Epidemiological Study of Adult Patients with Acute Abdomen Referred to Fatemi Ardabil Hospital from 2020 to 2021

Amir Ahmad  Arabzadeh; Keyvan  Amini; Afshan  Sharghi; Mahsa  Ataei; Mirsalim  Seyed Sadeghi

doi:10.18502/ssu.v31i6.13475

Amir Ahmad Arabzadeh Department of Surgery، School of Medicine، Imam Khomeini Hospital، Fatemi Hospital، Ardabil University of Medical Sciences، Ardabil، Iran.
Keyvan Amini Department of Internal Medicine، School of Medicine، Fatemi Hospital، Ardabil University of Medical Sciences، Ardabil، Iran.
Afshan Sharghi Department of Social Medicine, Faculty of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
Mahsa Ataei Department of Surgery، School of Medicine، Imam Khomeini Hospital، Fatemi Hospital، Ardabil University of Medical Sciences، Ardabil، Iran.
Mirsalim Seyed Sadeghi Department of Surgery، School of Medicine، Imam Khomeini Hospital، Fatemi Hospital، Ardabil University of Medical Sciences، Ardabil، Iran.

DOI: https://doi.org/10.18502/ssu.v31i6.13475

Keywords: Acute pain، Hospitals،Adult، Epidemiology.

Abstract

Introduction: The prevalence and causes of acute abdomen can be different in various regions and races. Knowing the epidemiology of the disease can prevent unnecessary surgeries and unwanted complications caused by surgery. The present study was conducted with the aim of epidemiological investigation of adult patients with acute abdomen referred to Fatemi Ardabil Hospital from 2020 to 2021.

Methods: A cross-sectional descriptive study was conducted during a year with a statistical population of 1031 patients referred to the Emergency Department of Fatemi Ardabil Hospital with abdominal pain. The sampling method was easy non-probability sampling. The information of these patients was collected through a preliminary questionnaire and analyzed using SPSS 16 software.

Results: In this study, the number of 535 participants were male and 496 were female. 53.5% of patients had non-bilious vomiting، 67.6% had normal abdominal function، 53% had anorexia، 16.2% had abdominal distension and 14.3% had fever. 20.1% had pain in the right lower quadrant، 16.1% no tenderness، 15.6% rebound tenderness، 5.4% guarding، 5.8% psoas sign and 16.3% Murphy sign. 27% of abdominal pain was related to appendicitis، 20% to cholecystitis، 15.3% to intestinal obstruction and the lowest number of cases were related to metastasis and ectopic pregnancy with 0.3%.

Conclusion: The best tools available for examining and managing abdominal pain are clinical examination and a comprehensive history.