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| 1 | Accuracy of abdominal ultrasound for the diagnosis of small bowel obstruction in the emergency department显示文摘BACKGROUND: Emergency physicians frequently encounter patients with acute small bowel obstructions(SBO). Although computed tomography(CT) imaging is the current gold standard in the assessment of patients with suspected SBO in the emergency department, a few studies have examined the use of ultrasound as an alternative imaging technique. METHODS: We evaluated the accuracy of ultrasound performed in the ED by a variety of providers(physicians with various levels of training, physician assistants) compared to CT imaging in 47 patients with suspected SBOs. RESULTS: Our data demonstrated a sensitivity of 93.8% and a specificity of 93.3% when compared to abdominal CT, and a sensitivity of 94.3% and specificity of 95.2% using a composite endpoint of abdominal CT and discharge diagnosis. CONCLUSION: Ultrasound can play an important role in the identification of small bowel obstructions in ED patients. | Sarah E. Frasure Amy F. Hildrcth Raghu Seethala Heidi H. Kimberly | 2018 | World Journal of Emergency Medicine2018，9，4： | 4 |
| 2 | Emergency department patients with small bowel obstruction: What is the anticipated clinical course?显示文摘BACKGROUND:Emergency physicians(EPs)often care for patients with acute small bowel obstruction.While some patients require exploratory laparotomy,others are managed successfully with supportive care.We aimed to determine features that predict the need for operative management in emergency department(ED)patients with small bowel obstruction(SBO).METHODS:We performed a retrospective chart review of 370 consecutive patients admitted to a large urban academic teaching hospital with a diagnosis of SBO over a two-year period.We evaluated demographic characters(prior SBO,prior abdominal surgery,active malignancy)and clinical findings(leukocytosis and lactic acid)to determine features associated with the need for urgent operative intervention.RESULTS:Patients with a prior SBO were less likely to undergo operative intervention[20.3%(42/207)]compared to those without a prior SBO[35.2%(57/162)].Abnormal bloodwork was not associated with need for operative intervention.68%of patients with CT scan findings of both an SBO and a hernia,however,were operatively managed.CONCLUSIONS:Patients with a history of SBO were less likely to require operative intervention at any point during their hospitalization.Abnormal bloodwork was not associated with operative intervention.The CT finding of a hernia,however,predicted the need for operative intervention,while other findings(ascites,duodenal thickening)did not.Further research would be helpful to construct a prediction rule,which could help community EPs determine which patients may benefit from expedited transfer for operative management,and which patients could be safely managed conservatively as an initial treatment strategy. | Sarah E Frasure Amy Hildreth Sukhjit Takhar Michael B Stone | 2016 | World Journal of Emergency Medicine2016，7，1： | 2 |
| 3 | Depression and 1-year prognosis in unstable angina显示文摘 | Lesperance F Frasure Smith N Juncau M | 2000 | Arch Int Med2000，160，9： | 1 |
| 4 | The effect of sleep disturbance on quality of life in women with ovarian cancer显示文摘 | Sandadi S Frasure HE Broderick MJ | | 0，，02： | 1 |
| 5 | Depression and 12 year prognosis in unstable angina 显示文摘 | Iesperauce F Frasure - Smith N Juneau M | 2000 | Arch Intern Med2000，160，9： | 1 |
| 6 | Social support, depression and mortality during the first my cardial infarction 显示文摘 | Frasure S N Lespurance F Gravel G | 2000 | Circulation2000，，16： | 1 |
| 7 | Emergency Ultrasound Diagnosis of Ovarian Hyperstimulation Syndrome: Case Report显示文摘 | Sarah E. Frasure Joshua S. Rempell Vicki E. Noble Andrew S. Liteplo | 2012 | Journal of Emergency Medicine2012，，2： | 1 |
| 8 | Depression and 12 year prognosis in unstable angina 显示文摘 | Iesperauce F Frasure - Smith N Juneau M | 2000 | Arch Intern Med2000，160，： | 1 |
| 9 | Relationship between n- 3 and n-6 plasma fatty acid levels and insulin resistance in coronary patients with and without metabolic syndrome 显示文摘 | Nigam A Frasure N Lesperance F | 2009 | Nutr Metab Cardiovasc Dis2009，19，4： | 1 |
| 10 | Depression and 18-month prognosis after myocardial infarction显示文摘 | Frasure SN Lesperance F Talajic M | 1995 | Circulations1995，91，4： | 1 |
| 11 | Depression and 18-month prognosis after myocardial infliction 显示文摘 | Frasure SW Lespersure F Jalajic M | 1995 | Circulation1995，9，4： | 1 |
| 12 | Relationship of serum S100B levels and intracranial injury in children with closed head trauma显示文摘 | Bechtel K Frasure S Marshall C | 2009 | Pediatrics2009，124，4： | 1 |
| 13 | Five - year risk of cardiac mortality in relation to initial severity and one - year changes in depression symptems after myocardial infarction显示文摘 | Lesperance F Frasure - Smith N Talajic M | 2002 | Circulation2002，105，9： | 1 |
| 14 | The effect of sleep dis turbance on quality of life in women with ovarian cancer显示文摘 | Sandadi S Frasure HE Broderick MJ | 2011 | Gyne- col Oncoi2011，123，2： | 1 |
| 15 | The association between major depression and levels of soluble intercellular adhesion molecule 1 in patients with recent acute coronary syndromes显示文摘 | Lesperance F Frasure - Smith A Therou XP | 2004 | Am J Psychiatry2004，161，3： | 1 |
| 16 | Social support de-pression and mortality during the first year after myocardial infarction显示文摘 | Frasure Smith N Lesperance F Gravel G | 2000 | Circulation2000，101，： | 1 |
| 17 | Depression and 1-yearprognosis in unstable angina显示文摘 | Frasure Smith N Juncan M | 2000 | Arch Int Med2000，160，9： | 1 |
| 18 | Recent evidence linking coronary heart disease and depression显示文摘 | Frasure Smith N Lesperance F | 2006 | Can J Psychiatry2006，17，5： | 1 |
| 19 | Depression and 18-month prognosis after myocardial infaction显示文摘 | Lespersure F Jalajic M | 1995 | Circulation1995，9，4： | 1 |
| 20 | Depression and 18~month prognosis After Myocardial Infarction显示文摘 | Lespersure F Jalajic M | 1995 | Circuation1995，9，4： | 1 |
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