Ultrasound scans done by surgeons for patients with acute abdominal pain: a prospective study
Objective: To evaluate the routine use of abdominal ultrasonography (US) in patients admitted to the surgical emergency unit with acute abdominal pain. Design: Prospective study with a three‐step evaluation of patients over a 12‐month period. Setting: University hospital, Switzerland. Subjects: 496...
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| Veröffentlicht in: | The European journal of surgery 1999-10, Vol.165 (10), p.966-970 |
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| container_title | The European journal of surgery |
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| creator | Allemann, Florin Cassina, Paolo Röthlin, Markus Largiadèr, Felix |
| description | Objective:
To evaluate the routine use of abdominal ultrasonography (US) in patients admitted to the surgical emergency unit with acute abdominal pain.
Design:
Prospective study with a three‐step evaluation of patients over a 12‐month period.
Setting:
University hospital, Switzerland.
Subjects:
496 patients (male/female = 234/262; mean age 45 years) who presented with acute abdominal pain.
Interventions:
Every patient underwent routine investigations and had an abdominal US by the attending surgeon.
Main outcome measures:
Clinical diagnosis, post‐ultrasonography diagnosis and final diagnosis.
Results:
US improved the correct diagnostic rate from 348 (70%) to 414 (83%). The diagnostic accuracy for acute appendicitis and biliary tract disease improved after US from 455 (92%) to 488 (98%) and from 463 (93%) to 490 (99%), respectively; the corresponding sensitivities and specificities were 91% and 99% and 94% and 99%.
Conclusions:
Ultrasonography should be part of routine surgical investigation and should be mastered and used by surgeons. Copyright © 1999 Taylor and Francis Ltd. |
| doi_str_mv | 10.1080/110241599750008099 |
| format | Article |
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To evaluate the routine use of abdominal ultrasonography (US) in patients admitted to the surgical emergency unit with acute abdominal pain.
Design:
Prospective study with a three‐step evaluation of patients over a 12‐month period.
Setting:
University hospital, Switzerland.
Subjects:
496 patients (male/female = 234/262; mean age 45 years) who presented with acute abdominal pain.
Interventions:
Every patient underwent routine investigations and had an abdominal US by the attending surgeon.
Main outcome measures:
Clinical diagnosis, post‐ultrasonography diagnosis and final diagnosis.
Results:
US improved the correct diagnostic rate from 348 (70%) to 414 (83%). The diagnostic accuracy for acute appendicitis and biliary tract disease improved after US from 455 (92%) to 488 (98%) and from 463 (93%) to 490 (99%), respectively; the corresponding sensitivities and specificities were 91% and 99% and 94% and 99%.
Conclusions:
Ultrasonography should be part of routine surgical investigation and should be mastered and used by surgeons. Copyright © 1999 Taylor and Francis Ltd.</description><identifier>ISSN: 1102-4151</identifier><identifier>EISSN: 1741-9271</identifier><identifier>DOI: 10.1080/110241599750008099</identifier><identifier>PMID: 10574106</identifier><language>eng</language><publisher>UK: Taylor & Francis, Ltd</publisher><subject>Abdomen, Acute - diagnostic imaging ; Abdomen, Acute - etiology ; Abdomen, Acute - surgery ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Diagnosis, Differential ; Female ; Humans ; Male ; Middle Aged ; Patient Care Team ; Prospective Studies ; Sensitivity and Specificity ; Ultrasonography</subject><ispartof>The European journal of surgery, 1999-10, Vol.165 (10), p.966-970</ispartof><rights>Copyright © 1999 Taylor and Francis Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4286-2a181d340346ac4ee1f778f7e08ad45e3885822d43cf29d6b5cc88f8dd2267b93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10574106$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allemann, Florin</creatorcontrib><creatorcontrib>Cassina, Paolo</creatorcontrib><creatorcontrib>Röthlin, Markus</creatorcontrib><creatorcontrib>Largiadèr, Felix</creatorcontrib><title>Ultrasound scans done by surgeons for patients with acute abdominal pain: a prospective study</title><title>The European journal of surgery</title><addtitle>Eur J Surg</addtitle><description>Objective:
To evaluate the routine use of abdominal ultrasonography (US) in patients admitted to the surgical emergency unit with acute abdominal pain.
Design:
Prospective study with a three‐step evaluation of patients over a 12‐month period.
Setting:
University hospital, Switzerland.
Subjects:
496 patients (male/female = 234/262; mean age 45 years) who presented with acute abdominal pain.
Interventions:
Every patient underwent routine investigations and had an abdominal US by the attending surgeon.
Main outcome measures:
Clinical diagnosis, post‐ultrasonography diagnosis and final diagnosis.
Results:
US improved the correct diagnostic rate from 348 (70%) to 414 (83%). The diagnostic accuracy for acute appendicitis and biliary tract disease improved after US from 455 (92%) to 488 (98%) and from 463 (93%) to 490 (99%), respectively; the corresponding sensitivities and specificities were 91% and 99% and 94% and 99%.
Conclusions:
Ultrasonography should be part of routine surgical investigation and should be mastered and used by surgeons. Copyright © 1999 Taylor and Francis Ltd.</description><subject>Abdomen, Acute - diagnostic imaging</subject><subject>Abdomen, Acute - etiology</subject><subject>Abdomen, Acute - surgery</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Care Team</subject><subject>Prospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonography</subject><issn>1102-4151</issn><issn>1741-9271</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1LHTEUhkNR6lf_gIuSlbvRJJPJR3fFbxFL0UulICGTnGnTzp25TjJe779vdKQIblwlnPM8L4cXoV1K9ilR5IBSwjittJYVIXmg9Qe0SSWnhWaSruV_BopM0A20FeOfDNFSso9og5IqY0RsortZmwYb-7HzODrbRez7DnC9wnEcfkGfB00_4IVNAboU8TKk39i6MQG2te_nobNt3obuC7Z4MfRxAS6FB8AxjX61g9Yb20b49PJuo9nJ8c3hWXH57fT88Otl4ThTomCWKupLTkourOMAtJFSNRKIsp5XUCpVKcY8L13DtBd15ZxSjfKeMSFrXW6jvSk3X3A_QkxmHqKDtrUd9GM0QjOtCCMZZBPo8qlxgMYshjC3w8pQYp5KNW9LzdLnl_SxnoN_pUwtZkBMwDK0sHpHpDm-uBbPYjGJISZ4_C_a4a8RspSV-XF1an7yW3578v3I0PIfkg2QpA</recordid><startdate>19991001</startdate><enddate>19991001</enddate><creator>Allemann, Florin</creator><creator>Cassina, Paolo</creator><creator>Röthlin, Markus</creator><creator>Largiadèr, Felix</creator><general>Taylor & Francis, Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19991001</creationdate><title>Ultrasound scans done by surgeons for patients with acute abdominal pain: a prospective study</title><author>Allemann, Florin ; Cassina, Paolo ; Röthlin, Markus ; Largiadèr, Felix</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4286-2a181d340346ac4ee1f778f7e08ad45e3885822d43cf29d6b5cc88f8dd2267b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Abdomen, Acute - diagnostic imaging</topic><topic>Abdomen, Acute - etiology</topic><topic>Abdomen, Acute - surgery</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Care Team</topic><topic>Prospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Allemann, Florin</creatorcontrib><creatorcontrib>Cassina, Paolo</creatorcontrib><creatorcontrib>Röthlin, Markus</creatorcontrib><creatorcontrib>Largiadèr, Felix</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The European journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Allemann, Florin</au><au>Cassina, Paolo</au><au>Röthlin, Markus</au><au>Largiadèr, Felix</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasound scans done by surgeons for patients with acute abdominal pain: a prospective study</atitle><jtitle>The European journal of surgery</jtitle><addtitle>Eur J Surg</addtitle><date>1999-10-01</date><risdate>1999</risdate><volume>165</volume><issue>10</issue><spage>966</spage><epage>970</epage><pages>966-970</pages><issn>1102-4151</issn><eissn>1741-9271</eissn><abstract>Objective:
To evaluate the routine use of abdominal ultrasonography (US) in patients admitted to the surgical emergency unit with acute abdominal pain.
Design:
Prospective study with a three‐step evaluation of patients over a 12‐month period.
Setting:
University hospital, Switzerland.
Subjects:
496 patients (male/female = 234/262; mean age 45 years) who presented with acute abdominal pain.
Interventions:
Every patient underwent routine investigations and had an abdominal US by the attending surgeon.
Main outcome measures:
Clinical diagnosis, post‐ultrasonography diagnosis and final diagnosis.
Results:
US improved the correct diagnostic rate from 348 (70%) to 414 (83%). The diagnostic accuracy for acute appendicitis and biliary tract disease improved after US from 455 (92%) to 488 (98%) and from 463 (93%) to 490 (99%), respectively; the corresponding sensitivities and specificities were 91% and 99% and 94% and 99%.
Conclusions:
Ultrasonography should be part of routine surgical investigation and should be mastered and used by surgeons. Copyright © 1999 Taylor and Francis Ltd.</abstract><cop>UK</cop><pub>Taylor & Francis, Ltd</pub><pmid>10574106</pmid><doi>10.1080/110241599750008099</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1102-4151 |
| ispartof | The European journal of surgery, 1999-10, Vol.165 (10), p.966-970 |
| issn | 1102-4151 1741-9271 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_69298020 |
| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection |
| subjects | Abdomen, Acute - diagnostic imaging Abdomen, Acute - etiology Abdomen, Acute - surgery Adolescent Adult Aged Aged, 80 and over Diagnosis, Differential Female Humans Male Middle Aged Patient Care Team Prospective Studies Sensitivity and Specificity Ultrasonography |
| title | Ultrasound scans done by surgeons for patients with acute abdominal pain: a prospective study |
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