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Comparison of two maneuvers to identify Carnett’s sign in patients with chronic abdominal pain. Randomized controlled clinical trial

Study Overview

Chronic abdominal pain (CAP) can be difficult to diagnose. One common reason for CAP is a condition called anterior cutaneous nerve entrapment syndrome (ACNES), which can be identified using the Carnett sign. This study compares two methods to detect the Carnett sign.

Objective

The goal was to compare the two methods for identifying the Carnett sign, assess the use of a local anesthetic (2% lidocaine) for pain relief, and analyze the costs involved in diagnostic tests.

Study Design

This was a randomized controlled trial involving 1320 patients. They were split into two groups:

  • Group A: Elevating the head and trunk
  • Group B: Elevating the lower extremities

Results

Both methods effectively identified the Carnett sign. The use of 2% lidocaine provided quick relief to most patients. Additionally, costs for diagnostic tests before reaching a conclusion were about $861,000, while the cost of using lidocaine was only $66.00, representing 7.6% of the total expenses for prior tests.

Conclusion

Both methods of testing for the Carnett sign are equally effective. The use of lidocaine offers rapid pain relief with few side effects. Understanding the Carnett sign can help reduce healthcare costs.

Measurable Outcomes

Clinics can benefit from setting clear goals based on the findings, such as:

  • Improving the identification of the Carnett sign
  • Reducing unnecessary diagnostic costs
  • Enhancing patient pain management strategies

AI Solutions for Healthcare

Consider implementing AI tools that can assist in:

  • Improving diagnostic accuracy
  • Streamlining patient management
  • Tracking outcomes efficiently

Next Steps

Start with a pilot project to track the effectiveness of these findings. Monitor results using AI solutions to assess the real-world impact.

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