The role of plain radiographs in patients with acute abdominal pain at the ED

The American Journal of Emergency Medicine
Adrienne van RandenOPTIMA Study Group

Abstract

The purpose of this study was to evaluate the added value of plain radiographs on top of clinical assessment in unselected patients presenting with acute abdominal pain at the emergency department (ED). In a multicenter prospective trial, patients with abdominal pain more than 2 hours and less than 5 days presented at the ED were evaluated clinically, and a diagnosis was made by the treating physician. Subsequently, all patients underwent supine abdominal and upright chest radiographs, after which the diagnosis was reassessed by the treating physician. A final (reference) diagnosis was assigned by an expert panel. The number of changes in the primary diagnosis, as well as the accuracy of these changes, was calculated. Changes in the level of confidence were evaluated for unchanged diagnoses. Between March 2005 and November 2006, 1021 patients, 55% female, mean age 47 years (range, 19-94 years), were included. In 117 of 1021 patients, the diagnosis changed after plain radiographs, and this change was correct in 39 patients (22% of changed diagnoses and 4% of total study population). Overall, the clinical diagnosis was correct in 502 (49%) patients. The diagnosis after evaluation of the radiographs was correct in 514 (50%) patien...Continue Reading

References

Apr 1, 1992·AJR. American Journal of Roentgenology·T FukuyaT J Barloon
Sep 1, 1986·AJR. American Journal of Roentgenology·S E MirvisR Tarr
Jun 29, 1985·British Medical Journal·S FieldA E Scourfield
Apr 1, 1983·Annals of Surgery·R L EisenbergH I Goldberg
Jan 1, 1982·Annals of Emergency Medicine·T A McCookR P Rice
Jul 1, 1995·AJR. American Journal of Roentgenology·J H Woodring, M J Heiser
Oct 3, 1999·Journal of Accident & Emergency Medicine·A Krishnan, R Brown
Jan 25, 2002·Postgraduate Medical Journal·S FeylerD King
Jun 5, 2002·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Shyr-Chyr ChenWei-Jao Chen
Apr 20, 2004·European Journal of Radiology·Roberto GrassiLuigia Romano
Oct 24, 2006·AJR. American Journal of Roentgenology·Bernard HainauxConstantin Moschopoulos
Feb 22, 2007·AJR. American Journal of Roentgenology·William M ThompsonErik K Paulson
Jan 12, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Dean D T MaglinteDouglas K Rex
Feb 24, 2009·Emergency Medicine Journal : EMJ·J E Smith, E J Hall
Jun 30, 2009·BMJ : British Medical Journal·Wytze LamérisUNKNOWN OPTIMA study group

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Citations

Jul 19, 2012·International Journal of General Medicine·Sarah L GansMarja A Boermeester
Apr 5, 2000·AJR. American Journal of Roentgenology·R M GoreJ W Berlin
Jun 2, 2014·Emergency Radiology·Sadhishaan SreedharanSankar Sinha
Feb 3, 2016·Abdominal Radiology·Kiran GangadharNeeraj Lalwani
Nov 4, 2015·Journal of Visceral Surgery·V DubuissonM V Launay-Savary
Aug 8, 2013·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·Miriam M ShanamanRobert T O'Brien
Aug 2, 2015·Radiología·J M Artigas MartínP Parrilla Herranz
Apr 17, 2016·Journal of the American College of Radiology : JACR·Courtney C MorenoRichard Duszak
Apr 18, 2014·The Tohoku Journal of Experimental Medicine·Atsuhiko MurataShinya Matsuda
Apr 14, 2017·Acta Cirúrgica Brasileira·Ítalo Medeiros AzevedoAldo Cunha Medeiros
May 17, 2017·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H Listle, C Gutt
Oct 24, 2019·ANZ Journal of Surgery·Sarah Z WennmackerPhilip R de Reuver
Jun 7, 2019·World Journal of Emergency Surgery : WJES·Fausto CatenaLuca Ansaloni
Jun 20, 2018·Scandinavian Journal of Pain·Kristiina S Kuusniemi, Klaus T Olkkola
Sep 8, 2019·Internal and Emergency Medicine·Giovanni MarascoRocco Maurizio Zagari
Jan 17, 2019·Der Radiologe·C Kulinna-CosentiniM A Arnoldner
Jan 16, 2019·BMC Health Services Research·Christophe L BertinOlivier T Rutschmann
Jan 2, 2021·European Journal of Radiology Open·Mimi KimBo-Kyeong Kang
Jul 5, 2021·World Journal of Emergency Surgery : WJES·Yousef AmaraRichard P Ten Broek

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