Adult appendicitis score versus Alvarado score: A comparative study in the diagnosis of acute appendicitis
التاريخ
2023المؤلف
Ghali, Mohamed SaidHasan, Samer
Al-Yahri, Omer
Mansor, Salah
Al-Tarakji, Mohannad
Obaid, Munzir
Shah, Amjad Ali
Shehata, Mona S.
Singh, Rajvir
Al-Zoubi, Raed M.
Zarour, Ahmad
...show more authors ...show less authors
البيانات الوصفية
عرض كامل للتسجيلةالملخص
Background
Acute Appendicitis (AA) is the most common abdominal surgical emergency. It requires proper management to decrease mortality and morbidity. Clinical scoring systems for diagnosing AA aimed to decrease the use of radiological scans and the rate of negative appendectomies (NA). We aim to assess the adult appendicitis score (AAS) in the diagnosis prediction of AA.
Method
A retrospective study with 1303 cases of AA is performed. We compared the correlation of AAS and Alvarado scores to postoperative histopathology. Specificity, sensitivity, Positive Predictive Value (PPV), and Negative Predictive Value (NPV) were assessed. ROC was used.
Results
AAS risk stratification was applied to the study population. Group I for a low probability, and groups II and III for an intermediate and high probability of AA. We found that 159 patients were matched in group I, 505, and 639 were in groups II and III of AAS, respectively. The correlation between Alvarado and AAS with HP was significant. AAS ≥ 16 presented sensitivity and specificity of 50 % and 75.47 %, respectively, with PPV of 97.96 % and NPV of 6.02 %, with an accuracy of 51.04 %. Regarding AAS ≥ 11, the sensitivity was 88.96 %, specificity was 39.62 %, PPV was 97.2 %, NPV was 13.21 %, and accuracy was 86.95 %.
Conclusion
AAS is relatively more accurate than Alvarado's score, especially in selecting a safe candidate for discharge from an emergency. In addition, AAS is found to decrease the need for radiological images and NA rate more than Alvarado.
المجموعات
- العلوم الحيوية الطبية [738 items ]
وثائق ذات صلة
عرض الوثائق المتصلة بواسطة: العنوان، المؤلف، المنشئ والموضوع.
-
Decreased number of acute appendicitis cases in pediatric population during the COVID-19 pandemic: Any link?
Zvizdic, Zlatan; Vranic, Semir ( Elsevier , 2020 , Article)The reasons behind the decrease in AA frequency during the COVID-19 pandemic remain unclear. Some authors have proposed that milder forms can be treated conservatively at home [15] or using antibiotics. Snapiri et al. also ... -
The predictors of perforated appendicitis in the pediatric emergency department: A retrospective observational cohort study
Zlatan, Zvizdic; Golos, Alisa Duric; Milisic, Emir; Jonuzi, Asmir; Zvizdic, Denisa; Glamoclija, Una; Vranic, Semir... more authors ... less authors ( Elsevier , 2021 , Article)Objective Appendiceal perforation has significant effects on perioperative morbidity and postoperative outcome. The present study aimed to identify possible predictive factors associated with perforated appendicitis (PA) ... -
Congenital absence of appendix: a rare condition that could result in severe complications-a review of literature
Ghali, Mohamed Said; Saleem, Nitasha; Khalaf, Mohamed H; Alkubaisi, Ismail K; Ali, Abdulhameed; Al Obahi, Mohammed; Al-Zoubi, Raed M... more authors ... less authors ( Oxford University Press , 2023 , Article)Acute appendicitis is the most frequent cause of abdominal pain and acute emergency surgeries, with a mortality risk of 6-7% at its onset. Since atypical deviations in these structures are rare, they can lead to diagnosis ...