Table 2 Clinical findings, laboratory results and complications of geriatric patients who visited at the ED with abdominal pain
Characteristics | Serious abdominal conditions (n = 72) | Non-serious abdominal conditions (n = 1,149) | Total (n = 1,221) | p-value |
|---|---|---|---|---|
Associated symptoms | ||||
Fever | 18 (25) | 80 (7) | 98 (8) | < 0.001 |
Nausea or vomiting | 31 (43.1) | 355 (30.9) | 386 (31.6) | 0.043 |
Hematemesis | 2 (2.8) | 1 (0.1) | 3 (0.2) | 0.001 |
Diarrhea | 14 (19.4) | 131 (11.4) | 145 (11.9) | 0.063 |
Hematochezia | 0 (0) | 5 (0.4) | 5 (0.4) | 1.000 |
Anorexia | 18 (25) | 122 (10.6) | 140 (11.5) | < 0.001 |
Alteration of consciousness | 1 (1.4) | 4 (0.3) | 5 (0.4) | 0.696 |
NEWS, median (IQR) | 3 (1.8,5) | 2 (0,3) | 2 (0,3) | < 0.001 |
NEWS group | < 0.001 | |||
0–4 | 50 (69.4) | 1084 (94.3) | 1134 (92.9) | |
5–6 | 15 (20.8) | 55 (4.8) | 70 (5.7) | |
≥7 | 7 (9.7) | 10 (0.9) | 17 (1.4) | |
Initial vital signs | ||||
Body temperature (oC), median (IQR) | 36.6 (36.2,37.3) | 36.6 (36.2,36.9) | 36.6 (36.2,36.9) | 0.166 |
SBP (mmHg), median (IQR) | 146 (110,162.5) | 149 (134,166) | 149 (133,166) | 0.045 |
HR (bpm), median (IQR) | 78 (68,92) | 76 (66,88) | 76 (66,88) | 0.269 |
RR (bpm), median (IQR) | 24 (20,28) | 22 (20,24) | 22 (20,24) | < 0.001 |
SpO2 (%), median (IQR) | 98 (96,100) | 98 (97,100) | 98 (97,100) | 0.197 |
Abdominal examination findings | ||||
Abdominal distension | 22 (31) | 236 (20.5) | 258 (21.1) | 0.052 |
Tender | 59 (83.1) | 806 (70.1) | 865 (70.9) | 0.028 |
Location of tenderness | ||||
RUQ | 10 (16.9) | 128 (15.9) | 138 (16) | 0.974 |
LUQ | 3 (5.1) | 62 (7.7) | 65 (7.5) | 0.633 |
RLQ | 28 (47.5) | 129 (16) | 157 (18.2) | < 0.001 |
LLQ | 4 (6.8) | 159 (19.7) | 163 (18.8) | 0.022 |
Epigastrium | 7 (11.9) | 218 (27) | 225 (26) | 0.016 |
Suprapubic | 0 (0) | 92 (11.4) | 92 (10.6) | 0.012 |
Umbilicus | 7 (11.9) | 59 (7.3) | 66 (7.6) | 0.31 |
Generalized | 7 (11.9) | 74 (9.2) | 81 (9.4) | 0.652 |
Bowel sounds | < 0.001 | |||
Normoactive | 49(69) | 923 (80.3) | 972 (79.7) | |
Hypoactive | 10 (14.1) | 42 (3.7) | 52 (4.3) | |
Hyperactive | 12 (16.9) | 184 (16) | 196 (16.1) | |
Guarding | 19 (26.8) | 38 (3.3) | 57 (4.7) | < 0.001 |
Investigations | ||||
CBC n = 611 (50) | ||||
WBC (cells/µL), median (IQR) | 11,150 (7730,14197.5) | 9240 (7.45,11900) | 0.005 | |
PMN (%), median (IQR) | 78.3 (69.3,86.6) | 74 (62.3,82) | 0.004 | |
Bands (%), median (IQR) | 0 (0,9) | 0 (0,0) | < 0.001 | |
MPV (fL), median (IQR) | 9.9 (9.4,10.6) | 9.9 (9.3,10.6) | 0.812 | |
RDW (%), median (IQR) | 13.9 (13,15.2) | 13.5 (12.8,14.6) | 0.065 | |
Lactate n = 153 (12.53%) | ||||
Lactate (mmol/L), median (IQR) | 1.7 (1.1,2.4) | 1.2 (0.9,1.9) | 0.008 |