Clinician factors associated with delayed diagnosis of appendicitis.
Diagnosis (Berl)
; 10(2): 183-186, 2023 05 01.
Article
em En
| MEDLINE
| ID: mdl-36482753
ABSTRACT
OBJECTIVES:
To evaluate the association of clinician demographics and practice patterns with delayed diagnosis of appendicitis.METHODS:
We included children with appendicitis at 13 regional emergency departments (EDs). We screened patients with a previous ED visit within 7 days for delayed diagnosis by chart review. We evaluated the association of clinician characteristics using logistic regression with random intercepts for site and clinician and delay as the outcome.RESULTS:
Among 7,452 children with appendicitis, 105 (1.4%) had delayed diagnosis. Clinicians in the lowest quartile of obtaining blood in their general practice were more likely to have delayed diagnosis (odds ratio 4.9 compared to highest quartile, 95% confidence interval 1.8, 13.8). Clinicians' imaging rates, specialty, sex, and experience were not associated with delayed diagnosis.CONCLUSIONS:
Clinicians who used more blood tests in their general practice had a lower risk of delayed diagnosis of appendicitis, possible evidence that lower risk tolerance has benefits.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Apendicite
/
Medicina
Tipo de estudo:
Diagnostic_studies
/
Risk_factors_studies
Limite:
Child
/
Humans
Idioma:
En
Revista:
Diagnosis (Berl)
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos