Significance of Tomography and CRP in Abdominal Pain Management
Öz
Purpose: We evaluated whether abdominal tomography is necessary for patients who have been admitted to the emergency service because of non traumatic abdominal pain and effect of C-Reactive Protein (CRP) and tomography to the patient management. Materials and Method: On retrospective study, we recorded demographic data, tomography diagnoses, CRP and leucocyte values operation and following decisions of 199 patient who were 18 years old and over and were admitted to emergency service because of abdominal pain and were scanned abdominal tomography. 104 patient were hospitalized and their CRP values, tomography diagnoses, end of operation diagnoses were recorded from patient files. The statistical analysis was performed using the Chi-square test and the diagnostic value was assessed through the logistic regression test. Results: A statistically significant relationship was observed between anormal tomography findings and high CRP and leukocyte values of the 199 patients included in the study. The tomography findings and CRP values were found to be efficient in discharge and hospitalization rates. When tomography finding and CRP value were combined, the operation decision was effected. Conclusion: Based on our study; in the event of abdominal pain, CRP can predict abnormal tomography finding and it is more valuable than leucocyte. When tomography was used with CRP, it affects the operation decision.
Anahtar Kelimeler
Kaynakça
- Strömberg C, Johansson G, Adolfsson A. Acute Abdominal Pain: Diagnostic Impact of Immediate CT Scanning. World J Surg. 2007;31:2347–54
- Scheinfeld MH, Mahadevia S, Stein EG, Freeman K, Rozenblit AM. Can lab data be used to reduce abdominal computed tomography (CT) usage in young adults presenting to the emergency department with nontraumatic abdominal pain?. Emerg Radiol. 2010;17:353–60
- Keijzers GB, Britton CJ. Doctors’ knowledge of patient radiation exposure from diagnostic imaging requested in the emergency department. Med J Aust. 2010;193:450–3.
- Clyne B, Olshaker JS. The C-reactive protein. J Emerg Med. 1999;17:1019-25.
- Tamanna MZ, Eram U, Al Harbi TM, Alrashdi SA, Khateeb SU, Aladhrai SA et al. Clinical value of leukocyte counts in evaluation of patients with suspected appendicitis in emergency department. Ulus Travma Acil Cerrahi Derg. 2012;18:474-8.
- Gore RM, Miller FH, Pereles FS, Yaghmai V, Berlin JW. Helical CT in the evaluation of the acute abdomen. AJR Am J Roentgenol. 2000;174:901–13.
- Rosen MP, Siewert B, Sands DZ, Bromberg R, Edlow J, Raptopoulos V. Value of abdominal CT in the emergency department for patients with abdominal pain. Eur Radiol. 2003;13:418–24.
- Ng CS, Watson CJ, Palmer CR, See TC, Beharry NA, Housden BA et al. Evaluation of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause: prospective randomized study. BMJ. 2002;325:1387– 95.
- Lee J, Kirschner J, Pawa S, Wiener DE, Newman DH, Shah K. Computed Tomography Use in the Adult Emergency Department of an Academic Urban Hospital From 2001 to 2007. Ann Emerg Med. 2010;56:591-6.
- Hastings RS, Powers RD. Abdominal pain in the ED: a 35 year retrospective. Am J Emerg Med. 2011;29:711–6.
