The aim was to identify diagnostic difficulties for acute abdominal pain at the emergency department and during hospital stay. A total of 3349 patients admitted to Mora Hospital with acute abdominal pain of up to seven days duration, were registered prospectively for history and clinical signs according to a structured schedule. The preliminary diagnosis from the attending physician at the emergency department, any investigations or surgery and final diagnosis were registered at a follow-up after at least one year.There were no differences in diagnostic performance between physicians with 0.5 to 5 years of medical experience…
Contents
Introduction
Definitions
Historical remarks
Modern research on AAP
The physiology of abdominal pain
Epidemiology
The process of decision-making
Diagnostic aids
Aims of the study
Patients and methods
Physicians
Inclusion criteria
Computer registration and validation of data
Baseline study
Diagnoses
Follow-up
Patients included
Flow charts
Statistics
Ethics
The structured schedule for investigation
Results
Paper
Paper II
Paper III
Paper IV
General discussion
Measures of diagnostic performance of patients with AAP
Duration of hospital stay
Use of resources
Computer-aided diagnosis and scoring systems
Gender perspectives
Clinical symptoms, signs and laboratory examinations
Shortcomings and strengths
Future perspectives
Conclusions
Summary
Acknowledgements
References
Author: Laurell, Helena
Source: Uppsala University Library
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