC, Wang HP, Hsu HY, Huang PM, Lin FY. Accuracy of ED sonography in the diagnosis of acute appendicitis. Am J Emerg Med 2000; 18 :449-452.
38. Kendall JL, Shimp RJ. Performance and interpretation of focused right upper quadrant ultrasound by emergency physicians. J Emerg Med 2001; 21 :7-13.
39. Terasawa T, Blackmore CC, Bent S, Kohlwes RJ. Systematic review: computed tomography and ultrasonography to detect acute appendicitis in adults and adolescents. Ann Intern Med 2004; 141 :537-546.
40. Tayal V, Cohen H, Norton H. Outcome of patients with an indeterminate emergency department first-trimester pelvic ultrasound to rule out ectopic pregnancy. Acad Emerg Med 2004; 11 :912-917.
41. Ang A, Chong NK, Daneman A. Pediatric appendicitis in 'real-timé: the value of sonography in diagnosis and treatment. Pediatr Emerg Care 2001; 17 :334-340.
42. Fuchs JR, Schlamberg JS, Shortsleeve MJ, Schuler JG. Impact of abdominal CT imaging on the management of appendicitis: an update. J Surg Res 2002; 106 :131-136.
43. Karakas SP, Guelfguat M, Leonidas JC, Springer S, Singh SP. Acute appendicitis in children: comparison of clinical diagnosis with ultrasound and CT imaging. Pediatr Radiol 2000; 30 :94-98.
44. Kosloske AM, Love CL, Rohrer JE, Goldthorn JF, Lacey SR. The diagnosis of appendicitis in children: outcomes of a strategy based on pediatric surgical evaluation. Pediatrics 2004; 113 ( 1 Pt 1 ):29-34.
45. Raptopoulos V, Katsou G, Rosen MP, Siewert B, Goldberg SN, Kruskal JB. Acute appendicitis: effect of increased use of CT on selecting patients earlier. Radiology 2003; 226 :521-526.
46. Reich JD, Brogdon B, Ray WE, Eckert J, Gorell H. Use of CT scan in the diagnosis of pediatric acute appendicitis. Pediatr Emerg Care 2000; 16 :241-243.
47. Smink DS, Finkelstein JA, Garcia Pena BM, Shannon MW, Taylor GA, Fishman SJ. Diagnosis of acute appendicitis in children using a clinical practice guideline. J Pediatr Surg , 2004; 39 :458-463; Discussion 458-463.
48. Stephen AE, Segev DL, Ryan DP, Mullins ME, Kim SH, Schnitzer JJ, Doody DP. The diagnosis of acute appendicitis in a pediatric population: to CT or not to CT. J Pediatr Surg 2003; 38 :367-371; Discsussion 367-371.
49. Josephson T, Styrud J, Eriksson S. Ultrasonography in acute appendicitis. Body mass index as selection factor for US examination. Acta Radiol 2000; 41 :486-488.