Clinical Scoring for Diagnosis of Acute Lower Abdominal Pain in Female of Reproductive Age
Joint Authors
Patumanond, Jayanton
Smuthtai, Waratsuda
Jearwattanakanok, Kijja
Yamada, Sirikan
Suntornlimsiri, Watcharin
Source
Emergency Medicine International
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-14
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Obstetrics and gynecological conditions (OB-GYNc) are difficult to be differentiated from appendicitis in young adult females presenting with acute lower abdominal pain.
Timely and correct diagnosis is clinically challenging.
Method.
A retrospective data analysis was performed on 542 female patients who were admitted to a tertiary care hospital with a chief complaint of acute lower abdominal pain.
Diagnostic indicators of appendicitis and OB-GYNc were identified by stepwise multivariable polytomous logistic regression.
Diagnostic performances of the scores were tested.
Result.
The developed clinical score is comprised of (1) guarding or rebound tenderness, (2) pregnancy, (3) sites of abdominal tenderness, (4) leukocytosis, (5) peripheral neutrophils ≥75%, and (6) presence of diarrhea.
For diagnosis of appendicitis, the area under the ROC curve was 0.8696, and the sensitivity and specificity were 89.25% and 70.00%.
For OB-GYNc, the corresponding values were 0.8450, 66.67%, and 94.85%, respectively.
Conclusion.
The clinical scoring system can differentiate the diagnosis of acute lower abdominal pain in young adult females.
Time spent for diagnosis at the emergency room may be shortened, and the patients would be admitted to the appropriate departments in less time.
American Psychological Association (APA)
Jearwattanakanok, Kijja& Yamada, Sirikan& Suntornlimsiri, Watcharin& Smuthtai, Waratsuda& Patumanond, Jayanton. 2013. Clinical Scoring for Diagnosis of Acute Lower Abdominal Pain in Female of Reproductive Age. Emergency Medicine International،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-494078
Modern Language Association (MLA)
Jearwattanakanok, Kijja…[et al.]. Clinical Scoring for Diagnosis of Acute Lower Abdominal Pain in Female of Reproductive Age. Emergency Medicine International No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-494078
American Medical Association (AMA)
Jearwattanakanok, Kijja& Yamada, Sirikan& Suntornlimsiri, Watcharin& Smuthtai, Waratsuda& Patumanond, Jayanton. Clinical Scoring for Diagnosis of Acute Lower Abdominal Pain in Female of Reproductive Age. Emergency Medicine International. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-494078
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-494078