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The acute abdomen: management with microcomputer aid.

P C Clifford, M Chan, D J Hewett

    Annals of the Royal College of Surgeons of England
    |July 1, 1986
    PubMed
    Summary
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    Microcomputers significantly enhance acute abdominal pain diagnosis and management. This technology improves diagnostic accuracy, reduces unnecessary surgeries, and shortens hospital stays for patients.

    Area of Science:

    • Medical Informatics
    • Surgical Management
    • Emergency Medicine

    Background:

    • Acute abdominal pain presents diagnostic challenges for junior doctors.
    • Effective management is crucial to minimize negative appendicectomies and errors.
    • Previous management strategies lacked optimal diagnostic support.

    Purpose of the Study:

    • To evaluate the impact of microcomputer use on the management of acute abdominal pain.
    • To assess improvements in diagnostic accuracy and surgical outcomes.
    • To quantify reductions in negative appendicectomies and management errors.

    Main Methods:

    • Retrospective comparison of 812 patients managed with microcomputer assistance versus 295 baseline cases.
    • Analysis of diagnostic ability, negative appendicectomy rates, and management errors.

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  • Evaluation of emergency investigation frequency and inpatient stay duration.

    • Main Results:

    • Diagnostic accuracy improved from 48.5% to 71.8% (P < 0.001).
    • Negative appendicectomy rates decreased from 37.5% to 9.71% (P < 0.001).
    • Management errors reduced from 22% to 10% (P < 0.01), investigations from 4 to 2, and inpatient stay from 3 to 2 days.

    Conclusions:

    • Microcomputer integration as an investigative tool significantly enhances surgical management of acute abdominal pain.
    • Improved diagnostic capabilities lead to better patient outcomes and resource utilization.
    • This technology offers a valuable solution for optimizing emergency surgical care.