Ignoring non-specific abdominal pain in emergency department patients may be related to decreased quality of life. A follow up of an underestimated problem

• Published in: Swiss medical weekly Vol. 141; p. w13167
• Main Authors: Banz, Vanessa M, Paul, Katrin, de Moya, Marc, Zimmermann, Heinz, Candinas, Daniel, Exadaktylos, Aristomenis K
• Format: Journal Article
• Language: English
• Published: Switzerland 2011
• Subjects: Abdominal Pain - physiopathology; Abdominal Pain - psychology; Adult; Awareness; Decision Making; Female; Follow-Up Studies; Health Surveys; Humans; Male; Middle Aged; Prospective Studies; Quality of Life; Switzerland; Switzerland
• ISSN: 1424-3997
• DOI: 10.4414/smw.2011.13167

Patients suffering from chronic pain have a high prevalence of depression, resulting in a significant impact on overall quality of life. Our aim was to investigate how long term acute non-specific abdominal pain (NSAP) affected overall physical and mental well-being in patients admitted to our emergency department (ED).
All patients discharged from the ED with NSAP between 06/2007 and 06/2008 were included for follow up. Current health and well-being was evaluated using the SF-36® health questionnaire. Ordinal linear regression models were chosen to separately assess variables influencing SF-36® outcome, with adjustment for age and gender. Results were expressed as differences of means with corresponding 95% confidence intervals and p-values.
Of the 200 patients included (57% female, mean age 33 years), 53 (26.5%) still suffered from NSAP after a 12.5-month mean follow up. Patients with persistent NSAP suffered more from chronic pain (26.4%) or known psychiatric illnesses (15.1%) than unaffected patients (p<0.001 and p=0.028). Mental (MCS) and physical component scores (PCS) were significantly worse in patients suffering from persistent NSAP, even when adjusted for confounding factors including chronic pain syndromes, pre-existing psychiatric illnesses, other concomitant comorbidities and previous abdominal surgery (p<0.001 for both scores). Other risk factors included chronic pain syndromes, pre-existing psychiatric illnesses, other concomitant comorbidities and previous abdominal surgery.
NSAP persistence may be associated with a decreased quality of life. Emphasis should be put on providing early counselling and support, with the aim of minimising the long term detrimental side effects of NSAP.