The diagnosis of appendicitis may be missed in the Emergency Department may be missed if certain risk factors are present.
Patient selection: patient in the Emergency Department with appendicitis
Symptoms associate with appendicitis: abdominal pain, constipation, nausea, vomiting, fever, diarrhea
Risk factors for the diagnosis of acute appendicitis to be missed:
(1) female sex
(2) presence of comorbid conditions (Elixhauser Comorbidity Index >= 2)
(3) abdominal pain and constipation
Additional factors:
(4) absence of abdominal pain
(5) adult who did not have an abdominal CT scan ordered
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Specialty: Gastroenterology
