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Who Should Be Admitted? Who Can Be Discharged? What Should Be Included in the Discharge Planning?

  • Basil Z. Khalaf
  • Kimberly A. ChambersEmail author
Chapter

Abstract

Disposition for patients with abdominal pain can be a high-risk decision. For some diagnoses, scoring systems and clinical guidelines provide guidance by assessing a patient’s illness severity and predicting prognosis. These can guide clinicians toward admission or discharge. For those who are stable for outpatient management, discharge instructions should contain disease-specific return precautions when possible.

Keywords

Abdominal pain Disposition Discharge Clinical scoring systems Discharge instructions 

References

  1. 1.
    Bhuiya F, Pitts SR, LF MC. Emergency department visits for chest pain and abdominal pain: United States, 1999–2008. NCHS data brief, no 43. Hyattsville: National Center for Health Statistics; 2010.Google Scholar
  2. 2.
    Hastings R, Powers R. Abdominal pain in the ED: a 35 year retrospective. Am J Emerg Med. 2011;29:711–6.CrossRefGoogle Scholar
  3. 3.
    Satoh K, Yoshino J, Akamatsu T, et al. Evidence-based clinical practice guidelines for peptic ulcer disease 2015. J Gastroenterol. 2016;51(3):177–94.CrossRefGoogle Scholar
  4. 4.
    Blatchford O, Murray WR, Blatchford M. A risk score to predict need for treatment for upper-gastrointestinal hemorrhage. Lancet. 2000;356(9238):1318–21.CrossRefGoogle Scholar
  5. 5.
    Satlzman RJ, Tabak YP, Hyett BH, Sun X, Travis AC, Johannes RS. A simple risk score accurately predicts in-hospital mortality, length of stay, and cost in acute upper GI bleeding. Gastrointest Endosc. 2011;74(6):1215–24.CrossRefGoogle Scholar
  6. 6.
    Oskarsson V, Mehrabi M, Orsini N, Hammarqvist F, Segersvard R, Andren-Sandberg A, et al. Validation of the harmless acute pancreatitis score in predicting nonsevere course of acute pancreatitis. Pancreatology. 2011;11(5):464–8.CrossRefGoogle Scholar
  7. 7.
    Tenner S, Baillie J, DeWitt J, Vege SS. Management of acute pancreatitis. Am J Gastroenterol. 2013;108:1400–15.CrossRefGoogle Scholar
  8. 8.
    Bahm A, Freedman SB, Guan J, Guttman A. Evaluating the impact of clinical decision tools in pediatric acute gastroenteritis: a population-based cohort study. Acad Emerg Med. 2016;23(5):599–609.CrossRefGoogle Scholar
  9. 9.
    Spangler R, Pham TV, Khoujah D, Martinez JP. Abdominal emergencies in the geriatric pateint. Int J of Emerg Med. 2014;7:43.CrossRefGoogle Scholar
  10. 10.
    Tsai IT, Sun CK, Chang CS, Lee KH, Liang CY, Hsu CW. Characteristics and outcomes of patients with emergency department revisits within 72 hours and subsequent admission to the intensive care unit. Tzu Chi Medical Journal. 2016;28(4):151–6.CrossRefGoogle Scholar
  11. 11.
    Macaluso CR, McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012;5:789–97.CrossRefGoogle Scholar
  12. 12.
    Lui JL, Wyatt JC, Deeks JJ, Clamp S, Keen J, Verde P, et al. Systematic reviews of clinical decision tools for acute abdominal pain. Health Technol Assess. 2006;10(47):1–167.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Emergency MedicineMcGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth)HoustonUSA

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