Evidence map›Paper›PMID 37921137›Full record

Observational studyReviews on recent clinical trials2024

Role of Fecal Calprotectin in Patients Presenting to the Emergency Department with Abdominal Pain with or without Diarrhea or Rectal Bleeding.

Angela Saviano, Carmine Petruzziello, Christian Zanza, Marcello Candelli, Maurizio Gabrielli, Alessio Migneco, Francesco Franceschi, Veronica Ojetti

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Reviews on recent clinical trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Angela SavianoDepartment of Emergency Medicine-Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Carmine PetruzzielloDepartment of Emergency Medicine-Ospedale San Carlo di Nancy GVM care and research, Rome, Italy.
Christian ZanzaDepartment of Emergency Medicine-Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Marcello CandelliDepartment of Emergency Medicine-Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Maurizio GabrielliDepartment of Emergency Medicine-Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Alessio MignecoDepartment of Emergency Medicine-Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.
Francesco FranceschiEmergency Medicine, Università Cattolica del Sacro Cuore, Roma, Italy.
Veronica OjettiEmergency Medicine, Università Cattolica del Sacro Cuore, Roma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveAbdominal pain is a frequent reason for admission to the Emergency Department. It may be a symptom of an underlying "organic" disease or a "functional" manifestation without an underlying anatomic or physiologic alteration. The evaluation of patients with abdominal pain is a challenge for the emergency physician and the selection of patients for second-level radiological examinations or endoscopic procedures is not always easy to perform. Faecal calprotectin could be a useful diagnostic marker to distinguish between "organic" or "functional" form and its determination could be helpful to select patients for further examinations in the context of an emergency setting. MATERIALS AND

methodsThis is an observational and retrospective study on 146 patients with abdominal pain and/or diarrhea (with or without rectal bleeding) admitted to the Emergency Department of Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, who collected a fecal sample to evaluate fecal calprotectin. We evaluated and correlated the level of fecal calprotectin with the final diagnosis they received.

results50/146 patients (34,24%) received a diagnosis of acute diverticulitis, in particular, 14/50 (28%) were complicated and 36/50 (72%) were uncomplicated; 4/146 (2,7%) were cholangitis, 32/146 (21,9%) were colitis, 6/146 (4,1%) gastritis, 42/146 (28,7%), Irritable bowel syndrome and 12/146 (8,2%) Inflammatory bowel disease. For the differential diagnosis between Irriable or inflammatory bowel diseses, our study showed a VPP and a VPN of 100% meanwhile for the differential diagnosis between Acute complicated and uncomplicated diverticulitis, our study showed a VPP of 40% and a VPN of 84%.

conclusionIn the emergency setting, faecal calprotectin could be a helpful marker to select patients with abdominal pain who need second-level radiological examinations or endoscopic procedures, guiding the emergency physician in the evaluation of such a complex and wideranging symptom.

Indexed as

Abdominal PainBiomarkersDiarrheaEmergency Service, HospitalFecesGastrointestinal HemorrhageLeukocyte L1 Antigen ComplexAdultAgedAged, 80 and overDiagnosis, DifferentialFemaleHumansMaleMiddle AgedRetrospective StudiesBiomarkersLeukocyte L1 Antigen Complexabdominal paincalprotectinemergency departmentFaecalgutsymptom.

Identifiers

PMID37921137

What OpenQuestion holds

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Registered trials

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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.