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Research ArticleORIGINAL RESEARCH
Open Access

Misdiagnosis of Acute Appendicitis in the Emergency Department: Prevalence, Associated Factors, and Outcomes According to the Patients' Disposition

Hila Weinberger, Abdel-Rauf Zeina and Itamar Ashkenazi
Ochsner Journal December 2023, 23 (4) 271-276; DOI: https://doi.org/10.31486/toj.23.0051
Hila Weinberger
1Department of Obstetrics, Gynecology and Reproductive Science, Hillel Yaffe Medical Center, Hadera, Israel
2Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
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Abdel-Rauf Zeina
2Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
3Radiology Department, Hillel Yaffe Medical Center, Hadera, Israel
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Itamar Ashkenazi
2Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
4Department of General Surgery, Rambam Medical Center, Haifa, Israel
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  • For correspondence: i_ashkenazi{at}yahoo.com
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REFERENCES

  1. 1.↵
    1. Addiss DG,
    2. Shaffer N,
    3. Fowler BS,
    4. Tauxe RV
    . The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132(5):910-925. doi: 10.1093/oxfordjournals.aje.a115734
    OpenUrlCrossRefPubMedWeb of Science
  2. 2.↵
    1. Wray CJ,
    2. Kao LS,
    3. Millas SG,
    4. Tsao K,
    5. Ko TC
    . Acute appendicitis: controversies in diagnosis and management. Curr Probl Surg. 2013;50(2):54-86. doi: 10.1067/j.cpsurg.2012.10.001
    OpenUrlCrossRefPubMed
  3. 3.↵
    1. Kabir SA,
    2. Kabir SI,
    3. Sun R,
    4. Jafferbhoy S,
    5. Karim A
    . How to diagnose an acutely inflamed appendix; a systematic review of the latest evidence. Int J Surg. 2017;40:155-162. doi: 10.1016/j.ijsu.2017.03.013
    OpenUrlCrossRef
  4. 4.
    1. Shchatsko A,
    2. Brown R,
    3. Reid T,
    4. Adams S,
    5. Alger A,
    6. Charles A
    . The utility of the Alvarado score in the diagnosis of acute appendicitis in the elderly. Am Surg. 2017;83(7):793-798.
    OpenUrl
  5. 5.
    1. Mán E,
    2. Simonka Z,
    3. Varga A,
    4. Rárosi F,
    5. Lázár G
    . Impact of the Alvarado score on the diagnosis of acute appendicitis: comparing clinical judgment, Alvarado score, and a new modified score in suspected appendicitis: a prospective, randomized clinical trial. Surg Endosc. 2014;28(8):2398-2405. doi: 10.1007/s00464-014-3488-8
    OpenUrlCrossRef
  6. 6.
    1. Rao PM,
    2. Rhea JT,
    3. Novelline RA,
    4. Mostafavi AA,
    5. McCabe CJ
    . Effect of computed tomography of the appendix on treatment of patients and use of hospital resources. N Engl J Med. 1998;338(3):141-146. doi: 10.1056/NEJM199801153380301
    OpenUrlCrossRefPubMedWeb of Science
  7. 7.
    1. Orr RK,
    2. Porter D,
    3. Hartman D
    . Ultrasonography to evaluate adults for appendicitis: decision making based on meta-analysis and probabilistic reasoning. Acad Emerg Med. 1995;2(7):644-650. doi: 10.1111/j.1553-2712.1995.tb03606.x
    OpenUrlCrossRefPubMedWeb of Science
  8. 8.
    1. Al-Khayal KA,
    2. Al-Omran MA
    . Computed tomography and ultrasonography in the diagnosis of equivocal acute appendicitis. A meta-analysis. Saudi Med J. 2007;28(2):173-180.
    OpenUrlAbstract/FREE Full Text
  9. 9.↵
    1. Colson M,
    2. Skinner KA,
    3. Dunnington G
    . High negative appendectomy rates are no longer acceptable. Am J Surg. 1997;174(6):723-727. doi: 10.1016/s0002-9610(97)00183-9
    OpenUrlCrossRefPubMedWeb of Science
  10. 10.↵
    1. Temple CL,
    2. Huchcroft SA,
    3. Temple WJ
    . The natural history of appendicitis in adults. A prospective study. Ann Surg. 1995;221(3):278-281. doi: 10.1097/00000658-199503000-00010
    OpenUrlCrossRefPubMedWeb of Science
  11. 11.↵
    1. Brown TW,
    2. McCarthy ML,
    3. Kelen GD,
    4. Levy F
    . An epidemiologic study of closed emergency department malpractice claims in a national database of physician malpractice insurers. Acad Emerg Med. 2010;17(5):553-560. doi: 10.1111/j.1553-2712.2010.00729.x
    OpenUrlCrossRefPubMedWeb of Science
  12. 12.↵
    1. Sosner E,
    2. Patlas MN,
    3. Chernyak V,
    4. Dachman AH,
    5. Katz DS
    . Missed acute appendicitis on multidetector computed tomography and magnetic resonance imaging: legal ramifications, challenges, and avoidance strategies. Curr Probl Diagn Radiol. 2017;46(5):360-364. doi: 10.1067/j.cpradiol.2017.03.003
    OpenUrlCrossRef
  13. 13.↵
    1. Mahajan P,
    2. Basu T,
    3. Pai CW,
    4. et al.
    Factors associated with potentially missed diagnosis of appendicitis in the emergency department. JAMA Netw Open. 2020;3(3):e200612. doi: 10.1001/jamanetworkopen.2020.0612
    OpenUrlCrossRef
  14. 14.↵
    1. Storm-Dickerson TL,
    2. Horattas MC
    . What have we learned over the past 20 years about appendicitis in the elderly? Am J Surg. 2003;185(3):198-201. doi: 10.1016/s0002-9610(02)01390-9
    OpenUrlCrossRefPubMed
  15. 15.↵
    1. Foxman B
    . Urinary tract infection syndromes: occurrence, recurrence, bacteriology, risk factors, and disease burden. Infect Dis Clin North Am. 2014;28(1):1-13. doi: 10.1016/j.idc.2013.09.003
    OpenUrlCrossRefPubMed
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Misdiagnosis of Acute Appendicitis in the Emergency Department: Prevalence, Associated Factors, and Outcomes According to the Patients' Disposition
Hila Weinberger, Abdel-Rauf Zeina, Itamar Ashkenazi
Ochsner Journal Dec 2023, 23 (4) 271-276; DOI: 10.31486/toj.23.0051

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Misdiagnosis of Acute Appendicitis in the Emergency Department: Prevalence, Associated Factors, and Outcomes According to the Patients' Disposition
Hila Weinberger, Abdel-Rauf Zeina, Itamar Ashkenazi
Ochsner Journal Dec 2023, 23 (4) 271-276; DOI: 10.31486/toj.23.0051
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Keywords

  • Abdominal pain
  • appendicitis
  • delayed diagnosis
  • emergency service–hospital
  • missed diagnosis

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