Prospective validation of the bedside sonographic acute cholecystitis score in emergency department patients

Acute cholecystitis can be difficult to diagnose in the emergency department (ED); no single finding can rule in or rule out the disease. A prediction score for the diagnosis of acute cholecystitis for use at the bedside would be of great value to expedite the management of patients presenting with possible acute cholecystitis. The 2013 Tokyo Guidelines is a validated method for the diagnosis of acute cholecystitis but its prognostic capability is limited. The purpose of this study was to prospectively validate the Bedside Sonographic Acute Cholecystitis (SAC) Score utilizing a combination of only historical symptoms, physical exam signs, and point-of-care ultrasound (POCUS) findings for the prediction of the diagnosis of acute cholecystitis in ED patients.

Source: The American Journal of Emergency Medicine - January 4, 2021 Category: Emergency Medicine Authors: Sally Graglia, Hamid Shokoohi, Michael Loesche, Daniel Dante Yeh, Rachel M. Haney, Calvin K. Huang, Christina C. Morone, Caitlin Springer, Heidi H. Kimberly, Andrew S. Liteplo Source Type: research