• Emerg. Med. Clin. North Am. · Nov 2021

    Review

    Clinical Decision Rules in the Evaluation and Management of Adult Gastrointestinal Emergencies.

    • Kevin M Cullison and Nathan Franck.
    • Ronald O. Perelman Department of Emergency Medicine, NYU Grossman School of Medicine, 545 1st Avenue, New York, NY 10016, USA. Electronic address: kevin.cullison@nyulangone.org.
    • Emerg. Med. Clin. North Am. 2021 Nov 1; 39 (4): 719-732.

    AbstractAlthough abdominal pain is a common chief complaint in the emergency department, only 1 in 6 patients with abdominal pain are diagnosed with a gastrointestinal (GI) emergency. These patients often undergo extensive testing as well as hospitalizations to rule out an acute GI emergency and there is evidence that not all patients benefit from such management. Several clinical decision rules (CDRs) have been developed for the diagnosis and management of patients with suspected acute appendicitis and upper GI bleeding to identify those patients who may safely forgo further testing or hospital admission. Further validation studies demonstrating the superiority of these CDRs over contemporary practice are needed.Copyright © 2021 Elsevier Inc. All rights reserved.

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