| Is female sex associated with ED delays to diagnosis of appendicitis in the computed tomography era? | |
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MedLine Citation:
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PMID: 19683117 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Historically, females had delays to definitive diagnosis of appendicitis when compared to males. In this current millennium, appendicitis is now most commonly diagnosed by computed tomography (CT) in the emergency department (ED) rather than at surgery. OBJECTIVE: The aim of the study was to assess if female gender is still associated with delays to diagnosis of appendicitis in the CT era. METHODS: A retrospective cohort analysis of adult patients with appendicitis at a university teaching hospital ED was conducted. Inclusion criteria was age of more than 18 years and an International Classification of Diseases, Ninth Revision (ICD-9), diagnosis of appendicitis. Patients were excluded from analysis if they were pregnant, no CT scan was obtained in the ED, or had incomplete outcome data. RESULTS: One hundred thirty-seven patients met inclusion criteria; 65 female, 72 males. Time from triage to CT order was 138 minutes in females and 95 minutes in males (P = .0012). Time from initial physician evaluation to CT order was 45 minutes in females and 28 minutes in males (P = .0012). Nonclassic symptoms were more common in females and pelvic evaluation did not delay the CT order. CONCLUSION: Female gender is still associated with delays to CT acquisition and diagnosis of appendicitis. |
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Authors:
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Sarah McGann Donlan; Mark B Mycyk |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The American journal of emergency medicine Volume: 27 ISSN: 1532-8171 ISO Abbreviation: Am J Emerg Med Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-08-17 Completed Date: 2009-09-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 856-8 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, Northwestern University, Feinberg School of Medicine, Chicago, IL 60610, USA. sdonlan@md.northwestern.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Appendicitis / diagnosis*, epidemiology, radiography Emergency Service, Hospital Female Humans Male Retrospective Studies Sex Factors Time Factors Tomography, X-Ray Computed / utilization* Triage |
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