The impact of early sonographic evaluation on hospital admissions of children with suspected acute appendicitis

Purpose Early ultrasound (US) evaluation of children with abdominal pain and suspected acute appendicitis (AA) is an important diagnostic tool. Since 2007, US has become part of routine emergency room (ER) work-up performed for suspected pediatric AA in our hospital. Methods We retrospectively compa...

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Bibliographic Details
Published in:Pediatric surgery international 2011-09, Vol.27 (9), p.981-984
Main Authors: Vainrib, Michael, Buklan, Genady, Gutermacher, Michael, Lazar, Ludwig, Werner, Myriam, Rathaus, Valeria, Erez, Ilan
Format: Article
Language:English
Subjects:
Adolescent
Appendicitis - diagnostic imaging
Child
Child, Preschool
Early Diagnosis
Female
Humans
Infant
Male
Medicine
Medicine & Public Health
Original Article
Patient Admission - statistics & numerical data
Pediatric Surgery
Pediatrics
Retrospective Studies
Surgery
Time Factors
Ultrasonography
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Summary:Purpose Early ultrasound (US) evaluation of children with abdominal pain and suspected acute appendicitis (AA) is an important diagnostic tool. Since 2007, US has become part of routine emergency room (ER) work-up performed for suspected pediatric AA in our hospital. Methods We retrospectively compared hospital admissions from 2007 to 2008 with those from 2005 to 2006, when most ultrasounds were done after admission to Pediatric Surgery for observation. Results During the study (2005–2008), 6,511 children came to the ER with acute abdominal pain. Although pediatric ER sonography increased from 28.1% (865/3,079) in 2005–2006 to 51.7% (1,775/3,432) in 2007–2008 ( p  
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-011-2869-5