Nonspecific XXXX is a safe diagnosis.

@entity1 @entity698 @entity490
AIM: The aim of this study is to assess if a clinical diagnosis of nonspecific @entity490 (NSAP) is safe and if @entity1 with this initial diagnosis are likely to require further investigation or surgical intervention. METHODS: 3323 @entity1 admitted with NSAP from July 1990 to September 2012 utilizing a prospective database of all surgical admissions were included. Readmission over the period of the study and specifically within 30days of their initial presentation was identified together with any invasive investigation or surgical intervention. MAIN RESULTS: 319 @entity1 (9.6%) were subsequently readmitted with @entity490 at some point during the study period. Of these, 78 (2.3%) were readmitted within 30days. 118 (3.5%) @entity1 subsequently had an operation or invasive investigation some point following their initial admission. Of these 33 (0.6%) had the procedure within 3months of the initial admission. 13 @entity1 had an appendicectomy within 3months of the initial presentation. Of these histology confirmed @entity698 in 8 @entity1 . This gives an overall incidence of "missed" @entity698 of 0.2 % (8/3323). CONCLUSION: This study confirms that a clinical diagnosis of nonspecific @entity490 (NSAP) is safe in a pediatric population and the risk of "missing" @entity698 is only 0.2%. @entity1 and/or parents can be confidently reassured that the risk of missing organic pathology is very low.
