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Diagnostic value of plain abdominal radiographs in patients with acute abdominal pain


Citation

Prasannan, Subhita and Tam, Jenn Zhueng and Alif Gul, Yunus Gul (2005) Diagnostic value of plain abdominal radiographs in patients with acute abdominal pain. Asian Journal of Surgery, 28 (4). pp. 246-251. ISSN 1015-9584; ESSN: 0219-3108

Abstract / Synopsis

Objective: A prospective study was performed over a 3-month period in a tertiary referral centre to evaluate the appropriateness and contribution of plain abdominal radiographs (PAR) in the diagnosis and management of adult patients presenting with acute abdominal pain. Methods: Forward stepwise logistic regression was used to examine the correlation between PAR findings and the final diagnosis. The Chi-squared test was used to determine any changes in patient management including requirement for surgical intervention based on PAR findings (p < 0.05). Results: Of 168 patients (246 PAR), 59 (35%) had positive findings on PAR. PAR were most sensitive in cases of intestinal obstruction (odds ratio, OR = 33.548, r = 0.561). The sensitivity was further increased if three of the following predictive signs were present: exaggerated bowel sounds (OR = 13.350, r = 0.154), abdominal distension (OR = 2.993, r = 0.234) and age over 50 years (OR = 2.301, r = 0.027). PAR were non-diagnostic in 82% of patients with acute abdominal pain (p < 0.001). Conclusion: PAR do not play a major role in influencing the management of patients with acute abdominal pain without coexisting bowel obstruction.


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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.1016/S1015-9584(09)60354-7
Publisher: Elsevier
Keywords: Abdominal pain; Abdominal radiograph; Acute
Depositing User: Nabilah Mustapa
Date Deposited: 12 Apr 2016 14:32
Last Modified: 12 Apr 2016 14:32
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1016/S1015-9584(09)60354-7
URI: http://psasir.upm.edu.my/id/eprint/42240
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