Key Highlights
Medicine · Emergency Medicine
This retrospective cohort study of 1,169 adults with abdominal pain in the emergency department systematically examined age-related differences in CT utilization and diagnostic yield. Researchers found that CT ordering increased with age (41.7% in patients 18–39, 66.2% in those 40–59, and 70.7% in patients 60 or older), and CT positivity similarly rose from 18.4% to 37.7% across these groups. For medical students focused on evidence-based acute care, these findings highlight that abdominal tenderness is less sensitive for adverse outcomes in older adults, supporting the need for age-aware imaging decisions and reframing abdominal pain as a geriatric-specific clinical entity.
Novelty: 68%
Rigor: 82%
Significance: 75%
Validity: 79%
Clarity: 90%
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