Duration of symptoms and follow-up patterns of patients discharged from the emergency department after presenting with abdominal or flank pain

Fam Pract. 2004 Jun;21(3):314-6. doi: 10.1093/fampra/cmh318.

Abstract

Background: Little is known about the duration of symptoms and follow-up patterns of patients seen in emergency departments for abdominal or flank pain.

Objective: We aimed to measure the duration of symptoms and follow-up rate of patients discharged home from the emergency department after presenting with non-traumatic abdominal or flank pain.

Methods: We conducted a single-centre, prospective descriptive study of adult patients who presented to our emergency department with non-traumatic abdominal or flank pain and were discharged from the emergency department. We gathered clinical data during the index emergency department visit and conducted telephone interviews of subjects 2-5 weeks later.

Results: We reached 63 of 90 subjects (70%). The median duration of pain was 3 days after the emergency department visit. During the follow-up period, only 41% had followed-up with their family physician or primary care provider, although an additional 21% had planned to. Persistence of symptoms was common in the 37% of subjects who did not follow-up.

Conclusion: Of subjects discharged from the emergency department after visits for non-traumatic abdominal or flank pain, most improve within several days. Fewer than half follow-up with a family practitioner or a primary care provider. Emergency department revisits are uncommon and often for unrelated problems.

MeSH terms

  • Abdominal Pain / diagnosis*
  • Adult
  • Emergency Service, Hospital / statistics & numerical data*
  • Family Practice
  • Female
  • Flank Pain / diagnosis*
  • Follow-Up Studies
  • Humans
  • Male
  • Patient Discharge
  • Prospective Studies