Evidence map›Paper›PMID 33102637›Full record

ArticleEuropean journal of radiology open2020

Retrospective cohort study on clinical predictors for acute abnormalities on CT scan in adult patients with abdominal pain.

Hady Zgheib, Cynthia Wakil, Sami Shayya, Mohamad Kanso, Ralph Bou Chebl, Rana Bachir, Mazen El Sayed

Open access · goldAbstract read
In one paragraph

Article in European journal of radiology open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. The Acute Abdomen: Structured Diagnosis and Treatment.Deutsches Arzteblatt international · 2025
    Review
  2. Article
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

7 authors at 2 institutions in 1 country.

Hady ZgheibDepartment of Emergency Medicine, American University of Beirut Medical Center, PO Box: 11-0236 Riad El Solh, 1107 2020, Beirut, Lebanon.
Cynthia WakilDepartment of Emergency Medicine, American University of Beirut Medical Center, PO Box: 11-0236 Riad El Solh, 1107 2020, Beirut, Lebanon.
Sami ShayyaDepartment of Emergency Medicine, American University of Beirut Medical Center, PO Box: 11-0236 Riad El Solh, 1107 2020, Beirut, Lebanon.
Mohamad KansoDepartment of Emergency Medicine, American University of Beirut Medical Center, PO Box: 11-0236 Riad El Solh, 1107 2020, Beirut, Lebanon.
Ralph Bou CheblDepartment of Emergency Medicine, American University of Beirut Medical Center, PO Box: 11-0236 Riad El Solh, 1107 2020, Beirut, Lebanon.
Rana BachirDepartment of Emergency Medicine, American University of Beirut Medical Center, PO Box: 11-0236 Riad El Solh, 1107 2020, Beirut, Lebanon.
Mazen El SayedDepartment of Emergency Medicine, American University of Beirut Medical Center, PO Box: 11-0236 Riad El Solh, 1107 2020, Beirut, Lebanon.
American University of Beirut · LBAmerican University of Beirut Medical Center · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIdentification of clinical predictors of acute and surgical pathologies on abdominal CT in patients with non-traumatic abdominal pain (NTAP).

methodsRetrospective chart review cohort study of adults who had abdominal CT scans for investigation of NTAP in the Emergency Department in a tertiary care center in Lebanon. Multivariate analyses were performed to identify predictors of pathologies on CT scan.

resultsThis study included 147 patients who had abdominal CT scans for NTAP. Mean age was 39.8 ± 15.1 years and 58.5 % of patients were females. Less than half (44.9 %) had normal scans. Women had significantly higher rates of normal scans compared to males. Right lower quadrant (RLQ) tenderness was associated with significantly higher odds of having acute abnormalities on CT and of having surgical diagnoses, while epigastric tenderness was negatively associated with these two outcomes. Right and left upper quadrants and diffuse abdominal tenderness, and an abnormal neutrophil count were found to be associated with surgical diagnoses on CT.

conclusionsWomen are less likely to have acute and surgical pathologies on CT ordered for non traumatic abdominal pain. Epigastric tenderness is negatively associated with abnormal and surgical CT results while RLQ tenderness is associated with an abnormal CT that is likely surgical in nature. These findings should help improve diagnostic accuracy of ordering providers and improve resource utilization.

Indexed as

Abdominal CT scanACR, American College of RadiologyAcute abnormalityCT, computed tomographyED, Emergency DepartmentLaboratory resultsLLQ, left lower quadrantLUQ, left upper quadrantNon-traumatic abdominal painNTAP, non-traumatic abdominal painRLQ, right lower quadrantRUQ, right upper quadrantSurgical diagnosisUS, ultrasound

Identifiers

PMID33102637
PMCPMC7569409
OpenAlexW3004049235

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.