Clinical Scoring for Diagnosis of Acute Lower Abdominal Pain in Female of Reproductive Age
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 fem...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2013/730167 |
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| author | Kijja Jearwattanakanok Sirikan Yamada Watcharin Suntornlimsiri Waratsuda Smuthtai Jayanton Patumanond |
| author_facet | Kijja Jearwattanakanok Sirikan Yamada Watcharin Suntornlimsiri Waratsuda Smuthtai Jayanton Patumanond |
| author_sort | Kijja Jearwattanakanok |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-4ec5f17ad065407b88d361def8ce0681 |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-4ec5f17ad065407b88d361def8ce06812025-02-03T01:25:58ZengWileyEmergency Medicine International2090-28402090-28592013-01-01201310.1155/2013/730167730167Clinical Scoring for Diagnosis of Acute Lower Abdominal Pain in Female of Reproductive AgeKijja Jearwattanakanok0Sirikan Yamada1Watcharin Suntornlimsiri2Waratsuda Smuthtai3Jayanton Patumanond4Department of Surgery, Nakornping Hospital, Chiang Mai 50180, ThailandDivision of Gastrointestinal Surgery and Endnoscopy, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, ThailandDepartment of Obstetrics & Gynecology, Nakornping Hospital, Chiang Mai 50180, ThailandDepartment of Emergency Medicine, Nakornping Hospital, Chiang Mai 50180, ThailandClinical Epidemiology Unit & Clinical Research Center, Faculty of Medicine, Thammasat University, Pathum Thani 12120, ThailandBackground. 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.http://dx.doi.org/10.1155/2013/730167 |
| spellingShingle | Kijja Jearwattanakanok Sirikan Yamada Watcharin Suntornlimsiri Waratsuda Smuthtai Jayanton Patumanond Clinical Scoring for Diagnosis of Acute Lower Abdominal Pain in Female of Reproductive Age Emergency Medicine International |
| title | Clinical Scoring for Diagnosis of Acute Lower Abdominal Pain in Female of Reproductive Age |
| title_full | Clinical Scoring for Diagnosis of Acute Lower Abdominal Pain in Female of Reproductive Age |
| title_fullStr | Clinical Scoring for Diagnosis of Acute Lower Abdominal Pain in Female of Reproductive Age |
| title_full_unstemmed | Clinical Scoring for Diagnosis of Acute Lower Abdominal Pain in Female of Reproductive Age |
| title_short | Clinical Scoring for Diagnosis of Acute Lower Abdominal Pain in Female of Reproductive Age |
| title_sort | clinical scoring for diagnosis of acute lower abdominal pain in female of reproductive age |
| url | http://dx.doi.org/10.1155/2013/730167 |
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