Introduction: Appendix is surely, the most commonly harvested organ of the body. On looking up the literature, we found, that the negative appendectomy rates have been consistently maintained all through these years. Negative appendectomy not only increases economic burden on health care facilities of a developing country like India, but also has a negative impact on the overall health of the patient. The following study was therefore, taken up to evaluate the diagnostic accuracy of the Modified Alvarado scoring system and its ultimate effect on mortality and morbidity of the patient. Though this is an old score, but we restudied it, to revalidate as well as to promote the use of this simple, economical and objective clinical score which actually uses established clinical methods, important for residents training program, to reach the diagnosis instead of the costly radiological methods. Material and methods: 50 patients presenting with the lower quadrant abdominal pain and fulfilling the inclusion criteria were selected randomly and included in the study. Modified Alvarado Score was calculated for each one of them. Confirmation of the diagnosis was done after the histopathological examination of appendix. Results: Modified Alvarado Score >7 was found in 80% (i.e. 82.75% of males and 76.19% of females) of patients with appendicitis. In addition to these findings, we also got exact information about the age and sex distribution along with the most common presenting complaint, the postoperative complications and the need for post operative stay in appendicitis patients. Conclusion: Modified Alvarado Score is a fast, simple, noninvasive, repeatable and highly economical score. When applied purposefully and objectively, it can prevent delay in surgeries and hence complications as well as can reduce negative appendectomies.

JapaneseUrologicalAssociation 150(270)