Decision making in patients with acute abdominal pain at a university and at a rural hospital: does the value of abdominal sonography differ?

Table 3 Change of Management Plan after Sonography

	Conservative -> Operative		Operative -> Conservative		Additional Examinations		Change kind of operation		Other (Transfer to UH)		Total
	14 × (13%)		1× (1%)		30× (28%) ①		0		0		15 ×
UH	Stage I	Stage III	Stage I	Stage III	Stage I	Stage III	Stage I	Stage III	Stage I	Stage III
	Pelvic inflamatory disease 2× Cholec. 8× App. Ⓑ 2× App. Ⓑ Gyn.	Abscess CCE AE Process = AE EUG	Append.	Enteritis?Ⓐ	Table 4	Table 4
RH	4 × (7%)		3 × (6%)		2 × (4%)		3 × (6%)		3 × (6%)		15 ×
	Enteritis Gastritis Adnex. Append.	Append. Cholecy. Adnex. ¹ Append.²	Adnex. Append. Append.	Nephroli. Gastroen. Diverticulitis.	Pancreat. Diverticulitis.	Pancreat.³ Meckel °	Ovar cys. Diverticulitis. Adnexitis	Ileus Adnexitis App. perf.	Append. Ovar cys. Gastritis	Mes. Inf. Volvulu Lymphom

① The additional examinations did not contribute to a change from initial management in any case. The additional examinations were ordered independent of the results of the sonography.
Ⓐ In the clinical process diagnosis of appendicitis and secondary operation.
Ⓑ After basic clinical examination unlikely or low probability of appendicitis.
¹ Basic clinical examination and sonography unclear.
² Basic clinical examination and sonography unclear.
³ ERCP after sonography
° CT after sonography
+ 5× Change of the conservative therapy at RH after sonography:
Nephrolithiasis -> Refluxoesophagitis
Hernia -> Nephrolithiasis
Cholecystolithiasis -> Musculoskeletal
Nephrolithiasis -> Musculoskeletal
Cholecystolithiasis -> Liver tumour
EUG = Extra uterine gravity; AE = Appendectomy; CCE = Cholecystectomy

ISSN: 1749-7922