Diagnostic Scores in Acute Appendicitis

A, Alvarado Durán

doi:10.5772/intechopen.77230

Cited by 8 publications

(8 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[6] On physical examination, 38.5% of our patients were positive for defense and 69.2% for rebound. The fact that the defense positivity rate is low compared to the normal population [3] supports that the anatomical and physiological changes mentioned above mask the physical examination findings.…”

Section: Discussionmentioning

confidence: 86%

“…[1,2] There are scoring systems, such as Alvarado, based on physical examination and laboratory values developed for the diagnosis of appendicitis in the general population. [3] In addition, the rate of correct diagnosis has increased considerably with imaging methods such as ultrasonography (US) and computed tomography (CT). However, when it comes to pregnant women, the effectiveness of the methods used in daily practice decreases considerably.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Acute appendicitis in pregnancy; A single center experience

Turgut

Çakır²,

Dikiser³

et al. 2022

Aegean J Obstet Gynecol

View full text Add to dashboard Cite

Objective Appendicitis is the most common cause of extrauterine acute abdomen during pregnancy. There are scoring systems, such as Alvarado, based on physical examination and laboratory values developed for the diagnosis of appendicitis in the general population. However, when it comes to pregnant women, the effectiveness of the methods used in daily practice decreases considerably. In our study, we aimed to share the data of our patients who were diagnosed with acute appendicitis during pregnancy in our clinic. Material methods Pregnant women who were operated for acute appendicitis between April 2008 and May 2021 were included in the study. Demographic data of the patients, gestational week, physical examination and laboratory values at the time of admission, USG findings, type of surgery performed, surgical findings, pathology results and fetal-maternal complications that developed during postoperative follow -up were reviewed retrospectively through the hospital system. Results From the clinicopathological features of the patients, only re-operation due to appendiceal stump leakage (p:0.04) and drain placement during operation (p:0.046) were significantly associated with miscarriage. Although complications and abortion rates were higher in patients with perforation and periappendicular abscess, the difference was not statistically significant. Conclusion Detailed history and physical examination are key for the diagnosis of acute appendicitis in pregnant women. Any patient with right lower quadrant pain, nausea, vomiting and fever, who has tenderness and defensive rebound in the right lower quadrant on physical examination should be considered as appendicitis after obstetric causes are excluded, until proven otherwise.

show abstract

Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Acute appendicitis in pregnancy; A single center experience

Turgut

Çakır²,

Dikiser³

et al. 2022

Aegean J Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…The predictive power of the CSSs developed for acute appendicitis varies [ 1 , 27 ]. The Alvarado scoring system is reportedly more accurate in Western populations, while the RIPASA is more accurate in Middle Eastern and some Asian populations; the two scores are comparable in Eastern populations [ 16 , 28 ]. The RIPASA score was developed for the patients of RIPAS Hospital, Brunei in 2010.…”

Section: Discussionmentioning

confidence: 99%

“…Many clinical scoring systems (CSSs) using different parameters have been developed to predict acute appendicitis [ 14 , 15 ]. The purpose of applying a CSS is to predict acute appendicitis and distinguish the patients who need medical treatment or needing an emergent surgery preventing the probable complications that may increase mortality and morbidity [ 1 , 16 ]. CSSs may facilitate differential diagnosis reducing the unnecessary radiologic examinations and surgical explorations [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

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

Gönüllü

Bayhan

Çapoğlu

et al. 2022

Emergency Medicine International

View full text Add to dashboard Cite

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.

show abstract

“…This is especially helpful in lowincome countries with limited resources [20] A good diagnostic score for acute appendicitis should be simple, easy to remember, reusable, economical, and easy to apply In an emergency a diagnostic score for acute appendicitis can be useful for statistical purposes by providing a more precise index of disease. [21]…”

Section: The Relationship Between Age Gender and High Alvarado Score ...mentioning

confidence: 99%

Relationship between High Alvarado Scores and Complicate Acute Appendicitis in Acute Appendicitis Patients That Undergo Appendicectomy Surgery

2022

View full text Add to dashboard Cite

ackground/aim: Alvarado score can help diagnose acute appendicitis based on predictive clinical factors and reduce the number of radiological examinations. Correct diagnosis and early surgical intervention are the best treatment to reduce morbidity, mortality and complications, with appendicectomy as the gold standard of treatment. This study aims to determine the relationship between a high Alvarado score and the occurrence of complicated acute appendicitis in acute appendicitis patients who underwent appendicectomy surgery at Sanglah General Hospital. Methods: This study used a cross sectional design. Data observation was carried out retrospectively. The research sample in this study was selected sequentially (consecutive sampling) which involved 108 respondents who had met the inclusion criteria and there were no exclusion criteria. Data analysis in this study consisted of univariate analysis (descriptive statistics), bivariate analysis (Chi Square test) and multivariate analysis (logistic regression). Results: Alvarado score in the complicated group obtained with a mean of 7.4 (SD: 1.2) and the non-complicated group obtained with a mean of 6.7 (SD: 1.8) with p value = 0.049. Alvarado score 7 with the occurrence of complicated appendicitis as many as 45 respondents (41.7%) and 29 respondents non-complicated (26.9%), Alvarado score <7 with complicated appendicitis status as many as 9 respondents (8.3%) and non-complicated as many as 25 respondents (23.1%). Conclusion: There is a significant relationship between a high Alvarado score and the occurrence of complicated acute appendicitis in patients with acute appendicitis who underwent appendicectomy with a 4 times chance of complications if they have a high Alvarado score. Keywords: Appendicitis, Alvarado score, complications, clinical symptoms.

show abstract

Diagnostic Scores in Acute Appendicitis

Abstract: Diagnostic scores should be part of the initial evaluation of patients suspected of acute appendicitis. This approach could be very helpful in order to make an early diagnosis and to stratify the cases for observation, further investigation, or surgical intervention.

Cited by 8 publications

References 24 publications

Acute appendicitis in pregnancy; A single center experience

Acute appendicitis in pregnancy; A single center experience

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

Relationship between High Alvarado Scores and Complicate Acute Appendicitis in Acute Appendicitis Patients That Undergo Appendicectomy Surgery

Contact Info

Product

Resources

About