<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-1351</journal-id>
<journal-title><![CDATA[Acta Radiológica Portuguesa]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Radiol Port]]></abbrev-journal-title>
<issn>2183-1351</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Radiologia e Medicina Nuclear]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-13512026000100302</article-id>
<article-id pub-id-type="doi">10.25748/arp.43536</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Radiografia Abdominal no Serviço de Urgência - Rotina ou Verdadeira Necessidade?]]></article-title>
<article-title xml:lang="en"><![CDATA[Abdominal Radiography in the Emergency Department - Routine Practice or Real Necessity?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Águas]]></surname>
<given-names><![CDATA[Catarina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Lúcia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leitão]]></surname>
<given-names><![CDATA[Helena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[Rute]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Faro - Unidade Local de Saúde do Algarve Serviço de Radiologia ]]></institution>
<addr-line><![CDATA[Faro ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade do Algarve Faculdade de Medicina e Ciências Biomédicas ]]></institution>
<addr-line><![CDATA[Faro ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade do Algarve Algarve Biomedical Center - Research Institute (ABC-RI) ]]></institution>
<addr-line><![CDATA[Faro ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>01</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>01</month>
<year>2026</year>
</pub-date>
<volume>38</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-13512026000100302&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-13512026000100302&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-13512026000100302&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Introdução: A dor abdominal é uma causa frequente de recurso ao serviço de urgência, sendo a sua abordagem desafiante por ser um sintoma inespecífico e com extenso espetro etiológico. Apesar da sua ampla utilização neste contexto, a radiografia abdominal tem baixa sensibilidade, limitando a sua utilidade clínica, com potenciais implicações terapêuticas, e reduzido valor diagnóstico. Este estudo avalia a adequação dos exames de radiografia abdominal num serviço de urgência, com base nas diretrizes do Royal College of Radiologists. Materiais e métodos: Foi realizada uma análise retrospetiva aos pedidos de radiografia abdominal realizados no serviço de urgência, considerando as variáveis: género e idade do doente, informação clínica, hipótese diagnóstica, adequação do exame radiológico, incidência realizada, adequação da incidência realizada, realização de exame radiológico adicional e tipo de exame adicional. Resultados: Foram avaliadas 2002 requisições de radiografia abdominal, de entre as quais 47,1% continha informação clínica, e 52,9% não dispunha desta informação. Entre os 943 pedidos contendo informação clínica, em 19,4% dos casos foi possível estabelecer uma hipótese diagnóstica a partir dos dados fornecidos. Dos exames contendo informação clínica, foram considerados adequados 16,7%. Conclusão: Este estudo revelou que a utilização inadequada da radiografia abdominal no serviço de urgência, constitui um fator de exposição evitável dos doentes a radiação ionizante. Os resultados reforçam a necessidade de definir diretrizes consistentes e estratégias que orientem o uso criterioso deste exame, equilibrando a proteção contra exposições desnecessárias à radiação com a otimização dos recursos em saúde.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Introduction: Abdominal pain is a common cause of admission in the emergency department, often posing a diagnostic challenge due to its nonspecific nature and wide etiological spectrum. Despite the widespread use of abdominal radiography in the evaluation of acute abdominal pain, its low sensitivity and limited diagnostic value restrict its clinical utility, potentially delaying treatment. This study evaluates the appropriateness of abdominal radiograph in an emergency department, based on the guidelines of the Royal College of Radiologists. Material and methods: A retrospective analysis was conducted on abdominal radiograph requests made in the emergency department, considering the following variables: patient gender and age, presence or absence of clinical information, establishment of diagnostic hypothesis, exam appropriateness, type of projection performed, projection appropriateness, additional radiological examinations performed, and type of additional examination performed. Results: Of the 2002 requests, 47,1% included clinical information, while 52,9% did not. Among the 943 requests with clinical information, a diagnostic hypothesis could be identified in 19,4% of the cases. Of the requests that included clinical information, 16,7% were deemed appropriate. Conclusion: This study revealed an inappropriate use of abdominal radiography, contributing to avoidable patient radiation exposure. The findings reinforce the need for clear guidelines and strategies to encourage a more selective use of this exam, reducing unnecessary radiation exposure and optimizing health resources.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Critérios de adequação]]></kwd>
<kwd lng="pt"><![CDATA[Radiação]]></kwd>
<kwd lng="pt"><![CDATA[Radiografia abdominal]]></kwd>
<kwd lng="pt"><![CDATA[Serviço de urgência.]]></kwd>
<kwd lng="en"><![CDATA[Abdominal radiography]]></kwd>
<kwd lng="en"><![CDATA[Appropriateness criteria]]></kwd>
<kwd lng="en"><![CDATA[Emergency department]]></kwd>
<kwd lng="en"><![CDATA[Radiation.]]></kwd>
</kwd-group>
</article-meta>
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