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- Title
Acil Cerrahi Polikliniğine Akut Karın Ağrısı ile Başvuran Hastaların Çok Yönlü Prospektif Değerlendirilmesi.
- Authors
Çaliskan, Müjgan; Coşkun, Ayşe; Acar, Aylin; Atak, İbrahim; Kalcan, Süleyman; Şişik, Abdullah; Kaya, Mustafa; Koşmaz, Koray; Avcı, Hasan; Subaşi, I. Ege; Alimoğlu, Orhan
- Abstract
Objective: The purpose of the study was to evaluate the clinical history, physical examination, cause of abdominal pain, laboratory and radiological examination of the patients admitted with acute abdominal pain in emergency surgery. Additionally, the first diagnosis according to the symptoms and physical examination, secondary diagnosis according to the laboratory and radiological findings and final diagnosis after follow up were compared. Materials and Methods: From April 2009 to February 2009, nine-hundred fifty-seven patients with complaints of abdominal pain were admitted to emergency surgery. Patients were first diagnosed according to symptoms and physical examination, secondary diagnosis according to the laboratory and radiological findings and finally diagnosed after follow up for one month. First, secondary and final diagnoses were compared for compliance. Results: 40.1% of the patients were men and 59.9 were women. Sixty-eight patients (7.1%) underwent urgent surgical treatment. Sixty-five patients (6.8%) were discharged after medical treatment. Seventy-seven patients (8.1%) were treated in the observation room. Compliance rate of the secondary diagnosis with first diagnosis was 66.5%, first diagnosis with definitive diagnosis was 64.1%, secondary diagnosis with definitive diagnosis was 93.4% and finally the compliance rate of the three diagnoses was 63.5%. Conclusion: Compliance rate of first diagnosis with definitive diagnosis was 64,1% and the second diagnosis with definitive diagnosis was 93.4%.
- Subjects
ABDOMINAL pain; ABDOMINAL diseases; ACUTE abdomen; SURGICAL emergencies; MEDICAL history taking; RADIOLOGY; PAIN diagnosis; EMERGENCY medicine; THERAPEUTICS
- Publication
Journal of Academic Emergency Medicine / Akademik Acil Tip Olgu Sunumlari Dergisi, 2010, Vol 9, Issue 2, p75
- ISSN
1305-760X
- Publication type
Article
- DOI
10.4170/jaem.2010.14238