Validation of the Diagnostic Score for Acute Lower Abdominal Pain in Women of Reproductive AgeReport as inadecuate




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Emergency Medicine InternationalVolume 2014 2014, Article ID 320926, 6 pages

Research Article

Department of Surgery, Nakornping Hospital, Chiang Mai 50180, Thailand

Division of Gastrointestinal Surgery and Endnoscopy, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand

Department of Obstetrics & Gynecology, Nakornping Hospital, Chiang Mai 50180, Thailand

Department of Emergency Medicine, Nakornping Hospital, Chiang Mai 50180, Thailand

Clinical Epidemiology Unit, Clinical Research Center, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand

Received 9 February 2014; Revised 27 April 2014; Accepted 13 May 2014; Published 25 May 2014

Academic Editor: Marco L. A. Sivilotti

Copyright © 2014 Kijja Jearwattanakanok et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The differential diagnoses of acute appendicitis obstetrics, and gynecological conditions OB-GYNc or nonspecific abdominal pain in young adult females with lower abdominal pain are clinically challenging. The present study aimed to validate the recently developed clinical score for the diagnosis of acute lower abdominal pain in female of reproductive age. Method. Medical records of reproductive age women 15–50 years who were admitted for acute lower abdominal pain were collected. Validation data were obtained from patients admitted during a different period from the development data. Result. There were 302 patients in the validation cohort. For appendicitis, the score had a sensitivity of 91.9%, a specificity of 79.0%, and a positive likelihood ratio of 4.39. The sensitivity, specificity, and positive likelihood ratio in diagnosis of OB-GYNc were 73.0%, 91.6%, and 8.73, respectively. The areas under the receiver operating curves ROC, the positive likelihood ratios, for appendicitis and OB-GYNc in the validation data were not significantly different from the development data, implying similar performances. Conclusion. The clinical score developed for the diagnosis of acute lower abdominal pain in female of reproductive age may be applied to guide differential diagnoses in these patients.





Author: Kijja Jearwattanakanok, Sirikan Yamada, Watcharin Suntornlimsiri, Waratsuda Smuthtai, and Jayanton Patumanond

Source: https://www.hindawi.com/



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