Abstract:
BACKGROUND:Acute appendicitis is the most common surgical emergency during childhood. Accurate early diagnosis is important to avoid complications and unnecessary interventions. In 2002, Samuel developed the Pediatric Appendicitis Score (PAS) based on a series of data obtained from anamnesis, physical examination, and laboratory tests. The main purpose of this study was to check the validity of PAS and its applicability to our population. METHODS:Prospective observational study, carried out at Hospital Río Hortega (Valladolid, Spain), between June 2009 and May 2010. Data from 101 patients who presented to the emergency department experiencing abdominal pains were recovered. RESULTS:A total of 101 patients were included in the study: 55 were boys and 46 girls. The mean age was 9.51 (2.76) years. Diagnosis was acute appendicitis in 28 patients, adenitis in 8 patients, nonspecific abdominal pain in 51 patients, and other diagnoses in 14 patients. The mean (SD) PAS for children with and without appendicitis was 7.43 (1.79) and 4.97 (1.67), respectively (P < 0.001). CONCLUSIONS:With a cutoff PAS of 3 or lower, there were no patients diagnosed with acute appendicitis; hence, these patients could be discharged without any image studies. If all the patients with a PAS of 8 or higher undergo surgery, we would find in our sample a 4.95% rate of negative appendicectomy, less than other studies have shown. The application of this score in the emergency department could help in the decision making process, aiding in the identification of patients with a low risk of having appendicitis and enabling a better use of resources by avoiding unnecessary diagnostic tests.
journal_name
Pediatr Emerg Carejournal_title
Pediatric emergency careauthors
Zúñiga RV,Arribas JL,Montes SP,Fernandez MN,Abad CG,Martin LG,González-Sagrado Mdoi
10.1097/PEC.0b013e3182586d34subject
Has Abstractpub_date
2012-06-01 00:00:00pages
489-92issue
6eissn
0749-5161issn
1535-1815journal_volume
28pub_type
杂志文章abstract:OBJECTIVE:The aim of this study was to evaluate the accuracy of the initial impression of emergency department providers on the disposition of children with asthma exacerbation. METHODS:We conducted a prospective survey of physicians and other providers in the emergency department of a children's hospital and parents ...
journal_title:Pediatric emergency care
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abstract:UNLABELLED:Negative-pressure pulmonary edema is a rare but life-threatening complication of upper airway obstruction. Because negative-pressure pulmonary edema may occur in a large spectrum of pathologies associated with upper airway obstruction, awareness of this condition is crucial during daily clinical practice. We...
journal_title:Pediatric emergency care
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abstract:OBJECTIVES:This study aimed to survey pediatric emergency medicine (PEM) providers on their management of 2 hypothetical acute concussion scenarios. We hypothesized that most providers would recommend a management strategy based on cognitive and physical rest. METHODS:Fifty-nine percent (46/78) of PEM providers that w...
journal_title:Pediatric emergency care
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更新日期:2019-01-21 00:00:00
abstract::This study was designed to determine the general characteristics, training expectations, and career goals of those individuals entering Pediatric Emergency Medicine Fellowships in 1992 through the NRMP Pediatric Emergency Medicine Match. A 20-item questionnaire was developed and sent to those individuals who successfu...
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journal_title:Pediatric emergency care
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更新日期:2014-12-01 00:00:00
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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更新日期:2012-12-01 00:00:00
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journal_title:Pediatric emergency care
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journal_title:Pediatric emergency care
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pub_type: 杂志文章,多中心研究
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更新日期:2013-01-01 00:00:00
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journal_title:Pediatric emergency care
pub_type: 杂志文章,评审
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更新日期:2017-05-01 00:00:00
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abstract:PURPOSE:The object of this study was to assess, in cost-effective measures, 3 different models for pediatric first-aid training among caregivers and teachers. METHODS:Quasi-experimental design was used. A stratified random sampling method was used to obtain 1282 teachers working at nurseries and kindergartens in Shang...
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journal_title:Pediatric emergency care
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pub_type: 杂志文章
doi:10.1097/01.pec.0000177193.60784.c2
更新日期:2005-09-01 00:00:00
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journal_title:Pediatric emergency care
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更新日期:2011-01-01 00:00:00
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更新日期:2015-11-01 00:00:00