{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T17:52:14Z","timestamp":1790272334449,"version":"4.1.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T00:00:00Z","timestamp":1706140800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T00:00:00Z","timestamp":1706140800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Emerg Med"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Abdominal pain occurs in 20% of geriatric patients who visit the emergency department (ED). Geriatric patients usually have more severe conditions and a higher mortality rate. We aimed to determine the factors associated with serious abdominal conditions in geriatric patients who visit the ED with abdominal pain.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This retrospective cohort study was conducted from January 1, 2017 to June 30, 2021. The inclusion criteria were patients aged\u2009\u2265\u200965 years and presented at the ED with acute abdominal pain. Significantly associated factors for serious abdominal conditions were examined using univariate and multivariate logistic regression analyses.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 1221 patients were included in this study. Multivariate logistic regression analysis showed that the significant factors associated with serious abdominal conditions were male (adjusted odds ratio [AOR] 2.29, 95% CI:1.3\u20134.04; <jats:italic>p<\/jats:italic>\u2009=\u20090.004), anorexia (AOR 2.16, 95% CI:1.08\u20134.32; <jats:italic>p<\/jats:italic>\u2009=\u20090.03), NEWS 5\u20136 (AOR 2.96, 95% CI:1.35\u20136.49; <jats:italic>p<\/jats:italic>\u2009=\u20090.007), SBP 100\u2013125 mmHg (AOR 1.5, 95% CI:0.75\u20132.99; <jats:italic>p<\/jats:italic>\u2009\u2264\u20090.001), guarding (AOR 6.92, 95% CI:3.39\u201314.12; <jats:italic>p<\/jats:italic>\u2009\u2264\u20090.001), WBC\u2009\u2265\u200914,000 cells\/mm<jats:sup>3<\/jats:sup> (AOR 2.08, 95% CI:1.06\u20134.09; <jats:italic>p<\/jats:italic>\u2009=\u20090.034), ED length of stay (EDLOS) 4\u20138\u00a0h (AOR 2.17, 95% CI:1.08\u20134.36; <jats:italic>p<\/jats:italic>\u2009=\u20090.03), and EDLOS\u2009\u2265\u20098\u00a0h (AOR 3.22, 95% CI:1.15\u20139; <jats:italic>p<\/jats:italic>\u2009=\u20090.025).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The statistically significant factors associated with serious abdominal conditions in geriatric patients were male, anorexia, NEWS 5\u20136, SBP 100\u2013125 mmHg, guarding, WBC\u2009\u2265\u200914,000 cells\/mm<jats:sup>3<\/jats:sup>, EDLOS 4\u20138\u00a0h, and EDLOS\u2009\u2265\u20098\u00a0h.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12873-024-00934-x","type":"journal-article","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T06:01:50Z","timestamp":1706162510000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Factors associated with serious abdominal conditions in geriatric patients visiting the emergency department"],"prefix":"10.1186","volume":"24","author":[{"given":"Ar-aishah","family":"Dadeh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wasitthee","family":"Uppakarnnuntakul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,25]]},"reference":[{"key":"934_CR1","unstructured":"United Nations.Department of Economic and Social Affairs. 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The study was approved by the ethics committee of the Faculty of Medicine of the Prince of Songkla University (Ref. No.: REC 64-252-20-4). The informed consent requirement was waived in accordance with our institutional review board\u2019s policy because the participants had no greater than minimum risk and the patients received standard medical care and due to retrospective nature of the study. The waived procedure had been approved by the ethics committee of the Faculty of Medicine of Prince of Songkla University (Ref. No.: REC 64-252-20-4).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no conflicting interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"16"}}