Clinician factors associated with delayed diagnosis of appendicitis.
appendicitis
emergency department
emergency medicine
risk tolerance
Journal
Diagnosis (Berlin, Germany)
ISSN: 2194-802X
Titre abrégé: Diagnosis (Berl)
Pays: Germany
ID NLM: 101654734
Informations de publication
Date de publication:
01 05 2023
01 05 2023
Historique:
received:
04
11
2022
accepted:
22
11
2022
pmc-release:
01
05
2024
medline:
16
5
2023
pubmed:
10
12
2022
entrez:
9
12
2022
Statut:
epublish
Résumé
To evaluate the association of clinician demographics and practice patterns with delayed diagnosis of appendicitis. 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. 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. 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.
Identifiants
pubmed: 36482753
pii: dx-2022-0119
doi: 10.1515/dx-2022-0119
pmc: PMC10191871
mid: NIHMS1858639
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
183-186Subventions
Organisme : AHRQ HHS
ID : K08 HS026503
Pays : United States
Informations de copyright
© 2022 Walter de Gruyter GmbH, Berlin/Boston.
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