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:: Volume 16, Issue 2 (7-2014) ::
J Gorgan Univ Med Sci 2014, 16(2): 62-68 Back to browse issues page
Outcome of nonspecific abdominal pain in the discharged patients from the emergency department
Forouzanfar MM1 , Hatamabadi HR2 , Hashemi B1 , Majidi A1 , Baratloo A1 , Shahrami A3 , Bardeh M 4
1- Assistant Professor, Department of Emergency Medicine, Shohadaietajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Emergency Medicine, Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Assistant Professor, Shohadaietajrish Hospital, ShahidBeheshti University of Medical Sciences, Tehran, Iran
4- Resident in Emergency Medicine, Department of Emergency Medicine, Imam Hosein Hospital, ShahidBeheshti University of Medical Sciences, Tehran, Iran , mahmoud_bardeh@yahoo.com
Abstract:   (9699 Views)
Background and Objective: The causes of non traumatic abdominal pain are varied from mild to severe onset. This study was carried out to assess the outcome of the patients with non-specific abdominal pain discharged from the emergency department. Methods: This cohort study was carried out on 247 patients (68.4% female, 31.6% male) with non-specific abdominal pain which referred to the emergency department of Imam Hossain hospital in Tehran, Iran during 2010-11. The existence or improvement of pain, readmission to hospital and possible subsequent complications diagnose and death was recorded after four-week through telephone follow-up. Results: 247 patients with non-specific abdominal pain were enrolled. Out of 158 patients with recurrence pain, 71 (45%) patients were admitted to the hospital again that finally, cause of pain was diagnosed in 45 (28.5%) patients. The most common cause of abdominal pain was irritable bowel syndrome (3.2%). History of similar pain (OR=4.04, P<0.05), abnormal findings in abdominal ultrasonography (OR=8.2, P<0.05), abnormal urine analysis (OR=7.4, P<0.05) and abdominal pain persisted for more than 2 days (OR=4.04, P<0.05) were independent factors to identifying the causes of abdominal pain. Conclusion: Nonspecific abdominal pain will not lead to appropriate recognition and most of them recover without any complication.
Keywords: Nonspecific abdominal pain, Ultrasonography, Irritable bowel syndrome
Full-Text [PDF 278 kb] [English Abstract]   (11382 Downloads)    
Type of Study: Original Articles | Subject: Emergency Medicine
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Forouzanfar MM, Hatamabadi HR, Hashemi B, Majidi A, Baratloo A, Shahrami A et al . Outcome of nonspecific abdominal pain in the discharged patients from the emergency department. J Gorgan Univ Med Sci 2014; 16 (2) :62-68
URL: http://goums.ac.ir/journal/article-1-2059-en.html


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Volume 16, Issue 2 (7-2014) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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