Support for ultrasound first in pediatric appendicitis diagnosis

December 14, 2013
Support for ultrasound first in pediatric appendicitis diagnosis

(HealthDay)—During the transition to an ultrasound-first paradigm for imaging acute appendicitis in pediatric patients, there does not seem to be any increase in complicated appendicitis diagnoses or a longer median hospital length of stay (LOS), according to a study published in the December issue of the American Journal of Roentgenology.

Jenna Le, M.D., from Montefiore Medical Center in Bronx, N.Y., and colleagues used a hospital billing database to identify with surgically proven from 2005 to 2011. Additionally, utilization of ultrasound and computed tomography (CT) and median hospital LOS were analyzed.

The researchers found that, based on the 804 identified patients, the percentage of patients who underwent CT only showed a downward trend, while the percentage of patients who underwent ultrasound first increased. The percentage of patients who only underwent ultrasound before appendectomy increased moderately over the study period. The percentage of patients with a diagnosis code of complicated appendicitis and the median hospital LOS did not increase significantly over time.

"The transition to an ultrasound-first pathway for the imaging workup of in children occurred without evidence of a corresponding increase in the proportion of patients with complicated appendicitis or in the median hospital LOS," Le and colleagues conclude.

Explore further: Antibiotics a safe and viable alternative to surgery for uncomplicated appendicitis, say experts

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Low-dose CT noninferior for diagnosing appendicitis

April 26, 2012

(HealthDay) -- For young adults with suspected appendicitis, low-dose computed tomography (CT) is noninferior to standard-dose CT with respect to negative appendectomy rates, according to a study published in the April 26 ...

Speed bumps could be a new way to help diagnose appendicitis

December 17, 2012

The presence of pain when travelling over speed bumps is associated with an increased likelihood of acute appendicitis, among patients coming into hospital with abdominal pain, finds a study in the BMJ Christmas issue and ...

Ultrasound diagnoses appendicitis without X-rays

December 27, 2012

Children suspected of having appendicitis are more likely to receive CT scans, which involve radiation, if they are evaluated at a general hospital, a new study by Washington University School of Medicine in St. Louis has ...

Recommended for you

Ebola virus mutations may help it evade drug treatment

September 11, 2015

Genetic mutations called "escape variants" in the deadly Ebola virus appear to block the ability of antibody-based treatments to ward off infection, according to a team of U.S. Army scientists and collaborators. Their findings, ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.