Active observation in acute abdominal pain
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Cited by (51)
Care of Acute Gastrointestinal Conditions in the Observation Unit
2017, Emergency Medicine Clinics of North AmericaEvidence-Based Medicine Approach to Abdominal Pain
2016, Emergency Medicine Clinics of North AmericaOrganisation of emergency general surgical services and the early assessment and investigation of the acute abdomen
2013, Core Topics in General and Emergency Surgery, Fifth EditionBarriers to accessing surgical care in Pakistan: Healthcare barrier model and quantitative systematic review
2012, Journal of Surgical ResearchAbdominal pain and emergency department evaluation
2001, Emergency Medicine Clinics of North AmericaCitation Excerpt :In this study there was a single observer's serial examinations, hourly vital sign changes, and basic laboratory and radiographic tests of patients who present to the ED with abdominal pain.42 By 12 hours, 135 of 153 patients (88.2%) completed the observation period without laparotomy.42 During the observation period, 18 of 153 patients (11.8%) required surgery.42
Economic issues in observation unit medicine
2001, Emergency Medicine Clinics of North AmericaCitation Excerpt :After observation, 80% of patients were able to be released home safely without hospitalization or operation.11 Thus, hospitals with ED observation units have false-positive surgery rates (normal appendix at surgery) one third to one fourth of hospitals without observation programs (6% versus 20%).37 This improved physician decision making reduces costs by avoiding unnecessary hospitalizations and avoiding unnecessary surgeries.
- 1
From the Departments of Surgery, Raigmore Hospital, Inverness.
- 2
From the Departments of Surgery, Woodend General Hospital and Royal Aberdeen Children's Hospital, Aberdeen, Scotland.