Appendicitis and Mimicking Conditions

Gilmore, O. J. A.; Browett, JP; Griffin, P.H.; Ross, Iain K.; Brodribb, A. J. M.; Cooke, T.J.C.; Higgs, Michael J.; Williamson, Rcn

doi:10.1016/s0140-6736(75)90841-7

Cited by 154 publications

(75 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…better when compared with other studies of Chan et al and Subhajeet et al in which PPV value was 86.9% and 97.6% respectively. 12,13 The negative predictive values of the scoring system in this study was 57.41% which is comparable with the studies of Subhajeet et al (69.8%). 13 According to literature, sensitivity of USG in diagnosing acute appendicitis ranges from 55-96% and the specificity from 85-98%.…”

Section: Discussionsupporting

confidence: 90%

“…In these cases, MASS should be replaced with ultrasound scan or CT scan or laparascopy to minimize the NAR. 12 To be useful, a scoring system should be sensitive and specific. Our study demonstrates that modified Alvarado score applied to all patients is substantially superior in diagnosis of acute appendicitis with a sensitivity of 89.66% and a specificity of 92.31%.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of modified Alvarado scoring system in acute appendicitis at Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India

2017

View full text Add to dashboard Cite

Background: Despite of much advancement in modern diagnostic technology, decision making in patients with acute appendicitis is still a challenge worldwide. Many diagnostic scoring systems have been developed. Of them modified Alvarado scoring system (MASS) has been reported to be a cheap and quick diagnostic tool which minimizes negative appendectomy rate. The present study was aimed to evaluate the efficacy of MASS in diagnosing acute appendicitis and correlating the same with histopathological results.Methods: This prospective cohort study conducted from November 2012 to April 2014, over a period of 18 months at Vydehi Institute of Medical Sciences and Research Centre, Bangalore. 100 patients with symptoms of acute appendicitis were enrolled in the study. They were diagnosed using MASS. Patients with a score of 7 to 10 were taken up for surgery. Patients with a score below 7, but with high suspicion of acute appendicitis by the surgeon were taken up for surgery. Following surgery all appendix specimens were sent for histopathologic examination.Results: A total number of 100 patients were participated in the study. Of them patients under the age group of 21-30 years were more affected with acute appendicitis (51%). Male predominance was observed in the study (74%). The common symptom observed in all patients (100%) was tenderness in right Iliac fossa (RIF). Out of 100 patients, 79% of the patients were presented with a modified Alvarado score of ≥7 and 21% presented with a score of <7. The sensitivity and specificity of the MASS in this study was 89.66% and 92.31% in both males and females respectively. The positive predictive value was 98.73%, negative predictive value was 57.41% and the NAR was 6.75% and 30.76% in male and female patients respectively.Conclusions: The observations of the study confirm that use of MASS in patients suspected to have acute appendicitis provides a high degree of diagnostic accuracy and subsequently reduces the negative appendicectomy and complication rates.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Evaluation of modified Alvarado scoring system in acute appendicitis at Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India

2017

View full text Add to dashboard Cite

show abstract

“…(31) & is comparable to the figures shown in literature (15.62%). (32,33) Our study showed a low incidence of perforation (7.6%) which can be explained by the fact that perforation in acute appendicitis is clearly more common in children & elderly people. (34,35) The percentage of both of these groups is low in our study, as well as, the more accurate diagnosis depending on the application of Modified Alvarado Score.…”

mentioning

confidence: 70%

THE USEFULNESS & ACCURACY OF THE MODIFIED ALVARADO SCORE IN THE PREOPERATIVE DIAGNOSIS OF ACUTE APPENDICITIS.

Salih.¹

2017

IJAR

View full text Add to dashboard Cite

“…There are many other diseases of gastrointestinal tract which mimic AA making it difficult in diagnosis. (11,12). Diagnosis difficulties arise in females at reproductive age , very young, and elderly patients because they are more possible to have an atypical presentation.…”

Section: Issn: 2320-5407mentioning

confidence: 99%

Relationship Between Appendicitis and Lifestyle; Dietary and Hygiene in Saudi Arabia.

Alzahrani¹,

Sehli²,

Alsharif³

et al. 2017

IJAR

View full text Add to dashboard Cite

Appendicitis and Mimicking Conditions

Cited by 154 publications

References 12 publications

Evaluation of modified Alvarado scoring system in acute appendicitis at Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India

Evaluation of modified Alvarado scoring system in acute appendicitis at Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India

THE USEFULNESS & ACCURACY OF THE MODIFIED ALVARADO SCORE IN THE PREOPERATIVE DIAGNOSIS OF ACUTE APPENDICITIS.

Relationship Between Appendicitis and Lifestyle; Dietary and Hygiene in Saudi Arabia.

Contact Info

Product

Resources

About