Vom Leitsymptom zur Diagnose: abdominelle Beschwerden

Michael, Mark; Kleophas, Alexander; Keitel, Verena; Flügen, Georg; Bernhard, Michaël

doi:10.1055/a-1191-1374

Cited by 9 publications

(7 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While it is assumed that patients with AAP swing back and forth between different types of primary, secondary and tertiary health care, little is known on the exact treatment paths of patients before and after their ED visit. This may be due to the variety of diagnoses that present with AAP, of which many are not well suited to be treated, let alone followed-up at the ED [7]. Sectoral barriers between outpatient primary and secondary care (OC) and hospital care are typically high in Germany, making it di cult to bridge the gap between procedures necessary for the diagnosis of AAP and followup treatment in OC.…”

Section: Introductionmentioning

confidence: 99%

“…Given the fact that AAP is not only very common but also causes the highest costs among all chief complaints at the ED, more e cient patient pathways would have a major impact on ED resources and budgets [10,11]. Despite the heterogeneity of EDs, characterizations of patients with AAP as well as diagnostic and treatment decisions, are mostly informed by single-center studies [1,2,6,7,[12][13][14]. Since a better understanding of the patient pro le of AAP in emergency care is needed to improve patient care, outcomes and resource allocation, generalizable real-world data need to be analyzed on a nationally representative level.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Health care utilization of patients with acute abdominal pain before and after emergency department visits

Verleger,

Fischer-Rosinsky,

Möckel

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Acute abdominal pain (AAP) is a major driver for capacity-use in emergency departments (EDs) worldwide. Yet, the association of health care utilization of patients with AAP before and after the ED remains unclear. The primary objective of this study was to describe adult patients presenting to the ED with AAP and their outpatient care (OC) use before and after the ED. Secondary objectives included description of hospitalization rates, in-hospital mortality, ED re-visits, and exploration of potential risk factors for hospitalization and ED re-visits. Methods For the analysis, we combined routine hospital data from patients who visited 15 EDs in Germany in 2016 with their statutory health insurance OC claims data from 2014 to 2017. Adult patients were included based on a chief complaint or an ED diagnosis indicating unspecific AAP or the Manchester Triage System indicator “Abdominal pain in adults”. Baseline characteristics, ED diagnosis, frequency and reason of hospitalization, frequency and type of prior-OC (prOC) use up to 3 days before and of post-OC use up to 30 days after the ED visit. Main results We identified 28085 adults aged ≥20 years with AAP. 39.8% were hospitalized, 33.9% sought prOC before the ED visit (48.6% of them were hospitalized) and 62.7% sought post-OC up to 30 days after the ED visit. Hospitalization was significantly more likely for elderly patients (aged 65 and above vs. younger; adjusted OR 3.05 [95% CI: 2.87; 3.25]), prOC users (1.71 [1.61; 1.90]) and men (1.44 [1.37; 1.52]). In-hospital mortality rate was 3.1% overall. Re-visiting the ED within 30 days was more likely for elderly patients (1.32 [1.13; 1.55) and less likely for those with prOC use (0.37 [0.31; 0.44]). Conclusions prOC use was associated with more frequent hospitalizations but fewer ED re-visits. ED visits by prOC patients without subsequent hospitalization may indicate difficulties of OC resources to meet the complex diagnostic requirements and expectations of this patient population. Less ED re-visits in prOC users indicate effective care in this subgroup.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health care utilization of patients with acute abdominal pain before and after emergency department visits

Verleger,

Fischer-Rosinsky,

Möckel

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…El dolor abdominal de alto riesgo es una condición preocupante en la práctica clínica, con una amplia gama de posibles causas, que se pueden clasificar en varias categorías. Estos incluyen trastornos gastrointestinales, urológicos, ginecológicos, vasculares y metabólicos (3,4) .…”

Section: Introductionunclassified

“…Además, las pruebas de laboratorio, como el hemograma completo, los electrolitos, las pruebas de función hepática y la amilasa sérica, son útiles para determinar la causa del dolor abdominal (9) . El dolor abdominal de alto riesgo es una afección potencialmente mortal que requiere un diagnóstico y tratamiento oportunos y precisos (3) . El uso de algoritmos de diagnóstico y el reconocimiento de señales de alerta pueden ayudar a mejorar la precisión del diagnóstico y Se le administró petidina clorhidrato 50mg EV, pocos minutos después, presentó lipotimia con descenso de la presión arterial a 81/56 mmHg, se dio un segundo bolo de fluidos 500cc, minutos después, se recibió la llamada del servicio de imágenes para informar hallazgo crítico, radiólogo informó la presencia de imagen de apariencia aneurismática en arterial iliaca primitiva izquierda (Figura 1) con líquido libre en la cavidad abdominal.…”

Section: Introductionunclassified

Aneurisma de arteria iliaca: una causa de dolor abdominal agudo de alto riesgo

Garcı́a

2023

An Fac med

View full text Add to dashboard Cite

El dolor abdominal de alto riesgo es una condición común en los servicios de emergencia y está asociado a una alta morbilidad y mortalidad, si no se diagnostica y trata de manera rápida y precisa. Un hombre con síntomas de cólico nefrítico se presentó en emergencia con dolor abdominal intenso y deterioro clínico. Después de una tomografía, se encontró una imagen aneurismática en la arteria iliaca común primitiva izquierda. El paciente fue trasladado a sala de operaciones para una reparación quirúrgica, pero falleció. El dolor abdominal de alto riesgo requiere un abordaje diagnóstico integral y tratamiento individualizado para prevenir complicaciones graves. El aneurisma de la arteria iliaca complicado es una causa potencialmente grave de dolor abdominal en hombres fumadores de edad avanzada con antecedentes de hipertensión y aterosclerosis.

show abstract

“…▶ Tab. 2 Schmerzanamnese nach dem OPQRST-Schema (nach[9]). FALLBEISPIEL Fall 2 Alarmierung eines RTW zur "akuten Lumbago" bei einem 68-jährigen Patienten.…”

unclassified

Diagnosestellung bei akutem Abdomen

Grabowski¹,

Persson²

2022

retten!

View full text Add to dashboard Cite

Akut einsetzende Bauchschmerzen sind ein häufiger Grund für die Alarmierung des Rettungsdienstes. Einige Patienten zeigen den Symptomenkomplex eines akuten Abdomens, dessen mögliche Ursachen vielfältig sind, sich aber häufig präklinisch bereits eingrenzen lassen. Eine sorgfältige Anamnese und klinische Untersuchung sind notwendig, um besonders gefährdete Patienten zu erkennen und zielgerichtet zu behandeln.

show abstract

Vom Leitsymptom zur Diagnose: abdominelle Beschwerden

Cited by 9 publications

References 20 publications

Health care utilization of patients with acute abdominal pain before and after emergency department visits

Health care utilization of patients with acute abdominal pain before and after emergency department visits

Aneurisma de arteria iliaca: una causa de dolor abdominal agudo de alto riesgo

Diagnosestellung bei akutem Abdomen

Contact Info

Product

Resources

About