Rojas-Valenzuela D, Quiñonez-Meza M

Language: Spanish
References: 16
Page: 20-28
PDF size: 426.64 Kb.

ABSTRACT

Objective. To determine the epidemiological characteristics and evolution of patients with acute non-traumatic abdominal pain who come to the emergency room, with a 7 days and 1 month follow-up, from January to June 2019. Material and Methods. Observational, prospective, transversal and descriptive study. Clinical records of patients over 18 years old with acute non-traumatic abdominal pain admitted to the emergency room were reviewed. The next variables were evaluated: -Demographic variables. –Premedication. – Previous admissions for abdominal pain. –Laboratory and cabinet diagnostic tests, and costs. –Academic degree of the attending physician. –Hospitalization hours. –Discharge diagnosis. Then, a telephone survey was made, with verbal consent, to follow the patients at 7 and 30 days after their discharge, evaluating the next variables: -Improvement. –Atenttion in external consultation. –Atenttion in another hospital. -Required surgery. –Re-admittion. –Death. –Perception of medical attention. –Discharge diagnosis. Results. 219 patients were included. The most frequent causes of acute abdominal pain were acute appendicitis (13.6%), cholelitiasis (12.4%) and colitis (10%). Premedication was present in 36.9%. In the 7 and 30 days follow-up, there was improvement in 34.7% and 62.55% respectively. There was a 59.8% of correlation between the inicial diagnosis and the definitive diagnosis. Conclusions. The acute abdominal pain diagnosis is a big challenge for doctors of the emergency service, and it is imperative to develope strategies to improve the attention’s quality of these patients.

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