Factors Associated With Potentially Missed Diagnosis of Appendicitis in the Emergency Department

JAMA Network Open
Prashant MahajanNeil S Kamdar

Abstract

Appendicitis may be missed during initial emergency department (ED) presentation. To compare patients with a potentially missed diagnosis of appendicitis (ie, patients with symptoms associated with appendicitis, including abdominal pain, constipation, nausea and/or vomiting, fever, and diarrhea diagnosed within 1-30 days after initial ED presentation) with patients diagnosed with appendicitis on the same day of ED presentation to identify factors associated with potentially missed appendicitis. In this cohort study, a retrospective analysis of commercially insured claims data was conducted from January 1 to December 15, 2019. Patients who presented to the ED with undifferentiated symptoms associated with appendicitis between January 1, 2010, and December 31, 2017, were identified using the Clinformatics Data Mart administrative database (Optum Insights). The study sample comprised eligible adults (aged ≥18 years) and children (aged <18 years) who had previous ED visits within 30 days of an appendicitis diagnosis. Potentially missed diagnosis of appendicitis. Adjusted odds ratios (AORs) for abdominal pain and its combinations with other symptoms associated with appendicitis were compared between patients with a same-day diagnosi...Continue Reading

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Oct 7, 2020·Deutsche medizinische Wochenschrift·Klaus Friedrich Becher, Saskia Rupp
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Jul 13, 2021·Visceral Medicine·Joachim Wilfried HeiseWerner Krumholz

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Clinformatics Data Mart
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