Outcomes prediction score for acute abdomen: a proposal.

Area of Science:

• Emergency Medicine
• Clinical Diagnostics

Background:

• Acute abdominal pain is a common emergency room presentation.
• Predicting patient outcomes is crucial for timely intervention.

Purpose of the Study:

• To correlate objective initial evaluation data with patient outcomes in acute abdominal pain cases.
• Identify key predictors of severe outcomes such as hospitalization, surgery, or death.

Main Methods:

• Retrospective case-control study.
• Analysis of 330 patient medical records from an emergency room in 2016.
• Statistical analysis to identify independent predictors of adverse outcomes.

Main Results:

• Male gender, age ≥50, temperature >37.3ºC, anemia, leukocytosis >10,000/mm3, neutrophil count >7,700/mm3, lymphocyte count <2,000/mm3, and hyperamylasemia were associated with worse outcomes.
• 71.2% of patients were discharged, while 28.8% required hospitalization, surgery, or died.

Conclusions:

• The presence of three or more identified variables significantly increases the likelihood of surgery or death.
• The risk of mortality is directly proportional to the number of adverse variables present.