Evidence map›Paper›PMID 32398140›Full record

Observational studyBMC emergency medicine2020

"Analysis of readmissions to the emergency department among patients presenting with abdominal pain".

Artur Kacprzyk, Tomasz Stefura, Katarzyna Chłopaś, Kaja Trzeciak, Aleksandra Załustowicz, Mateusz Rubinkiewicz, Michał Pędziwiatr, Kazimierz Rembiasz, Piotr Major

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 22 citations in OpenAlex.

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  9. Health care utilization of patients with acute abdominal pain before and after emergency department visits.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Artur KacprzykJagiellonian University Medical College, 31-008, Cracow, Poland.
Tomasz StefuraJagiellonian University Medical College, 31-008, Cracow, Poland.
Katarzyna ChłopaśJagiellonian University Medical College, 31-008, Cracow, Poland.
Kaja TrzeciakJagiellonian University Medical College, 31-008, Cracow, Poland.
Aleksandra Załustowicz2nd Department of General Surgery, Jagiellonian University Medical College, Kopernika 21 St, 31-501, Cracow, Poland.
Mateusz Rubinkiewicz2nd Department of General Surgery, Jagiellonian University Medical College, Kopernika 21 St, 31-501, Cracow, Poland.
Michał Pędziwiatr2nd Department of General Surgery, Jagiellonian University Medical College, Kopernika 21 St, 31-501, Cracow, Poland.
Kazimierz Rembiasz2nd Department of General Surgery, Jagiellonian University Medical College, Kopernika 21 St, 31-501, Cracow, Poland.
Piotr Major2nd Department of General Surgery, Jagiellonian University Medical College, Kopernika 21 St, 31-501, Cracow, Poland. piotr.major@uj.edu.pl.
Jagiellonian University · PLCentre d'Études et de Recherches sur les Qualifications · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbdominal pain is one of the most common complaints among patients admitted to the Emergency Department (ED). Diagnosis and management of abdominal pain may be a challenge and there are patients who require admission to the ED more than once in a short period of time. Our purpose was to assess the incidence of readmissions among patients treated in the ED due to abdominal pain and to investigate the impact of readmission on the further course of treatment.

methodsWe conducted a prospective observational study, which included patients admitted to the ED in one academic, teaching hospital presenting with non-traumatic abdominal pain in a three-month period. Analyzed factors included demographic data, details related to first and subsequent visits in the ED and the course of hospitalization.

resultsOverall, 928 patients were included to the study and 101 (10.88%) patients were admitted to the ED more than once during three-month period. Patients visiting ED repeatedly were older (p = 0.03) and more likely to be hospitalized (p < 0.01) compared to single-visit patients. Patients during their subsequent visits spent more time in the ED (p = 0.01), had greater chance to repeat their appointment (p = 0.04), be admitted to the hospital (p < 0.01) and were more likely diagnosed with cholelithiasis (p = 0.03) compared to patients on their initial visit. If admitted to the surgical department they were also more often qualified for surgical procedure than patients on their first visit (p < 0.01). In a group of patients admitted to the surgical department there were no significant differences in rates of conversion, postoperative complications and mortality between subgroups.

conclusionsReadmissions among patients presenting with abdominal pain are a common phenomenon with prevalence of 10.88%. They are most commonly associated with cholelithiasis and occur more frequently among older patients, which suggests, that elderly require more attention during ED managements.

Indexed as

Abdominal PainAdultEmergency Service, HospitalFemaleHospitals, TeachingHumansMaleMiddle AgedPatient ReadmissionProspective StudiesAbdominal painEmergency departmentReadmission

Identifiers

PMID32398140
PMCPMC7216723
OpenAlexW3024715964

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.