Clinical Policy: Critical Issues in the Evaluation and Management of Emergency Department Patients With Suspected Appendicitis

John M. Howell, Orin L. Eddy, Thomas W. Lukens, Molly E.W. Thiessen, Scott D. Weingart, Wyatt W. Decker

Research output: Contribution to journalReview article

108 Citations (Scopus)

Abstract

This clinical policy from the American College of Emergency Physicians is an update of a 2000 clinical policy on the evaluation and management of patients presenting with nontraumatic acute abdominal pain. 1 A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1) Can clinical findings be used to guide decisionmaking in the risk stratification of patients with possible appendicitis? (2) In adult patients with suspected acute appendicitis who are undergoing a computed tomography scan, what is the role of contrast? (3) In children with suspected acute appendicitis who undergo diagnostic imaging, what are the roles of computed tomography and ultrasound in diagnosing acute appendicitis? Evidence was graded and recommendations were given based on the strength of the available data in the medical literature.

Original languageEnglish (US)
Pages (from-to)71-116
Number of pages46
JournalAnnals of Emergency Medicine
Volume55
Issue number1
DOIs
StatePublished - Jan 2010
Externally publishedYes

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Appendicitis
Hospital Emergency Service
Tomography
Acute Pain
Diagnostic Imaging
Abdominal Pain

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Clinical Policy : Critical Issues in the Evaluation and Management of Emergency Department Patients With Suspected Appendicitis. / Howell, John M.; Eddy, Orin L.; Lukens, Thomas W.; Thiessen, Molly E.W.; Weingart, Scott D.; Decker, Wyatt W.

In: Annals of Emergency Medicine, Vol. 55, No. 1, 01.2010, p. 71-116.

Research output: Contribution to journalReview article

Howell, John M. ; Eddy, Orin L. ; Lukens, Thomas W. ; Thiessen, Molly E.W. ; Weingart, Scott D. ; Decker, Wyatt W. / Clinical Policy : Critical Issues in the Evaluation and Management of Emergency Department Patients With Suspected Appendicitis. In: Annals of Emergency Medicine. 2010 ; Vol. 55, No. 1. pp. 71-116.
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