Undifferentiated Abdominal Pain in Children Presenting to the Pediatric Emergency Department.

Abstract:

:Although common, little is known about the characteristics and management of undifferentiated abdominal pain (UAP) in the pediatric emergency department (ED). This study was a 12-month retrospective study for "abdominal pain" ED visits. Patients without an identifiable diagnosis were categorized as "UAP," while others with identified disease processes were categorized as "structural gastrointestinal diagnosis (SGID)." We included 2383 (72%) visits with 869 (36.5%) UAP visits and 1514 (63.5%) SGID visits. SGID patients had more laboratory tests (811 [53.6%] vs 422 [48.6%], P = .0186), and often had multiple tests performed (565 [69.7%] vs 264 [62.6%], P = .0116). Computed tomography and ultrasound scans were more common in SGID (computed tomography: 108 [7.1%] vs 27 [3.1%], P = .0004; ultrasound: 377 [24.9%] vs 172 [19.9%], P = .0044), and laboratory results (white blood cell count, hemoglobin, albumin, C-reactive protein) were abnormal at significantly higher rates. Analyses revealed the duration of pain as primary covariate in variance of pain etiology. Clinical features, such as duration of pain, may be augmented by laboratory tests to facilitate recognition of UAP in the ED.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Harris BR,Chinta SS,Colvin R,Schnadower D,Tarr PI,Sayuk GS

doi

10.1177/0009922819867459

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

1212-1223

issue

11-12

eissn

0009-9228

issn

1938-2707

journal_volume

58

pub_type

杂志文章
  • L-carnitine administration reduces number of episodes in cyclic vomiting syndrome.

    abstract::Patients with cyclic vomiting syndrome suffer from recurring episodes of severe nausea and vomiting. This paper presents 6 patients who responded to 1-carnitine administration. Average time between episodes was 1.7 months before carnitine administration and increased to 1.1 years after carnitine administration. Averag...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280204100307

    authors: Van Calcar SC,Harding CO,Wolff JA

    更新日期:2002-04-01 00:00:00

  • The Functional Independence Measure for Children (WeeFIM). Conceptual basis and pilot use in children with developmental disabilities.

    abstract::Few tools are available to pediatricians for tracking and monitoring disability status in children. We describe the conceptual basis and pilot use of the Functional Independence Measure for Children (WeeFIM). Our pilot use of this instrument in children with limb deficiency, Down's syndrome, spina bifida, cerebral pal...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/000992289403300708

    authors: Msall ME,DiGaudio K,Rogers BT,LaForest S,Catanzaro NL,Campbell J,Wilczenski F,Duffy LC

    更新日期:1994-07-01 00:00:00

  • Periodic use of inhaled steroids in children with mild persistent asthma: what are pediatricians recommending?

    abstract::Although asthma treatment guidelines recommend daily inhaled corticosteroid (ICS) use for all persistent asthma, pediatricians may recommend alternative treatment plans for children with mild persistent disease. The authors administered a survey of pediatricians to describe prescribing patterns for mild persistent ast...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922807312184

    authors: Sawicki GS,Smith L,Bokhour B,Gay C,Hohman KH,Galbraith AA,Lieu TA

    更新日期:2008-06-01 00:00:00

  • Serial procalcitonin levels to detect bacteremia in febrile neutropenia.

    abstract:BACKGROUND:Our objective was to evaluate serial procalcitonin (PCT) levels compared with an initial PCT level at admission in predicting bacteremia in pediatric febrile neutropenic oncology patients. PROCEDURE:Serum PCT levels were measured at admission (t0) and within 24 hours of admission (t1) in pediatric oncology ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922812460913

    authors: Reitman AJ,Pisk RM,Gates JV 3rd,Ozeran JD

    更新日期:2012-12-01 00:00:00

  • Early identification of hearing loss: listen to parents.

    abstract::Families of 49 hearing-impaired children responded to a questionnaire requesting information about the identification of their child's hearing loss. Parents were the first to suspect the hearing loss in 48 cases but more often than not were told that the child would outgrow it or was too young to test. When profession...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289103000202

    authors: Thompson MD,Thompson G

    更新日期:1991-02-01 00:00:00

  • Increasing HPV Vaccination Coverage Through Provider-Based Interventions.

    abstract::With discouragingly low vaccination rates for human papillomavirus (HPV), we sought to improve the HPV vaccine completion rate for adolescents by increasing the consistency and quality of provider recommendations. Baseline data was extracted for vaccine completion rates among patients aged 13 to 17 years. Quality impr...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922817722014

    authors: Krantz L,Ollberding NJ,Beck AF,Carol Burkhardt M

    更新日期:2018-03-01 00:00:00

  • Mental development of infants with congenital hypothyroidism: a longitudinal study.

    abstract::The purpose of this study was to assess the relationship between the clinical findings before starting treatment and the development quotient in children treated for congenital hypothyroidism. Patients with congenital hypothyroidism (n = 129) were divided into favorable and unfavorable groups according to intellectual...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922806289326

    authors: Nakamizo M,Toyabe S,Asami T,Akazawa K

    更新日期:2007-01-01 00:00:00

  • Risk Factors for Failed Newborn Otoacoustic Emissions Hearing Screen.

    abstract::Objective To identify any socioeconomic, demographic, neonatal, and perinatal factors that may be associated with failing the otoacoustic emissions (OAE) newborn hearing screen. Study Design A retrospective chart review was performed looking at hearing screens performed on 1272 newborn infants by OAE testing. Socioeco...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922815615826

    authors: Shahid R,Vigilante M,Deyro H,Reyes I,Gonzalez B,Kliethermes S

    更新日期:2016-10-01 00:00:00

  • French norms and validation of the Child Development Inventory (CDI): Inventaire du Developpement de l'Enfant (IDE).

    abstract::The aim of this study was to determine the French norms and examine the validity of a parent-report inventory: the Child Development Inventory (CDI), called "Inventaire du Développement de l'Enfant (IDE)" in French. This assesses the general level of a child's development in 8 developmental domains. The norms were det...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922811398390

    authors: Duyme M,Zorman M,Tervo R,Capron C

    更新日期:2011-07-01 00:00:00

  • Physician beliefs and knowledge about vaccinations. Are Cincinnati doctors giving their best shot?

    abstract::The purpose of this study was to examine the immunization beliefs and practices of physicians in our community. A two-page descriptive survey of immunization practices and knowledge of vaccine contraindications was sent to all community physicians on the staff of Children's Hospital Medical Center in Cincinnati, Ohio....

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289603500205

    authors: Siegel RM,Schubert CJ

    更新日期:1996-02-01 00:00:00

  • Prevalence of sexually transmitted infections in at-risk adolescent females at a comprehensive, stand-alone adolescent health center in New York City.

    abstract:BACKGROUND:Sexually transmitted infections (STIs) are common among adolescents, and multiple STIs over one's lifetime can increase health risks. Few studies have assessed lifetime STI prevalence. This study evaluates minority, underserved adolescents' self-reported lifetime STI history and objective STI rates. METHODS...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922814533816

    authors: Yavorsky RL,Hollman D,Steever J,Soghomonian C,Diaz A,Strickler H,Schlecht N,Burk RD,Ochner CN

    更新日期:2014-08-01 00:00:00

  • Neonatal gastric volvulus secondary to rectal atresia.

    abstract::The "upside-down stomach" is a rare form of organo-axial neonatal volvulus, which occurs because of absent or attenuated anatomical anchors and abnormal motility of the stomach. It is considered a surgical emergency that requires immediate correction. We report a previously undescribed etiology of gastric neonatal vol...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288802700612

    authors: Mizrahi S,Vinograd I,Schiller M

    更新日期:1988-06-01 00:00:00

  • The parental appraisal of the morbidity of diarrhea in infants and toddlers (PAMODI) survey.

    abstract::This study analyzed parental perception of the impact of diarrhea on quality of life of their children. A standardized questionnaire was completed by 2023 parents in Germany with children with diarrhea who were younger than 2 years old. Parents stated the most worrying aspects of diarrhea. A health score was measured ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922807310933

    authors: Huppertz HI,Forster J,Heininger U,Roos R,Neumann HU,Hammerschmidt T

    更新日期:2008-05-01 00:00:00

  • Pediatric methylphenidate exposures: 7-year experience of poison centers in the United States.

    abstract::This study was undertaken to evaluate trends and toxicity of pediatric methylphenidate exposures; 1993 to 1999 national poison center data were analyzed. There were 12,917 exposures, increasing from 927 in 1993 to 2,445 in 1999. The majority of children during the entire study period experienced no effect (60.3%) or m...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280304200210

    authors: Klein-Schwartz W

    更新日期:2003-03-01 00:00:00

  • Gynecomastia: evaluation and treatment recommendations for primary care providers.

    abstract::Gynecomastia is defined as excessive development of the breast in boys. It is common in neonates and adolescents. Although in most cases this is a transient phenomenon, it might lead to significant social impediments such as decreased participation in physical education because of embarrassment. A primary care provide...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922806294800

    authors: Cakan N,Kamat D

    更新日期:2007-07-01 00:00:00

  • The attitude of physicians toward cold remedies for upper respiratory infection in infants and children: a questionnaire survey.

    abstract::Over-the-counter cold remedies are widely used for symptomatic relief of upper respiratory tract infections. The safety of these drugs is not well established in infants and their efficacy is questionable. Our aim was to study the attitude of family physicians and pediatricians toward the use of cold remedies in infan...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922806295281

    authors: Cohen-Kerem R,Ratnapalan S,Djulus J,Duan X,Chandra RV,Ito S

    更新日期:2006-11-01 00:00:00

  • How can we communicate about vaccines with adolescents and their parents?

    abstract:OBJECTIVE:To describe parents' and adolescents' perceptions about vaccination. METHODS:Qualitative interviews of 22 mothers/grandmothers and 25 10- to 14-year-olds. RESULTS:Themes emerged in 3 focus areas. (a) Understanding: Both adults and adolescents had difficulty understanding concepts of risks, benefits, prevent...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922809351091

    authors: Benin AL,Wu AC,Holmboe ES,Shapiro ED,Anyan W

    更新日期:2010-04-01 00:00:00

  • Urban emergency department utilization by adolescents.

    abstract::This study describes urban emergency department (ED) utilization and follow-up referral patterns among adolescents. ED visits for 14-19-year-old patients at an urban university hospital with adjacent adult and pediatric emergency departments during specified months in 1993 were retrospectively reviewed. A subgroup (n=...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280003900806

    authors: Grove DD,Lazebnik R,Petrack EM

    更新日期:2000-08-01 00:00:00

  • Evaluation of a 2-question screening tool for detecting depression in adolescents in primary care.

    abstract::Eighty-five adolescents (ages 13 to 17), recruited from various metropolitan pediatric outpatient clinics, were administered the Patient Health Questionnaire (PHQ)-2, a two-item depression screener, along with two other well-established measures of depression, the Children's Depression Inventory (CDI) and the Beck Dep...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922810370203

    authors: Borner I,Braunstein JW,St Victor R,Pollack J

    更新日期:2010-10-01 00:00:00

  • Time to stop blaming gastroesophageal reflux.

    abstract::OBJECTIVES. Cough, pain, and desaturation episodes in infants are often ascribed to gastroesophageal reflux, and many are empirically treated with acid suppression medications. The authors hypothesize that most of these symptoms are not related to gastroesophageal reflux. METHODS. Retrospective review of 186 combined ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922811412585

    authors: Garza JM,Nylund CM,Kaul A

    更新日期:2011-12-01 00:00:00

  • Improving developmental screening among pediatricians in New Mexico: findings from the developmental screening initiative.

    abstract:BACKGROUND:Seven pediatric primary care practices participated in New Mexico's Developmental Screening Initiative in a year-long quality improvement project with the goal of implementing standardized developmental screening tools. METHODS:The initiative utilized a learning collaborative approach and the Model for Impr...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922814527499

    authors: Malik F,Booker JM,Brown S,McClain C,McGrath J

    更新日期:2014-06-01 00:00:00

  • Smoking cessation counseling: training and practice among women pediatricians.

    abstract::We examined characteristics associated with smoking cessation counseling among a national sample of 579 women pediatricians. Fifty-two percent of women pediatricians had received at least some training in cessation counseling and 41% counseled smoking patients at least once per year. Prevalence of counseling increased...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280204100507

    authors: Malarcher A,Easton A,Husten C,Frank E

    更新日期:2002-06-01 00:00:00

  • Pseudocyesis in an adolescent patient. Case report and radiologic analysis.

    abstract::The physical and psychological changes of pseudocyesis have bewildered physicians since the time of Hippocrates. We present the case of a 14-year-old girl as a reminder that pseudocyesis needs to be considered in adolescents and that the diagnosis may not be obvious, even with current technologies. We document that ga...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288302201006

    authors: Rosenberg HK,Coleman BG,Croop J,Granowetter L,Evans AE

    更新日期:1983-10-01 00:00:00

  • Transient myeloproliferative disorder. In a neonate with Down syndrome. Immunophenotypic studies.

    abstract::This report describes the results of bone marrow leukocyte immunophenotypic studies, DNA index measurement, and chromosome analysis in a newborn with Down syndrome and transient myeloproliferative disorder. The infant's initial leukocytosis with immature cells in the peripheral blood and thrombocytopenia resolved with...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288902800306

    authors: Cook JA,Raney B Jr,Innes DJ Jr,Normansell D

    更新日期:1989-03-01 00:00:00

  • Three distinct cases of copper deficiency in hospitalized pediatric patients.

    abstract::Although copper deficiency is a rare occurrence in the developed world, attention should be given to the proper supplementation of minerals to at-risk pediatric patients. This study presents 3 distinct cases of copper deficiency in hospitalized patients aged 14 months, 6 years, and 12 years. Two patients had short bow...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922812446743

    authors: Dembinski K,Gargasz AE,Dabrow S,Rodriguez L

    更新日期:2012-08-01 00:00:00

  • Valproic acid and congenital malformations. A case report.

    abstract::An infant exposed in utero to valproic acid was born with multiple congenital malformations, including duodenal atresia, lumbar vertebral fusion, thoracolumbar scoliosis, renal abnormalities, diastasis recti abdominis, depigmentation of the eyebrows, and a large hemangioma. The child had neonatal hyperbilirubinemia an...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288402300611

    authors: Bantz EW

    更新日期:1984-06-01 00:00:00

  • Bodyfat analysis and perception of body image.

    abstract::Obesity is a common nutritional problem among children. Using the Futrex 5000A method of bodyfat measurement, this prospective study determined the percentage bodyfat in a self-selected, indigent, predominantly black population and the accuracy of perceived body image. Bodyfat exceeded the optimal range in 39% and 67%...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289703600707

    authors: Sisson BA,Franco SM,Carlin WM,Mitchell CK

    更新日期:1997-07-01 00:00:00

  • Etiology and outcome of outpatient fevers in pediatric heart transplant patients.

    abstract::We reviewed 74 outpatient febrile episodes in 22 pediatric heart transplant patients in order to determine etiologies, rates of serious and nonserious illness, and factors predictive of serious disease. Twenty-two febrile episodes (30%) resulted in hospital admission. Only three variables were predictive of serious il...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289603500902

    authors: Crandall WV,Norlin C,Bullock EA,Shearrow ME,Tani LY,Orsmond GS,Shaddy RE

    更新日期:1996-09-01 00:00:00

  • Neonatal pneumonia caused by members of the Bacteroides fragilis group.

    abstract::Three infants who presented with premature rupture of membranes and neonatal pneumonia caused by organisms belonging to members of the B. fragilis group are reported. In all 3 instances, the organisms were recovered from tracheal aspirates and in 2 from blood cultures as well. Two of the newborns, treated with ampicil...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288001900807

    authors: Brook I,Martin WJ,Finegold SM

    更新日期:1980-08-01 00:00:00

  • Parental Knowledge and Attitudes About Universal Lipid Screening Among Children Aged 9 to 11 Years.

    abstract::Nationally recommended universal lipid screening (ULS) in children aged 9 to 11 years is low. Little is known about parents' understanding of screening. We conducted a survey exploring parental knowledge and attitudes regarding ULS. Of 91 parent respondents, 81.3% were female, 69.2% were non-Hispanic white, 90.1% had ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922820903043

    authors: Kern L,Eichberger L,Wang H,Lin T,Rhee KE

    更新日期:2020-05-01 00:00:00