Support for ultrasound first in pediatric appendicitis diagnosis

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.

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

add to favorites email to friend print save as pdf

Related Stories

Ultrasound diagnoses appendicitis without X-rays

Dec 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 ...

Speed bumps could be a new way to help diagnose appendicitis

Dec 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 pu ...

Low-dose CT noninferior for diagnosing appendicitis

Apr 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 ...

Recommended for you

Two expats die of MERS in Saudi commercial hub

Apr 20, 2014

Two foreigners died of MERS in the Saudi city of Jeddah, the health ministry said Saturday, as fears rise over the spreading respiratory virus in the kingdom's commercial hub.

UAE reports 12 new cases of MERS

Apr 20, 2014

Health authorities in the United Arab Emirates have announced 12 new cases of infection by the MERS coronavirus, but insisted the patients would be cured within two weeks.

Filipino tests negative for Middle East virus

Apr 19, 2014

A Filipino nurse who tested positive for the Middle East virus has been found free of infection in a subsequent examination after he returned home, Philippine health officials said Saturday.

User comments