Prognosis of acute nonspecific abdominal pain

Jess, Per; Bjerregaard, Beth; Brynitz, S; Holst-Christensen, J; Kalaja, E; Lund-Kristensen, Jens; Matzen, Peter

doi:10.1016/0002-9610(82)90015-0

Cited by 46 publications

(23 citation statements)

References 2 publications

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“…The incidence of nonspecific abdominal pain after appendectomy is not known, but in an unselected population in Sweden, 25% of patients admitted with acute abdominal pain were diagnosed as having nonspecific abdominal pain [18]. Other authors also found nonspecific abdominal pain with frequencies of 31–33% in the general population upon admittance to a surgical emergency ward [19, 20]. …”

Section: Discussionmentioning

confidence: 99%

Late Abdominal Complaints after Appendectomy – Readmissions during Long-Term Follow-Up

et al. 2004

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Background/Aims: The postoperative risk of small bowel obstruction is a recognized complication following appendectomy. Few studies have reconsidered the whole extent of abdominal complaints and problems following appendectomy. This study tries to evaluate the long-term outcome describing abdominal complaints requiring readmission following appendectomy. Methods: A retrospective study of 3,230 patients undergoing open appendectomy at a single center university hospital in Sweden between 1981 and 1996. Late (>30 days) readmissions were noted and the cause for readmission and need for surgical intervention were analyzed. Results: Overall, late readmissions occurred in 2.94% during a median follow-up of 10 years after appendectomy. Females predominated among those readmitted, as did patients with complicated appendicitis or a ‘normal’ appendix. Nonspecific abdominal pain with no sign of small bowel obstruction caused almost half of the readmissions (45%). To a large extent this group consisted of females (76%). Small bowel obstruction was seen in 1.24% and was surgically treated in 0.68% of all appendectomies. Incisional hernias were also seen (0.4% of all appendectomies). Conclusion: The magnitude of readmissions due to abdominal complaints is more pronounced than previously reported with as many patients with signs of small bowel obstruction managed nonoperatively as surgically, and frequent readmissions due to nonspecific abdominal pain.

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Section: Discussionmentioning

confidence: 99%

Late Abdominal Complaints after Appendectomy – Readmissions during Long-Term Follow-Up

et al. 2004

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“…In general population the estimated prevalence of NSAP varies from 42 to 69% [17,19]. In modern day practice a surgeon has got many investigative modalities at hand for the diagnosis of such conditions before embarking on to the treatment as compared to the old days, but still sometimes we are not be able to accurately diagnose some conditions preoperatively, especially some patients with acute and chronic abdominal pain and pelvic pain in a reproductive age group female patients.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Evaluation of Nonspecific Abdominal Pain in Females

Shah¹,

Mushtaq²,

Dar³

et al. 2015

Med-Science

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“…Ainsi, en 1982, dans l'étude de Jess et al, 17 % des patients présentaient des douleurs continues ou intermittentes à cinq ans [19]. Dans l'étude de Lukens et al [20] réalisée dix ans plus tard, lors du premier contact deux à trois jours après la consultation au SAU, 27 % des patients ne présentaient plus de douleur et 41 % rapportaient une diminution de cette douleur.…”

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Chronicization of non-traumatic acute abdominal pain in emergency department: Incidence and predictive factors

Durand

Bounes

Lauque

2015

Ann. Fr. Med. Urgence

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Objectif : L'objectif de notre étude était de détermi-ner l'incidence de la chronicisation des douleurs chez les patients ayant consulté aux urgences pour une douleur abdominale aiguë non traumatique. Patients et méthode : Nous avons réalisé une étude rétrospec-tive au sein des urgences d'un hôpital universitaire entre juin 2013 et juin 2014. Les patients ont été sélectionnés via la banque informatisée des données des urgences, puis contactés pour un entretien téléphonique trois mois après leur passage aux urgences. Le critère de jugement principal était la persistance d'un score douloureux par échelle numérique (EN) supérieur à 3, à une fréquence minimale de deux fois par mois, trois mois après le passage aux urgences. Résultats : Sur les 440 patients éligibles, 200 patients ont pu être contactés et ont donné leur consentement. Quarante-deux patients (21 %) décrivaient la persistance d'une douleur avec une EN supérieure à 3/10 au moins deux fois par mois. Les facteurs associés à un risque de chronicisation étaient : l'âge (ratio de côtes (RC) 1,02 IC95 % [1,01-1,05] par année) et le score de la classification clinique des malades aux urgences (RC 0,40 IC95 % [0,21-0,75] par unité). Cent vingt-deux patients (61 %) n'ont pas présenté de récidive douloureuse dans les trois mois suivant leur admission aux urgences. Conclusion : La chronicisation des douleurs après une consultation aux urgences pour des douleurs abdominales aiguës concerne un patient sur cinq. L'âge et la gravité initiale de l'état clinique sont des facteurs prédictifs de chronicisation. L'absence de diagnostic organique (41 %) n'était pas associée, dans notre étude, à un risque de chronicisation. Mots clés Douleur abdominale · Chronicisation · OligoanalgésieAbstract Objective: The aim of this study was to investigate incidence of chronicization of pain in patients suffering from acute non-traumatic abdominal pain and discharged from emergency department (ED). Methods: We conducted a retrospective study in an academic hospital ED between June 2013 and June 2014. Patients were selected on ED electronic database, and then contacted for a phone interview three months after discharge. The main outcome was a pain score up to 3/10 on a numerous scale, more than twice a month, three months after discharge from ED. Results: Among the 440 patients completing inclusion criteria, 200 patients were contacted and gave their consent. Forty-two patients (21%) reported abdominal pain with an intensity more than 3/10 and with a frequency more than twice a month. Factors associated with pain chronicization where age (odds-ratio (OR) 1,02 IC95% [1,01-1,05] pear year and clinical gravity score at admission (OR 0,40 IC95% [0,21-0,75] pear level). One hundred and twenty two patients (61%) reported no pain during the three months of follow-up. Conclusions: One patient out of five is exposed to chronicization of his abdominal pain three months after discharge from ED. Age and clinical gravity score at admission are risk factors for pain chronicization. The lack of organic d...

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Prognosis of acute nonspecific abdominal pain

Cited by 46 publications

References 2 publications

Late Abdominal Complaints after Appendectomy – Readmissions during Long-Term Follow-Up

Late Abdominal Complaints after Appendectomy – Readmissions during Long-Term Follow-Up

Laparoscopic Evaluation of Nonspecific Abdominal Pain in Females

Chronicization of non-traumatic acute abdominal pain in emergency department: Incidence and predictive factors

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