Pattern and Presentation of Non-Traumatic Acute Abdominal Pain to an Emergency Department of a Tertiary Care Hospital
Journal Title: International Journal of Health Sciences and Research - Year 2017, Vol 7, Issue 5
Abstract
Abdominal pain is one of the most common emergency presenting to emergency department(ED). It poses a diagnostic challenge for the emergency physicians as the causes are numerous, ranging from benign to life threatening conditions. Emergency physician must consider multiple diagnoses, especially those life-threatening conditions that require timely intervention to limit morbidity and mortality. This prospective observational study was conducted in a large ED of a tertiary care center in India. All patients older than 15 years and presenting with non-traumatic abdominal pain to the ED from July 2016 to December 2016 were included in study and their clinical profile, diagnosis were analysed. A total of 204 patients were included in the study. Almost half (52%) of the patients were in the age group of 15-30 years. 63% patients were male showing male predominance in our study. The onset of pain was sudden in 64% of patients. WBF scale was used to grade the severity of pain. WBF scale score of 1-4, 5–7 and 8–10 was seen in 50%, 36%and 14% of patients, respectively. Common types of pain included dull aching (49%) and colicky (34%). 39% patients reported lower abdominal pain, while 21% had upper abdominal location. The pain was generalized in 40% of patients. The majority of patients (80%) did not have any radiation of the pain. The groin, back and shoulder were the common sites of radiating pain in 11%, 07% and 02%, respectively. Common associated symptoms included nausea (56%), vomiting (42%), urinary symptoms (18%), and loss of appetite (13%).Out of total 204 patients 46% were admitted for further workup and management while 52% were discharged from emergency department while 02% of patients took discharge at request. The final diagnosis at discharge was grouped as follows: Surgical (32%), gastrointestinal (24%), urinary tract related (29%), obstetrics and gynaecology related (3%) and nonspecific diagnosis (12%). The most common reasons for ED visits due to abdominal pain were ureteric colic (22%), acute gastroenteritis (11%), acid peptic disease (11%), UTI (7%), hollow viscus perforation (08%) and acute appendicitis (07%).
Authors and Affiliations
Dr. Ritesh Gajjar
Keywords
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