TABLE 2.
| Emergency Department Management* | ||
|---|---|---|
| Management | Men (n = 52) |
Women (n=79) |
| Time to evaluation, min | ||
| Median (range)† | 20 (0–125) | 24 (0–190) |
| Physical exam performed | ||
| Abdominal | 51 (98%) | 78 (99%) |
| Rectal | 27 (52%) | 41 (52%) |
| Pelvic or genital | 7 (13%) | 3 (4%) |
| Skin | 36 (69%) | 57 (72%) |
| Pulses | 17 (33%) | 40 (51%) |
| Palpation for aorta | 7 (13%) | 4 (5%) |
| Serial exams | 9 (17%) | 8 (10%) |
| Laboratory tests | ||
| Electrocardiogram | 35 (67%) | 62 (78%) |
| Urinalysis | 42 (81%) | 68 (86%) |
| Complete blood count | 46 (88%) | 74 (94%) |
| Basic metabolic panel | 46 (88%) | 74 (94%) |
| Liver function tests | 42 (81%) | 66 (84%) |
| Amylase or lipase | 37 (71%) | 62 (78%) |
| Oxygen saturation | 51 (98%) | 76 (96%) |
| Hemoccult | 27 (52%) | 41 (52%) |
| Rectal temperature | 3 (6%) | 5 (6%) |
| Troponin | 20 (38%) | 40 (51%) |
| Blood culture | 13 (25%) | 22 (28%) |
| Urine culture | 16 (31%) | 37 (47%) |
| Stool culture | 1 (2%) | 3 (4%) |
| Imaging | ||
| Chest x-ray | 31 (60%) | 56 (71%) |
| KUB | 14 (27%) | 21 (27%) |
| Abdominal ultrasound | 5 (10%) | 19 (24%) |
| Abdominal CT scan | 27 (52%) | 38 (48%) |
| Opioid analgesia | 18 (35%) | 32 (41%) |
| Antibiotics | 15 (29%) | 24 (30%) |
| Surgical consult | 13 (25%) | 17 (22%) |
| Admission | 31 (60%) | 55 (70%) |
| Time in ED (if discharged), min | ||
| Median (range)† | 280 (81,760) | 319 (65,1347) |
| Emergency Department Management* | |||
|---|---|---|---|
| Management | Men (n = 52) |
Women (n=79) |
Difference in percentages (95% CI) |
| Time to evaluation, min | |||
| Median (range)† | 20 (0−125) | 24 (0−190) | 4 (−8, 10) |
| Physical exam performed | |||
| Abdominal | 51 (98%) | 78 (99%) | 1 (−6, 10) |
| Rectal | 27 (52%) | 41 (52%) | 0 (−18, 18) |
| Pelvic or genital | 7 (13%) | 3 (4%) | 9 (−1, 23) |
| Skin | 36 (69%) | 57 (72%) | 3 (−13, 20) |
| Pulses | 17 (33%) | 40 (51%) | 18 (−5, 34) |
| Palpation for aorta | 7 (13%) | 4 (5%) | 8 (−3,22) |
| Serial exams | 9 (17%) | 8 (10%) | 7 (−6, 22) |
| Laboratory tests | |||
| Electrocardiogram | 35 (67%) | 62 (78%) | 11 (−5, 28) |
| Urinalysis | 42 (81%) | 68 (86%) | 5 (−8, 20) |
| Complete blood count | 46 (88%) | 74 (94%) | 6 (−6, 18) |
| Basic metabolic panel | 46 (88%) | 74 (94%) | 6 (−6, 18) |
| Liver function tests | 42 (81%) | 66 (84%) | 3 (−11, 18) |
| Amylase or lipase | 37 (71%) | 62 (78%) | 7 (−8, 24) |
| Oxygen saturation | 51 (98%) | 76 (96%) | 2 (−8, 10) |
| Hemoccult | 27 (52%) | 41 (52%) | 0 (18, 18) |
| Rectal temperature | 3 (6%) | 5 (6%) | 0 (−11, 10) |
| Troponin | 20 (38%) | 40 (51%) | 13 (−6, 29) |
| Blood culture | 13 (25%) | 22 (28%) | 3 (−14, 18) |
| Urine culture | 16 (31%) | 37 (47%) | 16 (−2, 32) |
| Stool culture | 1 (2%) | 3 (4%) | 2 (−8, 10) |
| Imaging | |||
| Chest x-ray | 31 (60%) | 56 (71%) | 11 (−6, 29) |
| KUB | 14 (27%) | 21 (27%) | 0 (−16, 17) |
| Abdominal ultrasound | 5 (10%) | 19 (24%) | 14 (0, 27) |
| Abdominal CT scan | 27 (52%) | 38 (48%) | 4 (−14, 22) |
| Opioid analgesia | 18 (35%) | 32 (41%) | 6 (−12, 23) |
| Antibiotics | 15 (29%) | 24 (30%) | 1 (−16, 18) |
| Surgical consult | 13 (25%) | 17 (22%) | 3 (−12, 20) |
| Admission | 31 (60%) | 55 (70%) | 10 (−7, 27) |
| Time in ED (if discharged), min | |||
| Median (range)† | 280 (81,760) | 319 (65,1347) | 39 (−101, 215) |
KUB = kidney, ureter, and bladder; CT = computed tomography; ED = emergency department.
*
P > 0.05 for all comparisons, by Chi-squared analysis except as noted.
†
P > 0.05 by Wilcoxon test of medians.
CI = confidence interval; KUB = kidney, ureter, and bladder; CT = computed tomography; ED = emergency department.
*
P > 0.05 for all comparisons, by Chi-squared analysis except as noted.
†
P > 0.05 by Wilcoxon test of medians.