Research Article
Impact of Clinical Experience and Diagnostic Performance in Patients with Acute Abdominal Pain
Table 4
Diagnoses on admission (preliminary diagnoses) and after at least one year of follow-up (final diagnoses).
| | Diagnosis |
Hospital
(preliminary) |
Hospital
(final) |
Primary health care,
(preliminary) |
Primary health care,
(final) | | % | | % | | % | | % |
| | NSAP | 641 | 22 | 1058 | 37 | 52 | 23 | 84 | 38 | | Gastroenteritis | 94 | 3 | 64 | 2.2 | 14 | 6.3 | 4 | 1.8 | | Constipation | 208 | 7 | 130 | 4.6 | 13 | 6 | 10 | 4.5 | | Appendicitis-unspecified | 446 | 16 | — | — | 36 | 16 | — | — | | Appendicitis-phlegmonous | — | — | 110 | 4 | — | — | 7 | 3 | | Appendicitis-gangrenous | — | — | 98 | 3.4 | — | — | 4 | 1.8 | | Appendicitis-perforated | — | — | 69 | 2.4 | — | — | 7 | 3 | | Cholecystitis without perforation | 123 | 4 | 97 | 3.4 | 9 | 4 | 6 | 2.7 | | Cholecystitis-perforated | — | — | 3 | 0.1 | — | — | — | — | | Biliary stone pains | 287 | 10 | 208 | 7 | 14 | 6.3 | 16 | 7 | | Colon-diverticulitis without perforation | 161 | 6 | 123 | 4.3 | 14 | 6.3 | 11 | 5 | | Colon-diverticulitis-perforated | — | — | 11 | 0.4 | — | — | — | — | | Obstruction of small intestine without strangulation | 80 | 3 | 69 | 2.4 | 4 | 2 | 5 | 2.3 | | Obstruction of small intestine with strangulation | 2 | 0.1 | 9 | 0.3 | — | — | 1 | 0.4 | | Obstruction of colon | 27 | 1 | 14 | 0.5 | 7 | 3 | 3 | 1.4 | | Dyspepsia | 84 | 3 | 60 | 2 | 7 | 3 | 7 | 3 | | Gastric/duodenal ulcer | 53 | 2 | 26 | 1 | 7 | 3 | 2 | 0.9 | | Gastric/duodenal ulcer-perforated | 14 | 0.5 | 8 | 0.3 | 1 | 0.5 | 1 | 0.4 | | Acute pancreatitis | 70 | 2.5 | 92 | 3.2 | 3 | 1.5 | 2 | 0.9 | | Urinary tract infection | 106 | 4 | 74 | 2.6 | 6 | 3 | 6 | 2.7 | | Urinary tract stone | 181 | 6 | 107 | 4 | 10 | 4.5 | 8 | 4 | | Urinary tract obstruction | 8 | 0.3 | 10 | 0.3 | 1 | 0.5 | 1 | 0.4 | | Incarcerated groin hernia | 16 | 0.6 | 22 | 1 | 3 | 1.5 | 2 | 0.9 | | Incarcerated umbilical hernia | 4 | 0.1 | 4 | 0.1 | — | — | — | — | | Incarcerated incisional hernia | 4 | 0.1 | 5 | 0.2 | — | — | — | — | | Abdominal malignancy | 22 | 0.8 | 63 | 2.2 | 1 | 0.5 | 3 | 1.4 | | Invagination | 2 | 0.1 | 1 | 0.1 | 1 | 0.5 | — | — | | Aortic aneurysm | 14 | 0.5 | 12 | 0.4 | — | — | 1 | 0.4 | | Occlusion of mesenteric artery | 6 | 0.2 | 4 | 0.1 | — | — | — | — | | Gynaecological complaint | 70 | 2.5 | 101 | 3.5 | 14 | 6.3 | 17 | 8 | | Other | 128 | 4.5 | 199 | 7 | 5 | 2.2 | 14 | 6 |
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NSAP: nonspecific abdominal pain.
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