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Use of an appendicitis medical information sheet in the pediatric primary care system

Noboru Oyachi1, Hideaki Yagasaki2, Takeyuki Suzuki3

  • 1Department of Pediatric Surgery, Yamanashi Prefectural Central Hospital, Yamanashi, Japan. oyachi-ampw@ych.pref.yamanashi.jp.

Pediatrics International : Official Journal of the Japan Pediatric Society
|March 5, 2016
PubMed

Insights

The pediatric appendicitis medical information (PAMI) sheet effectively aids in diagnosing appendicitis in children. This tool facilitates accurate data collection and improves diagnostic information transfer to secondary hospitals.

Area of Science:

  • Pediatric Surgery
  • Medical Informatics
  • Diagnostic Tools

Background:

  • Accurate diagnosis of pediatric appendicitis is crucial for effective treatment.
  • The pediatric appendicitis medical information (PAMI) sheet was developed in Yamanashi Prefecture to standardize diagnostic information.
  • It serves as a referral document for surgical consultations at secondary hospitals.

Purpose of the Study:

  • To evaluate the utility of the PAMI sheet in the primary evaluation of pediatric appendicitis.
  • To assess the accuracy and efficiency of diagnostic data collection using the PAMI sheet.

Main Methods:

  • Retrospective review of 59 patients hospitalized for suspected appendicitis over 32 months.
  • Analysis of 17 referral patients evaluated with the PAMI sheet.
  • Assessment of data consistency between pediatric surgeons and primary pediatricians.

Main Results:

  • The PAMI sheet facilitated easy assessment of patient condition by pediatric surgeons.
  • 13 out of 17 patients evaluated had appendicitis.
  • High consistency was observed in identifying right lower quadrant tenderness (κ = 0.63) and guarding (κ = 1.00).

Conclusions:

  • The PAMI sheet enhances the collection of detailed and accurate patient history and objective findings.
  • It provides valuable diagnostic information for referrals to secondary-level hospitals.
  • The tool improves diagnostic accuracy and communication in pediatric appendicitis management.
Abstract

Keywords:
appendicitisdiagnosismedical information sheetpediatricsprimary and emergency medicine

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