Koyuncu N, Karcioglu O, Sener S
Department of Emergency, Haydarpasa Numune Training and Research Hospital, University of Health Sciences, Fatih, Turkey.
Department of Emergency, Istanbul Training and Research Hospital, University of Health Sciences, Fatih, Turkey.
Niger J Clin Pract. 2018 Mar;21(3):332-336. doi: 10.4103/njcp.njcp_30_17.
Little data have been published on the outcome of patients discharged from the emergency department (ED) after being diagnosed with nonspecific abdominal pain (NSAP). This study aimed to investigate short-term follow-up of patients discharged with a diagnosis of NSAP from the ED.
This prospective, observational study was conducted in the University-based ED and enrolled all consecutive adult patients who were diagnosed as NSAP out of patients presented with abdominal pain (AP). The main outcome measure was the presence of recurrent AP resulting in referral to the ED and specific diagnoses within the first 3- and 90-day postdischarge. On the 3 and 90 days, all patients discharged with NSAP from the ED were asked questions, and their response entered into a questionnaire.
A total of 684 patients presented with AP, of which 299 (46%) had a diagnosis of NSAP within the 4-month period. Fifty cases (16%) could not be included due to inability to access. Eighty-one out of 249 patients (32.5%) complained of recurrent AP within the first 3 days. Twenty-two cases (8.8%) were readmitted to ED once again in the meantime, and ten received specific diagnoses including three with acute abdomen. Within 90 days, additional nine patients out of 20 (45%) with recurrent AP received specific diagnoses including two with acute abdomen.
Certain specific underlying entities can be missed in patients considered to have NSAP and discharged from the ED. Adherence to timely follow-up and repeated examinations are of vital importance in these patients.
关于急诊科（ED）诊断为非特异性腹痛（NSAP）后出院患者的结局，发表的数据很少。本研究旨在调查急诊科诊断为NSAP并出院患者的短期随访情况。
这项前瞻性观察性研究在大学附属医院急诊科进行，纳入所有因腹痛（AP）就诊且被诊断为NSAP的连续成年患者。主要结局指标是出院后3天和90天内导致再次就诊于急诊科的复发性AP以及明确诊断。在第3天和第90天，对所有从急诊科诊断为NSAP出院的患者进行询问，并将他们的回答录入问卷。
共有684例患者因腹痛就诊，其中299例（46%）在4个月内被诊断为NSAP。50例（16%）因无法联系而未纳入研究。249例患者中有81例（32.5%）在出院后3天内出现复发性腹痛。在此期间，22例（8.8%）再次入院，10例得到明确诊断，其中3例为急腹症。在90天内，20例复发性腹痛患者中有9例（45%）得到明确诊断，其中2例为急腹症。
被认为患有NSAP并从急诊科出院的患者可能会漏诊某些特定的潜在疾病。对这些患者坚持及时随访和重复检查至关重要。
