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首页> 外文期刊>Canadian Journal of Emergency Medicine >Abdominal pain: a survey of clinically important outcomes for future research
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Abdominal pain: a survey of clinically important outcomes for future research

机译：腹痛：对临床重要成果的调查，以供将来研究

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Objective:We aimed to use the consensus opinion of a group of expert emergency physicians to derive a set of emergency diagnoses for acute abdominal pain that might be used as clinically significant outcomes for future research.Methods:We conducted a cross-sectional survey of a convenience sample of emergency physicians with expertise in abdominal pain. These experts were authors of textbook chapters, peer-reviewed original research with a focus on abdominal pain or widely published clinical guidelines. Respondents were asked to categorize 50 possible diagnoses of acute abdominal pain into 1 of 3 categories: 1) unacceptable not to diagnose on the first emergency department (ED) visit; 2) although optimal to diagnose on first visit, failure to diagnose would not be expected to have serious adverse consequences provided the patient had follow-up within the next 2–7 days; 3) if not diagnosed during the first visit, unlikely to cause long-term risk to the patient provided the patient had follow-up within the next 1–2 months. Standard descriptive statistical analysis was used to summarize survey data.Results:Thirty emergency physicians completed the survey. Of 50 total diagnoses, 16 were categorized as “unacceptable not to diagnose in the ED” with greater than 85% agreement, and 12 were categorized as “acceptable not to diagnose in the ED” with greater than 85% agreement.Conclusion:Our study identifies a set of abdominal pain conditions considered by expert emergency physicians to be clinically important to diagnose during the initial ED visit. These diseases may be used as “clinically significant” outcomes for future research on abdominal pain.
机译：目的：我们旨在利用一组专家急诊医师的共识意见，得出一套急性腹痛的紧急诊断方法，可作为未来研究的临床重要结果。方法：我们对一个具有腹痛专业知识的急诊医师的方便样本。这些专家是教科书各章的作者，以腹痛为重点的同行评审原始研究或广泛发表的临床指南。要求受访者将50种可能的急性腹痛诊断分类为以下3种类别中的1种：1）第一次就诊（ED）不能就诊而无法诊断; 2）尽管最适合初诊时诊断，但如果患者在接下来的2-7天内进行随访，则不会导致严重的不良后果; 3）如果在首次就诊期间未诊断出病情，只要患者在接下来的1-2个月内进行了随访，就不可能给患者带来长期风险。采用标准描述性统计分析方法对调查数据进行汇总。结果：30名急诊医师完成了调查。在总共50例诊断中，有16项被归类为“在ED中不能接受诊断”，同意率高于85％;有12项被归类为“在ED中不可以接受诊断”，同意率高于85％。结论：我们的研究可以确定一组急诊医师认为对初次ED访视具有重要临床意义的腹部疼痛状况。这些疾病可以作为“临床上重要的”结果用于未来的腹痛研究。

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