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Table 4 Univariate logistic regression analysis of factors that affected unfavorable outcomes

From: Factors associated with unfavorable outcomes in patients with acute abdominal pain visiting the emergency department

Variables

Odds ratio

95% CI

p-value

Sex: male vs. female

1.64

1.02–2.64

0.04

Age ≥ 65 y

1.8

1.07–3.05

0.028

Presence of comorbidities

1.5

0.93–2.42

0.097

Chronic heart disease

5.97

1.08–33.16

0.041

Chronic renal failure

2.43

0.9–6.55

0.079

Gastrointestinal disease

2.0

1.08–3.73

0.028

Triage level

 ESI 2

11.62

1.43–94.83

0.022

 ESI 3

3.62

0.48–27.12

0.21

 ESI 4

1.08

0.14–8.48

0.942

 Onset of symptoms to ED visit > 12 h

1.73

1.07–2.8

0.026

 EDLOS > 4 h

13.1

7.45–23.04

 < 0.001

 Hospital length of stay > 7 days

2.17

0.87–5.41

0.098

Vital signs

 SBP < 125 mmHg

1.67

1.04–2.68

0.035

 SBP < 100 mmHg

3.28

0.89–12.01

0.073

 DBP < 80 mmHg

3.01

1.78–5.11

 < 0.001

 Heart rate ≥ 90 bpm

2.39

1.49–3.85

 < 0.001

 RR ≥ 24 breaths/min

1.69

1.05–2.73

0.032

 RR ≥ 30 breaths/min

5.02

2.4–10.51

 < 0.001

 BT ≥ 37.5 °C

5.02

3.04–8.29

 < 0.001

 BT ≥ 38 °C

6.58

3.31–13.11

 < 0.001

Abdominal tenderness

 Generalized

2.3

1.18–4.48

0.014

 Epigastrium

0.36

0.17–0.77

0.008

 RLQ

6.9

3.83–10.33

 < 0.001

 RUQ

2.04

0.96–4.3

0.063

 Abdominal distension

2.9

1.63–5.15

 < 0.001

 Generalized rigidity/guarding

39.68

10.49,150.1

 < 0.001

 Localized rigidity/guarding

22.31

7.86–63.3

 < 0.001

 Hypoactive bowel sounds

6.26

3.16–12.38

 < 0.001

 Presence of specific abdominal signs

2.45

1.51–3.99

 < 0.001

 Digital rectal examination

3.3

1.74–6.25

 < 0.001

Laboratory results

 White blood cell count ≥ 12,000

3.39

2–5.74

 < 0.001

 White blood cell count ≥ 14,000

3.19

1.86–5.5

 < 0.001

 ANC > 75%

4.4

2.44–7.93

 < 0.001

 Lymphocytes < 15%

3.4

1.95–5.95

 < 0.001

 Positive urinalysis

0.3

0.15–0.59

 < 0.001

  1. CI confidence interval, ESI emergency severity index, ED emergency department, EDLOS emergency department length of stay, SBP systolic blood pressure, DBP diastolic blood pressure, RR respiratory rate, BT body temperature, RLQ right lower quadrant, RUP right upper quadrant, ANC absolute neutrophil count