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• W1995276733 abstract "Summary Background Computed tomography ( CT ) demonstrates diverticulitis severity. Aim To assess demographic, clinical and leucocyte features in association with severity. Methods We reviewed medical records of 741 emergency department cases and in‐patients with diverticulitis. CT findings were: (i) nondiagnostic; (ii) moderate (peri‐colic inflammation); and (iii) severe (abscess and/or extra‐luminal gas and/or contrast). Results Patients with severe vs. nondiagnostic/moderate findings had fewer females (42.4% vs. 58.2%, P = .004), less lower abdominal pain only (74.7% vs. 83.7%, P = .042) and more constipation (24.4% vs. 12.5%, P = .002), fever (52.2% vs. 27.0%, P < .0001), leucocytosis (81.5% vs. 55.2%, P < .0001), neutrophilia (86.2% vs. 59.0%, P < .0001), ‘bandemia’ (18.5% vs. 5.5%, P < .0001) and the triad of abdominal pain, fever and leucocytosis (46.7% vs. 19.9%, P < .0001) respectively. Severe vs. nondiagnostic/moderate findings occurred in 4.8% vs. 95.2% without fever or leucocytosis, 7.0% vs. 93.0% with fever, 12.3% vs. 87.7% with leucocytosis and 25.1% vs. 74.9% with fever and leucocytosis respectively ( P < .0001). The former group (odds ratio [95% CI ]) included females less often (0.45 [0.26–0.76]) and had less lower abdominal pain only (0.54 [0.29–0.99]) and more constipation (2.32 [1.27–4.23]), fever (2.13 [1.27–3.57]) and leucocytosis (2.67 [1.43–4.99]). Conclusions Less than 50% of severe cases have the clinical/laboratory triad of abdominal pain, fever and leucocytosis, but only 1 of 20 with pain who lack fever and leucocytosis have severe diverticulitis. Male gender, pain not limited to the lower abdomen, constipation, fever and leucocytosis are independently associated with severe diverticulitis." @default.
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• W1995276733 date "2012-09-11" @default.
• W1995276733 modified "2023-09-26" @default.
• W1995276733 title "Acute diverticulitis: demographic, clinical and laboratory features associated with computed tomography findings in 741 patients" @default.
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• W1995276733 doi "https://doi.org/10.1111/apt.12047" @default.
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