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Title

One-Month Follow-Up of Patients with Unspecified Abdominal Pain Referring to the Emergency Department; a Cohort Study

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Abstract

 Introduction: About one third of patients referring to emergency department (ED) with Abdominal pain, are discharged without a definite diagnosis. This study aimed to investigate the one-month outcome of patients with unspecified Abdominal pain. Methods: This cohort study was conducted on subjects who were evaluated in ED with unspecified Abdominal pain and were referred to the gastroenterology clinic and followed for one month. Finally, they were divided into two groups of cases with clear cause of Abdominal pain and unclear cause of Abdominal pain and patients’ characteristics were compared between the groups. Results: 150 cases with the mean age of 40. 68 § 18. 34 years were studied (53. 3% female). After one month, 67 (44. 7%) patients still complained of Abdominal pain. A definitive cause of Abdominal pain was established in 88 (58. 7%) cases. There was not any significant difference between groups regarding, sex distribution (p = 012), duration of pain (p = 0. 11), history of previous similar pain (p = 0. 136), pain radiation (p = 0. 737), length of hospital stay (p = 0. 51), and presence of anorexia (p = 0. 09), nausea and vomiting (p= 0. 50), fever (p = 1. 0), diarrhea (p = 0. 23), and constipation (p = 0. 07). There was a significant difference between the groups regarding location of pain (p = 0. 017), age (p = 0. 001) and history of comorbid diseases (p = 0. 046). The predictive factors of finding a clear cause for Abdominal pain in one-month follow-up, were leukocytosis (OR: 5. 92 (95% CI: 2. 62 – 13. 39); p < 0. 001), age (OR: 2. 78 (95% CI: 1. 15 – 6. 71); p = 0. 023), and outpatient follow-up (OR: 1. 04 (95% CI: 1. 02 – 1. 07); p < 0. 001). Conclusion: Approximately, 40% of patients who were discharged with unspecified Abdominal pain did not receive a clear diagnosis after one month of follow-up. Older age, leucocytosis in initial evaluations, and outpatient follow-up increased the probability of finding a clear cause for Abdominal pain in the mentioned cases.

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    APA: Copy

    Hoseininejad, SeyedMohammad, Jahed, Reza, Sazgar, Mohammad, JAHANIAN, FATEMEH, MOUSAVI, SEYED JABER, MONTAZER, SEYED HOSSAIN, Assadi, Touraj, & AMINIAHIDASHTI, HAMED. (2019). One-Month Follow-Up of Patients with Unspecified Abdominal Pain Referring to the Emergency Department; a Cohort Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 7(1), 0-0. SID. https://sid.ir/paper/339780/en

    Vancouver: Copy

    Hoseininejad SeyedMohammad, Jahed Reza, Sazgar Mohammad, JAHANIAN FATEMEH, MOUSAVI SEYED JABER, MONTAZER SEYED HOSSAIN, Assadi Touraj, AMINIAHIDASHTI HAMED. One-Month Follow-Up of Patients with Unspecified Abdominal Pain Referring to the Emergency Department; a Cohort Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2019;7(1):0-0. Available from: https://sid.ir/paper/339780/en

    IEEE: Copy

    SeyedMohammad Hoseininejad, Reza Jahed, Mohammad Sazgar, FATEMEH JAHANIAN, SEYED JABER MOUSAVI, SEYED HOSSAIN MONTAZER, Touraj Assadi, and HAMED AMINIAHIDASHTI, “One-Month Follow-Up of Patients with Unspecified Abdominal Pain Referring to the Emergency Department; a Cohort Study,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 7, no. 1, pp. 0–0, 2019, [Online]. Available: https://sid.ir/paper/339780/en

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