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Acute abdominal pain in the elderly

F T de Dombal1

  • 1Clinical Information Science Unit, University of Leeds, United Kingdom.

Journal of Clinical Gastroenterology
|December 1, 1994
PubMed
Summary

Diagnosing acute abdominal pain in elderly patients is challenging, with lower accuracy and higher mortality than in younger individuals. Implementing findings from extensive studies can improve patient outcomes and resource management.

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Area of Science:

  • Gastroenterology
  • Geriatric Medicine

Background:

  • Acute abdominal pain in elderly patients poses significant diagnostic and prognostic challenges.
  • Elderly patients exhibit lower diagnostic accuracy and higher mortality rates compared to younger demographics.
  • Disease presentation, evolution, and case mix differ in the elderly, complicating management.

Purpose of the Study:

  • To review the diagnosis and immediate prognosis of acute abdominal pain in elderly patients.
  • To synthesize findings from extensive patient series and published literature.
  • To identify strategies for improving management and patient outcomes.

Main Methods:

  • Review of published literature on acute abdominal pain in the elderly.
  • Analysis of three major patient series (approx. 42,000 patients) from 1976, 1986, and 1993.
  • Synthesis of data from the World Organization of Gastroenterology (OMGE), UK National Study, and European Community Concerted Action.

Main Results:

  • Diagnostic accuracy for acute abdominal pain is notably lower in elderly patients.
  • Mortality rates associated with acute abdominal pain are significantly higher in the elderly population.
  • Multifactorial reasons contribute to these differences, including distinct disease presentations and prognoses.

Conclusions:

  • Implementing evidence-based strategies derived from extensive studies can enhance patient outcomes.
  • Improved management of acute abdominal pain in the elderly can lead to better resource utilization.
  • Further research and application of existing literature are crucial for optimizing care in this demographic.

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