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A randomised controlled trial of routine early abdominal computed tomography in patients presenting with non-specific acute abdominal pain

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A randomised controlled trial of routine early abdominal computed tomography in patients presenting with non-specific acute abdominal pain. / Sala, Evis; Watson, Chris; Beadsmoore, Chris et al.
In: Clinical Radiology, Vol. 62, No. 10, 10.2007, p. 961-969.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Sala, E, Watson, C, Beadsmoore, C, Groot-Wassink, T, Fanshawe, T, Smith, JC, Bradley, A, Palmer, C, Shaw, A & Dixon, A 2007, 'A randomised controlled trial of routine early abdominal computed tomography in patients presenting with non-specific acute abdominal pain', Clinical Radiology, vol. 62, no. 10, pp. 961-969. https://doi.org/10.1016/j.crad.2007.01.030

APA

Sala, E., Watson, C., Beadsmoore, C., Groot-Wassink, T., Fanshawe, T., Smith, J. C., Bradley, A., Palmer, C., Shaw, A., & Dixon, A. (2007). A randomised controlled trial of routine early abdominal computed tomography in patients presenting with non-specific acute abdominal pain. Clinical Radiology, 62(10), 961-969. https://doi.org/10.1016/j.crad.2007.01.030

Vancouver

Sala E, Watson C, Beadsmoore C, Groot-Wassink T, Fanshawe T, Smith JC et al. A randomised controlled trial of routine early abdominal computed tomography in patients presenting with non-specific acute abdominal pain. Clinical Radiology. 2007 Oct;62(10):961-969. doi: 10.1016/j.crad.2007.01.030

Author

Sala, Evis ; Watson, Chris ; Beadsmoore, Chris et al. / A randomised controlled trial of routine early abdominal computed tomography in patients presenting with non-specific acute abdominal pain. In: Clinical Radiology. 2007 ; Vol. 62, No. 10. pp. 961-969.

Bibtex

@article{9ddc13dbda5a421bae3bf6ea8e068a11,
title = "A randomised controlled trial of routine early abdominal computed tomography in patients presenting with non-specific acute abdominal pain",
abstract = "AimTo compare the effect of an initial early computed tomography (CT) examination versus standard practice (SP) on the length of hospital stay, diagnostic accuracy, and mortality of adults presenting with acute abdominal pain.Materials and methodsTwo hundred and five adults presenting with acute abdominal pain were randomized to undergo an early CT examination or current SP, which comprised supine abdominal and erect chest radiography. One hundred and ninety-eight patients (99 in each arm) were included in the analysis. The primary endpoint was the duration of inpatient stay; secondary endpoints were diagnostic certainty and mortality.ResultsThere was no significant difference in the length of hospital stay between the two arms (p = 0.20). At randomization 36% (35 of 96) of CT patients and 49% (48 of 98) of SP patients were correctly diagnosed; 24 h after randomization the correct diagnosis had been established in 84% of CT patients and 73% of SP patients. This refinement in diagnostic certainty was significantly better in the CT group (p < 0.001). There was no difference in mortality between the two trial arms (p = 0.31).ConclusionEarly abdominal CT in patients with acute abdominal pain improves diagnostic certainty, but does not reduce the length of hospital stay and 6 month mortality.",
author = "Evis Sala and Chris Watson and Chris Beadsmoore and Thomas Groot-Wassink and Thomas Fanshawe and J.C. Smith and A. Bradley and Chris Palmer and A. Shaw and Anthony Dixon",
year = "2007",
month = oct,
doi = "10.1016/j.crad.2007.01.030",
language = "English",
volume = "62",
pages = "961--969",
journal = "Clinical Radiology",
issn = "1365-229X",
publisher = "W.B. Saunders Ltd",
number = "10",

}

RIS

TY - JOUR

T1 - A randomised controlled trial of routine early abdominal computed tomography in patients presenting with non-specific acute abdominal pain

AU - Sala, Evis

AU - Watson, Chris

AU - Beadsmoore, Chris

AU - Groot-Wassink, Thomas

AU - Fanshawe, Thomas

AU - Smith, J.C.

AU - Bradley, A.

AU - Palmer, Chris

AU - Shaw, A.

AU - Dixon, Anthony

PY - 2007/10

Y1 - 2007/10

N2 - AimTo compare the effect of an initial early computed tomography (CT) examination versus standard practice (SP) on the length of hospital stay, diagnostic accuracy, and mortality of adults presenting with acute abdominal pain.Materials and methodsTwo hundred and five adults presenting with acute abdominal pain were randomized to undergo an early CT examination or current SP, which comprised supine abdominal and erect chest radiography. One hundred and ninety-eight patients (99 in each arm) were included in the analysis. The primary endpoint was the duration of inpatient stay; secondary endpoints were diagnostic certainty and mortality.ResultsThere was no significant difference in the length of hospital stay between the two arms (p = 0.20). At randomization 36% (35 of 96) of CT patients and 49% (48 of 98) of SP patients were correctly diagnosed; 24 h after randomization the correct diagnosis had been established in 84% of CT patients and 73% of SP patients. This refinement in diagnostic certainty was significantly better in the CT group (p < 0.001). There was no difference in mortality between the two trial arms (p = 0.31).ConclusionEarly abdominal CT in patients with acute abdominal pain improves diagnostic certainty, but does not reduce the length of hospital stay and 6 month mortality.

AB - AimTo compare the effect of an initial early computed tomography (CT) examination versus standard practice (SP) on the length of hospital stay, diagnostic accuracy, and mortality of adults presenting with acute abdominal pain.Materials and methodsTwo hundred and five adults presenting with acute abdominal pain were randomized to undergo an early CT examination or current SP, which comprised supine abdominal and erect chest radiography. One hundred and ninety-eight patients (99 in each arm) were included in the analysis. The primary endpoint was the duration of inpatient stay; secondary endpoints were diagnostic certainty and mortality.ResultsThere was no significant difference in the length of hospital stay between the two arms (p = 0.20). At randomization 36% (35 of 96) of CT patients and 49% (48 of 98) of SP patients were correctly diagnosed; 24 h after randomization the correct diagnosis had been established in 84% of CT patients and 73% of SP patients. This refinement in diagnostic certainty was significantly better in the CT group (p < 0.001). There was no difference in mortality between the two trial arms (p = 0.31).ConclusionEarly abdominal CT in patients with acute abdominal pain improves diagnostic certainty, but does not reduce the length of hospital stay and 6 month mortality.

U2 - 10.1016/j.crad.2007.01.030

DO - 10.1016/j.crad.2007.01.030

M3 - Journal article

VL - 62

SP - 961

EP - 969

JO - Clinical Radiology

JF - Clinical Radiology

SN - 1365-229X

IS - 10

ER -