Diagnostic value of plain abdominal radiographs in patients with acute abdominal pain
Objective: A prospective study was performed over a 3-month period in a tertiary referral centre to evaluate the appropriateness and contribution of plain abdominal radiographs (PAR) in the diagnosis and management of adult patients presenting with acute abdominal pain. Methods: Forward stepwise log...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2005
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| Online Access: | http://psasir.upm.edu.my/id/eprint/42240/ http://psasir.upm.edu.my/id/eprint/42240/1/Diagnostic%20value%20of%20plain%20abdominal%20radiographs%20in%20patients%20with%20acute%20abdominal%20pain.pdf |
| _version_ | 1848849911744823296 |
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| author | Prasannan, Subhita Tam, Jenn Zhueng Alif Gul, Yunus Gul |
| author_facet | Prasannan, Subhita Tam, Jenn Zhueng Alif Gul, Yunus Gul |
| author_sort | Prasannan, Subhita |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Objective: A prospective study was performed over a 3-month period in a tertiary referral centre to evaluate the appropriateness and contribution of plain abdominal radiographs (PAR) in the diagnosis and management of adult patients presenting with acute abdominal pain. Methods: Forward stepwise logistic regression was used to examine the correlation between PAR findings and the final diagnosis. The Chi-squared test was used to determine any changes in patient management including requirement for surgical intervention based on PAR findings (p < 0.05). Results: Of 168 patients (246 PAR), 59 (35%) had positive findings on PAR. PAR were most sensitive in cases of intestinal obstruction (odds ratio, OR = 33.548, r = 0.561). The sensitivity was further increased if three of the following predictive signs were present: exaggerated bowel sounds (OR = 13.350, r = 0.154), abdominal distension (OR = 2.993, r = 0.234) and age over 50 years (OR = 2.301, r = 0.027). PAR were non-diagnostic in 82% of patients with acute abdominal pain (p < 0.001). Conclusion: PAR do not play a major role in influencing the management of patients with acute abdominal pain without coexisting bowel obstruction. |
| first_indexed | 2025-11-15T09:57:55Z |
| format | Article |
| id | upm-42240 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T09:57:55Z |
| publishDate | 2005 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-422402016-04-12T06:32:00Z http://psasir.upm.edu.my/id/eprint/42240/ Diagnostic value of plain abdominal radiographs in patients with acute abdominal pain Prasannan, Subhita Tam, Jenn Zhueng Alif Gul, Yunus Gul Objective: A prospective study was performed over a 3-month period in a tertiary referral centre to evaluate the appropriateness and contribution of plain abdominal radiographs (PAR) in the diagnosis and management of adult patients presenting with acute abdominal pain. Methods: Forward stepwise logistic regression was used to examine the correlation between PAR findings and the final diagnosis. The Chi-squared test was used to determine any changes in patient management including requirement for surgical intervention based on PAR findings (p < 0.05). Results: Of 168 patients (246 PAR), 59 (35%) had positive findings on PAR. PAR were most sensitive in cases of intestinal obstruction (odds ratio, OR = 33.548, r = 0.561). The sensitivity was further increased if three of the following predictive signs were present: exaggerated bowel sounds (OR = 13.350, r = 0.154), abdominal distension (OR = 2.993, r = 0.234) and age over 50 years (OR = 2.301, r = 0.027). PAR were non-diagnostic in 82% of patients with acute abdominal pain (p < 0.001). Conclusion: PAR do not play a major role in influencing the management of patients with acute abdominal pain without coexisting bowel obstruction. Elsevier 2005-10 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/42240/1/Diagnostic%20value%20of%20plain%20abdominal%20radiographs%20in%20patients%20with%20acute%20abdominal%20pain.pdf Prasannan, Subhita and Tam, Jenn Zhueng and Alif Gul, Yunus Gul (2005) Diagnostic value of plain abdominal radiographs in patients with acute abdominal pain. Asian Journal of Surgery, 28 (4). pp. 246-251. ISSN 1015-9584; ESSN: 0219-3108 10.1016/S1015-9584(09)60354-7 |
| spellingShingle | Prasannan, Subhita Tam, Jenn Zhueng Alif Gul, Yunus Gul Diagnostic value of plain abdominal radiographs in patients with acute abdominal pain |
| title | Diagnostic value of plain abdominal radiographs in patients with acute abdominal pain |
| title_full | Diagnostic value of plain abdominal radiographs in patients with acute abdominal pain |
| title_fullStr | Diagnostic value of plain abdominal radiographs in patients with acute abdominal pain |
| title_full_unstemmed | Diagnostic value of plain abdominal radiographs in patients with acute abdominal pain |
| title_short | Diagnostic value of plain abdominal radiographs in patients with acute abdominal pain |
| title_sort | diagnostic value of plain abdominal radiographs in patients with acute abdominal pain |
| url | http://psasir.upm.edu.my/id/eprint/42240/ http://psasir.upm.edu.my/id/eprint/42240/ http://psasir.upm.edu.my/id/eprint/42240/1/Diagnostic%20value%20of%20plain%20abdominal%20radiographs%20in%20patients%20with%20acute%20abdominal%20pain.pdf |