ArticleEuropean radiology2017
Systematic unenhanced CT for acute abdominal symptoms in the elderly patients improves both emergency department diagnosis and prompt clinical management.
Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 63 citations in OpenAlex.
- Clinical Features, CT Imaging Decisions and Yield by Age in Adults With Abdominal Pain in the Emergency Department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- An audit of computed tomography usage for abdominal pain in a Singapore emergency department.Singapore medical journal · 2026Article
- Endoscopic diagnosis of appendiceal hemorrhage with a disposable imaging catheter (EyeMax): a case report.Frontiers in medicine · 2026Article
- Implementation of an acute abdominal pain diagnostic pathway in the emergency department.BMJ open quality · 2025Article
- CT of acute abdomen in the elderly.Insights into imaging · 2025Article
- Trends in visits, imaging, and diagnosis for emergency department abdominal pain presentations in the United States, 2007-2019.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Influence of sarcopenia and frailty in the management of elderly patients with acute appendicitis.World journal of clinical cases · 2024Article
- Constipation: a neglected condition in older emergency department patients.Internal and emergency medicine · 2024Review
- CT in non-traumatic acute abdominal emergencies: Comparison of unenhanced acquisitions and single-energy iodine mapping for the characterization of bowel wall enhancement.Research in diagnostic and interventional imaging · 2022Article
- Ileal mucosa-associated lymphoid tissue lymphoma diagnosed after emergency surgery: A case report and literature review.Annals of medicine and surgery (2012) · 2021Article
- The feasibility of deep learning-based synthetic contrast-enhanced CT from nonenhanced CT in emergency department patients with acute abdominal pain.Scientific reports · 2021Article
- Impact of clinical information on CT diagnosis by radiologist and subsequent clinical management by physician in acute abdominal pain.European radiology · 2021Article
- Conditional CT Strategy-An Effective Tool to Reduce Negative Appendectomy Rate and the Overuse of the CT.Journal of clinical medicine · 2021Article
- Intestinal fatty acid-binding protein as a biomarker for the diagnosis of strangulated intestinal obstruction: A meta-analysis.Open medicine (Warsaw, Poland) · 2021Article
- Portal phase alone is equivalent to multiphasic phase for CT diagnosis of acute non-traumatic pains in an emergency context.Emergency radiology · 2020Article
- [Mechanical bowel obstruction in geriatric patients : Etiology and perioperative morbidity/mortality compared with a younger cohort].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2020Article
- Retrospective cohort study on clinical predictors for acute abnormalities on CT scan in adult patients with abdominal pain.European journal of radiology open · 2020Article
- Radiation Safety in Emergency Medicine: Balancing the Benefits and Risks.Korean journal of radiology · 2019Review
- Intravenous Contrast Agent in Abdominal CT: Is It Really Needed to Identify the Cause of Bowel Obstruction? Proof of Concept.Gastroenterology research and practice · 2019Article
- The diagnostic yield of computed tomography in the management of acute flank pain and the emergency intervention rate for a proven acute ureteric stone.Annals of the Royal College of Surgeons of England · 2018Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess the added-value of systematic unenhanced abdominal computed tomography (CT) on emergency department (ED) diagnosis and management accuracy compared to current practice, in elderly patients with non-traumatic acute abdominal symptoms.
methodsInstitutional review board approval and informed consent were obtained. This prospective study included 401 consecutive patients 75 years of age or older, admitted to the ED with acute abdominal symptoms, and investigated by early systematic unenhanced abdominal CT scan. ED diagnosis and intended management before CT, after unenhanced CT, and after contrast CT if requested, were recorded. Diagnosis and management accuracies were evaluated and compared before CT (clinical strategy) and for two conditional strategies (current practice and systematic unenhanced CT). An expert clinical panel assigned a final diagnosis and management after a 3-month follow-up.
resultsSystematic unenhanced CT significantly improved the accurate diagnosis (76.8% to 85%, p=1.1x10
conclusionsSystematic unenhanced abdominal CT improves ED diagnosis accuracy and appropriate management in elderly patients presenting with acute abdominal symptoms compared to current practice. KEY POINTS: • Systematic unenhanced CT improves significantly diagnosis accuracy compared to current practice. • Systematic unenhanced CT optimizes appropriate hospitalization by increasing the number of discharged patients. • Systematic unenhanced CT allows detection of about one-third of acute unsuspected abdominal conditions. • It should allow boosting emergency department management decision-making confidence in old patients.
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