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Table 4 Univariate logistic regression analysis of factors associated with serious abdominal conditions

From: Factors associated with serious abdominal conditions in geriatric patients visiting the emergency department

Variables

Odds ratio

95% CI

p–value

Sex: male

1.74

1.072.82

0.024

Curren000t medication

   

 Beta–blocker use

1.8

1.073.03

0.028

History of abdominal surgery

2.34

1.383.96

0.002

Associated symptoms

  

 Fever

4.45

2.497.95

< 0.001

 Nausea or vomiting

1.69

1.042.74

0.033

 Hematemesis

32.8

2.94366.13

0.005

 Diarrhea

1.88

1.023.46

0.004

 Anorexia

2.81

1.594.94

< 0.001

NEWS score

   

 5–6

5.91

3.1311.18

< 0.001

 ≥ 7

15.18

5.5541.53

< 0.001

ESI triage levels

   

 1–2

16.55

3.8770.75

< 0.001

 3

4

0.9616.7

0.057

 4–5

ref

ref

ref

Vital signs

   

 SBP 100–125 mmHg

2.28

1.284.07

0.005

 RR ≥ 25/min

2.89

1.734.82

< 0.001

Abdominal signs

   

 Abdominal distention

1.74

1.032.93

0.039

 Tenderness

2.09

1.113.94

0.022

  RLQ tenderness

4.74

2.758.17

< 0.001

  LLQ tenderness

3.38

1.219.46

0.02

  Epigastrium tenderness

2.75

1.236.16

0.014

 Bowel sounds

   

  Hypoactive

4.48

2.129.47

< 0.001

  Hyperactive

1.23

0.642.36

0.535

 Guarding

10.68

5.7619.8

< 0.001

Investigations

   

 WBC 12,000–14,000 (cells/mm3)

1.48

0.713.08

0.301

 WBC ≥ 14,000 (cells/mm3)

2.6

1.434.72

0.002

 RDW ≥ 13 (%)

1.35

0.752.44

0.302

 MPV ≤ 10.4

1.05

0.61.84

0.867

 Lactate 2–4 (mmol/L)

2.45

0.996.03

0.051

 Lactate ≥ 4 (mmol/L)

5.39

1.0128.84

0.049

EDLOS (hours)

   

 4–8

7.77

4.2314.27

< 0.001

 ≥ 8

15.13

6.137.54

< 0.001

  1. NEWS National Early Warning Score, ESI Emergency Severity Index, SBP systolic blood pressure, RR respiratory rate, RLQ right lower quadrant, LLQ left lower quadrant, WBC white blood cell, RDW red blood cell distribution width, MPV mean platelet volume, EDLOS emergency department length of stay, LOS length of stay