Clinical Scoring for Diagnosis of Acute Lower Abdominal Pain in Female of Reproductive Age
Table 1
Demographic characteristics and clinical findings of patients with appendicitis, obstetrics-gynecological conditions (OB-GYNc), and nonspecific abdominal pain (NSAP).
Characteristics
Appendicitis ()
OB-GYNc ()
NSAP ()
value
%
%
%
Age (yr)
15–20
106
27.8
16
16.5
16
25.4
21–30
107
28.0
44
45.4
18
28.6
31–40
74
19.4
25
25.8
14
22.2
41–50
95
24.9
12
12.4
15
23.8
Mean (SD)
30.1
(11.3)
28.9
(8.8)
29.9
(10.4)
0.937*
Single
193
50.8
49
51.0
33
53.2
0.943
Duration of pain (hr)
Mean (SD)
31.2
(32.0)
52.4
(65.9)
34.9
(37.4)
0.413*
Shifting of pain
142
31.2
6
6.2
11
17.5
<0.001
Anorexia
43
11.3
2
2.1
6
9.5
0.010
Nausea and vomiting
200
52.4
15
15.5
20
31.8
<0.001
Abnormal vaginal bleeding
1
0.1
28
28.9
2
3.2
<0.001
Diarrhea
29
7.6
4
4.1
13
20.6
0.002
Temperature ≥ 37.5°C
124
33.3
14
14.6
12
19.4
<0.001
Pulse rate (/min)
()
()
()
Mean (SD)
90.8
(15.5)
88.0
(17.4)
85.2
(17.0)
0.021
Systolic blood pressure (mmHg)
()
()
()
Mean (SD)
121.8
(15.9)
112.4
(18.5)
117.9
(14.3)
<0.001
RLQ tender
374
97.9
71
73.2
53
84.1
<0.001
LLQ tender
15
3.9
48
49.5
6
9.5
<0.001
Guarding/rebound tenderness
255
66.8
34
35.1
13
20.6
<0.001
Hematocrit (%)
()
()
()
Mean (SD)
38.0
(3.9)
33.3
(6.0)
36.5
(5.9)
<0.001*
WBC (/L)
()
()
()
Mean (SD)
14204.5
(4638.4)
11875.9
(4531.9)
9958.8
(5200.0)
<0.001*
Neutrophil (%)
()
()
()
≥75
171
60.9
39
56.5
10
19.6
<0.001
Pregnant/positive pregnancy test
7
1.8
47
48.5
3
4.8
<0.001
Kruskal-Wallis equality-of-populations rank test, SD: standard deviation, RLQ: right lower quadrant, and LLQ: left lower quadrant.
