Comparison of scoring systems regarding the gender as a parameter with the traditional scoring systems for predicting appendicitis

Çapoğlu, Recayi; Gönüllü, Emre; Bayhan, Zülfü; Coskun, Murat; HARMANTEPE, Ahmet Tarık; Kucuk, Furkan

doi:10.1007/s13304-022-01272-y

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…Similarly, Albahadili MA et al 15 reported that the mean age of the patients of acute appendicitis was 27.44 years, males were 56% and females were 44%. Inconsistently Capoglu R et al 16 reported that females were in majority 52.6% and males were 47.4%. On the other hand, Memon SN et al 17 demonstrated that the average age of the patients was 21.25±9.12 years and males were in majority 62%, while females were 38%.…”

Section: Discussionmentioning

confidence: 90%

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Comparative Study Between Karaman Score and Modified Alvarado Score for Predictability in Avoiding Negative Appendectomy in the Suspected Cases of Acute Appendicitis

Ghumro¹,

Parveen²,

Ahmed³

et al. 2022

PJMHS

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Objective: To compare the diagnostic accuracy between the Karaman score and the Modified Alvarado score for predictability in avoiding a negative appendectomy in suspected cases of acute appendicitis. Material and methods: This comparative study was done at the general surgery department of JPMC Karachi, from February 2022 to August 2022. All the patients diagnosed as the cases of acute appendicitis undergoing surgical treatment, aged more than 14 years and of either gender, were included. Both the Karaman and the Alvarado scoring systems were implemented in order to assign points to each of the study subjects. The Alvarado score is comprised of eight different parameters, while the Karama score only makes use of six different parameters. After evaluating the patient on both scores, the decision to perform surgery was primarily based on the surgeon's clinical judgement after considering all clinical, laboratory, and radiological findings. Postoperative histopathology reports were collected, and the scores of both Alvarado and Karaman score were compared. Patients were operated and monitored throughout the stay in hospital up to discharge. Afterwards, for each score, sensitivity, specificity, and positive and negative predictive values were determined. All the data was collected via a study proforma, and SPSS version 26 was used for the data analysis. Results: In this study, 180 cases of appendicitis undergoing surgical treatment were studied, their mean age was 27.03 ± 10.12 years, and their mean BMI was 19.88 ± 3.43 kg/m2. Males accounted for 80.0% of all study participants. As per histological findings, acute appendicitis was found in 78.9% of the cases, 14.4% of the patients had gangrenous appendicitis, while 6.5% of the cases had a normal appendix. Histopathological evaluation was statistically significant according to the appendicitis identification by Karaman scoring system and Alvarado scoring system (p-0.001). Although both scoring systems showed almost similar diagnostic accuracy, the Karaman scoring system showed sensitivity (98%), specificity (75%), PPV (98%), NPV (75%), and accuracy (96%), while the Alvarado scoring system showed sensitivity (97%), specificity (58%), PPV (97%), NPV (63%), and accuracy (95%). Conclusion: In the study conclusion, the Karaman score and Alvarado scoring systems both were observed to be the good predictive to distinguishing acute appendicitis in avoiding the negative appendectomy. Both showed almost similar and high sensitivity and accuracy by taking histopathology is gold standard. Keywords: Appendicitis, Karaman score, Alvarado score, Accuracy

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Section: Discussionmentioning

confidence: 90%

“…Since the Alvarado score is the first created for acute appendicitis and also has repeatedly been proved to be appropriate, almost several newer clinical scoring systems are evaluated against it. [21][22][23]…”

Section: Discussionmentioning

confidence: 99%

Comparative Study Between Karaman Score and Modified Alvarado Score for Predictability in Avoiding Negative Appendectomy in the Suspected Cases of Acute Appendicitis

Ghumro¹,

Parveen²,

Ahmed³

et al. 2022

PJMHS

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“…This difference shows that the scoring systems whose validity and reliability have been revealed by various well designed studies should be preferred when choosing the appendicitis scoring system for the diagnosis of acute appendicitis. Almost all novel CSSs are compared to the Alvarado score, as it was the first CSS developed for acute appendicitis and has frequently been shown to be accurate [ 1 , 15 , 28 , 31 , 34 , 35 ]. In our study, the most effective CSS in the 18–45 years age group was the Alvarado score, which was also the second most accurate scoring system (after the Fenyo–Lindberg CSS) among patients of all ages.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Accuracy Rates of Appendicitis Scoring Systems for the Stratified Age Groups

Gönüllü

Bayhan

Çapoğlu

et al. 2022

Emergency Medicine International

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Background. Many scoring systems have been developed for acute appendicitis, which is the most common emergent disorder in surgical practice. Considering the physiological changes and chronic diseases occurring with advancing age, an applied scoring system may not produce the same score in similar patients in all age groups. Objectives. We aimed to compare the predictive values of scoring systems in different age groups. Methods. In this prospective study, the patients operated on in our clinic with a prediagnosis of acute appendicitis between March 2020 and March 2021 were included. We divided them into three age groups as 18–45 years (group 1), 46–65 years (group 2), and >65 years (group 3). We compared the scores of the nine acute appendicitis scoring systems most commonly used in the literature for these age groups. Results. A total of 203 patients were included in our study. The Alvarado scoring system yielded the most accurate results for group 1, whereas the Fenyo–Linberg scoring system was the most accurate system for group 2 and the Eskelinen scoring system for group 3. Conclusion. Age should be considered as a major parameter during the selection of the scoring system to be applied for patients with prediagnosis of acute appendicitis. Our study revealed the Alvarado and the Fenyo–Lindberg scoring systems as the most accurate systems for the differential diagnosis of appendicitis in the 18–45 and 46–65 years age groups, respectively. Although we found the Eskelinen scoring system as the most accurate one in the >65 years age group, the confidence intervals indicated that it may not be appropriate for use alone in this group.

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“…En consecuencia, la evidencia disponible indica que, al comparar ambas escalas, RIPASA muestra una mayor exactitud diagnóstica que . También se identificaron investigaciones que no encontraron diferencias entre ambas escalas (28)(29)(30); lo que concuerda con los hallazgos de esta investigación, en la que, ambas escalas, demostraron un rendimiento "discreto" con sensibilidad y especificidad bajas.…”

Section: N(%)unclassified

Utilidad de escalas para mejorar la sospecha diagnóstica de apendicitis aguda en la sala de Emergencia del Hospital General Puyo, 2021

Robalino Díaz,

Carrillo Medina,

Sandoval Castañeda

et al. 2023

MedicienciasUTA

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Contexto: A través de los años se han desarrollado varias escalas para apoyar el diagnóstico y predecir la gravedad de los casos con un cuadro sugestivo de apendicitis aguda. En esta investigación se comparan dos de estas escalas. Objetivo: Determinar el grado de certeza diagnóstica de las escalas Alvarado y RIPASA como apoyo diagnóstico de Apendicitis Aguda, en la población del oriente del Hospital General Puyo, desde enero 2021 hasta diciembre 2021. Metodología: Investigación analítica, comparativa, retrospectiva, de exactitud diagnóstica. Población y muestra: Historias clínicas de 105 pacientes adultos admitidos con diagnóstico de apendicitis aguda en el periodo de estudio. Se utilizó el programa SPSS v25.0, se calcularon la sensibilidad (S), especificidad (E), valores predictivos (VPP y VPN), razones de verosimilitud (LR+ y LR-), OR diagnóstico (ORD), IC 95% y curvas Receiver Operating Characteristic (ROC). Como pruebas de referencia se tomaron el criterio del cirujano y, el examen histopatológico. Resultados: Exactitud diagnóstica: Alvarado: Sensibilidad: 49,0% (35,9%-62,3%), Especificidad: 50,0 % (37,1%-62,9%); Valor Predictivo Positivo: 48,1% (34,2%-62,2%); Valor Predictivo Negativo: 50,9% (37,0%-64,7%), Razón de verosimilitud positiva: 0,9 (0,7-1,4), Razón de verosimilitud negativa: 1,0 (0,7-1,5); Odss ratio diagnóstico: 0,9 (0,4-2,1), Área bajo la curva: 51,8% (40,6%-63,0%). RIPASA: Sensibilidad: 76,5% (62,2%-86,7%), Especificidad: 12,9% (5,8%-25,5%), Valor Predictivo Positivo: 45,3% (34,7%-56,4%), Valor Predictivo Negativo: 36,8% (17,2%-61,4%), Razón de verosimilitud positiva: 0,88 (0,73-1,06), Razón de verosimilitud negativa: 1,82 (0,78-4,25), Odss ratio diagnóstico: 0,48 (0,17-1,35), Área bajo la curva: 60,8% (49,7%-71,9%). Conclusiones: No hubo diferencias significativas entre las escalas RIPASA y Alvarado en relación a la exactitud diagnóstica de apendicitis aguda en el Hospital General de Puyo. En ambos casos, el rendimiento fue “discreto”; pero, debido a las características de la muestra, no debería generalizarse este hallazgo.

show abstract

Comparison of scoring systems regarding the gender as a parameter with the traditional scoring systems for predicting appendicitis

Cited by 9 publications

References 17 publications

Comparative Study Between Karaman Score and Modified Alvarado Score for Predictability in Avoiding Negative Appendectomy in the Suspected Cases of Acute Appendicitis

Comparative Study Between Karaman Score and Modified Alvarado Score for Predictability in Avoiding Negative Appendectomy in the Suspected Cases of Acute Appendicitis

Diagnostic Accuracy Rates of Appendicitis Scoring Systems for the Stratified Age Groups

Utilidad de escalas para mejorar la sospecha diagnóstica de apendicitis aguda en la sala de Emergencia del Hospital General Puyo, 2021

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