Out of hours
|
50
|
52%
|
Age of patient (mean ± standard deviation)
|
5.8 ± 3.7 years
|
|
(range)
|
3 weeks – 15 years
|
|
Female gender
|
51
|
53%
|
Clinical triage criteria (Barton Schmitt)
|
|
|
Call emergency services now
|
|
|
Signs of shock (e.g. very weak, limp, not moving, gray skin)
|
0
|
0%
|
Sounds like life-threatening emergency to the triager
|
1
|
1%
|
Go to emergency department now
|
|
|
Vomiting blood (R/O peptic ulcer, esophagitis)
|
0
|
0%
|
Is pregnant or could be pregnant (female) (R/O spontaneous abortion, ectopic pregnancy)
|
0
|
0%
|
Could be poisoning with a plant, medicine, or chemical
|
0
|
0%
|
Lying down and unable to walk (R/O appendicitis or other acute abdomen)
|
1
|
1%
|
Walks bent over or holding the abdomen (R/O appendicitis or other acute abdomen)
|
7
|
7%
|
Pain in the scrotum or testicle (male) (R/O testicular torsion)
|
0
|
0%
|
Severe (excruciating) pain (R/O serious cause)
|
10
|
10%
|
Blood in the bowel movements (R/O peptic ulcer, intussusception)
|
0
|
0%
|
Sounds like intussusception to the triager (attacks of severe abdominal pain/crying suddenly switching to 2 to 10 minute periods of quiet) (age usually < 3 years)
|
1
|
1%
|
Child sounds very sick or weak to the triager (R/O serious cause)
|
0
|
0%
|
Go to office now
|
|
|
Pain low on the right side (R/O appendicitis)
|
6
|
6%
|
Pain (or crying) that is constant for > 2 hours (R/O appendicitis, PID, other serious cause)
|
21
|
22%
|
Vomiting bile (bright yellow or green) (R/0 intestinal obstruction)
|
1
|
1%
|
Recent injury to the abdomen (R/O ruptured spleen, traumatic pancreatitis)
|
0
|
0%
|
Tenderness mainly present low on right side when caller presses on the abdomen
|
5
|
5%
|
Age < 2 years (R/O intussusception, especially with intermittent pain)
|
7
|
7%
|
Fever > 40.6°C (R/O serious bacterial infection)
|
1
|
1%
|
See today in office
|
|
|
Mild pain that comes and goes (cramps) lasts > 24 h
|
20
|
21%
|
Parent wants child seen
|
1
|
1%
|
See within 2 weeks in office
|
|
|
Abdominal pains are a chronic problem (present > 4 weeks) (R/O stress-related, school avoidance, normal sideache)
|
4
|
4%
|
Home care
|
|
|
Mild abdominal pain present for < 24 h |
10 |
10% |