A prospective trial of computed tomography and ultrasonography for diagnosing appendicitis in the atypical patient

Horton, Marc; Counter, Steven F; Florence, Michael G.; Hart, Michael J.

doi:10.1016/s0002-9610(00)00372-x

Cited by 137 publications

(79 citation statements)

References 5 publications

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“…These data may not be the guide for the daily practice of all hospitals and services [29][30][31][32][33][34][35][36] . This fact was demonstrated by Frankeet al 13 in a prospective, multicenter study in which the sensitivity of ultrasound was only 55%, a percentage that can be caused by various factors, including indication of the ultrasound exam in a routine or selective way and different experience with the method between the centers assessed.…”

Section: Results Results Results Resultsmentioning

confidence: 99%

Índices diagnósticos da ultrassonografia abdominal na apendicite aguda: influência do gênero e constituição física, tempo evolutivo da doença e experiência do radiologista

Peixoto

Nunes

Gomes

2011

Rev. Col. Bras. Cir.

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Influence of gender and physical constitution, time evolution of the disease and experience of radiologist evolution of the disease and experience of radiologist evolution of the disease and experience of radiologist evolution of the disease and experience of radiologist evolution of the disease and experience of radiologist Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Índices diagnósticos da ultrassonografia abdominal na apendicite aguda. Influência do gênero e constituição física, tempo evolutivo da doença e Influência do gênero e constituição física, tempo evolutivo da doença e Influência do gênero e constituição física, tempo evolutivo da doença e Influência do gênero e constituição física, tempo evolutivo da doença e Influência do gênero e constituição física, tempo evolutivo da doença e experiência do radiologista experiência do radiologista experiência do radiologista experiência do radiologista experiência do radiologista We prospectively evaluated 156 patients with clinical diagnosis of acute appendicitis who underwent laparoscopic appendectomy and abdominal ultrasonography, together with pathology of the excised appendices. Patients were allocated in relation to BMI in both groups (below or above 25 kg/m 2 ) and radiologists, in three groups according to their professional experience (less than five years, between five and 10 years and more than 10 years). The survey also assessed the influence of gender and time of disease progression using the median of 36 hours. Results Results ResultsResults Results: The sensitivity and specificity of abdominal ultrasonography for diagnosing appendicitis were 64.9 and 72% respectively. Gender, body mass index, length of experience of the radiologists in the three groups and time of onset of symptoms showed no significant differences in the establishment of sonographic diagnosis of acute appendicitis. Conclusion Conclusion Conclusion Conclusion Conclusion: The abdominal ultrasonography showed low sensitivity and specificity and little contribution to the diagnosis of acute appendicitis. Gender, physical constitution, the experience of the radiologist and time of onset of symptoms did not affect the outcome of the sonography.

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Section: Results Results Results Resultsmentioning

confidence: 99%

Índices diagnósticos da ultrassonografia abdominal na apendicite aguda: influência do gênero e constituição física, tempo evolutivo da doença e experiência do radiologista

Peixoto

Nunes

Gomes

2011

Rev. Col. Bras. Cir.

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“…There may be a subgroup of patients with atypical presentations for suspected appendicitis in whom preoperative scanning may be useful. 23 This study was not designed to investigate the role of radiological investigations in appendicitis and this topic is the focus of further study.…”

Section: Discussionmentioning

confidence: 99%

Comparison of appendicectomy outcomes: acute surgical versus traditional pathway

Pillai

Hsee

Pun

et al. 2013

ANZ Journal of Surgery

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Introduction: The acute surgical unit (ASU) is an evolving novel concept introduced to address the challenge of maintaining key performance indicators (KPIs) in the face of an increasing acute workload. Results:Our results show significant improvement in length of stay (2.8 days, 2.6 days, P = 0.0001) and proportion of daytime operations (59.4%, 65.8%, P = 0.004), in keeping with other studies on benchmarking. Conclusion:The introduction of ASU has led to significant improvements in some KPIs for appendicectomy outcomes in the face of an increasing workload.

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“…Cuando el diagnóstico clínico no es evidente se pueden utilizar estudios complementarios de imagen como la ecografía o el TC abdominal, con una sensibilidad para la apendicitis aguda del 76% y 97% respectivamente y una especificidad del 90% y 100% respectivamente 5 . La colonoscopia convencional no está indicada en el protocolo diagnóstico de la apendicitis aguda, es más, la exploración podría complicar el proceso condicionando un empeoramiento del dolor, una hemorragia digestiva o una perforación 1 .…”

Section: Varón De 18 Años Sin Antecedentes Mé-dicos De Interés Que Acunclassified

Apendicitis aguda atípica diagnosticada durante una colonoscopia

Ostiz

Amorena

Campillo

et al. 2013

Anales Sis San Navarra

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A prospective trial of computed tomography and ultrasonography for diagnosing appendicitis in the atypical patient

Cited by 137 publications

References 5 publications

Índices diagnósticos da ultrassonografia abdominal na apendicite aguda: influência do gênero e constituição física, tempo evolutivo da doença e experiência do radiologista

Índices diagnósticos da ultrassonografia abdominal na apendicite aguda: influência do gênero e constituição física, tempo evolutivo da doença e experiência do radiologista

Comparison of appendicectomy outcomes: acute surgical versus traditional pathway

Apendicitis aguda atípica diagnosticada durante una colonoscopia

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