Application of a clinical score for the diagnosis of acute appendicitis in childhood: A retrospective analysis of 197 patients

Dado, G.; Anania, Gabriele; Baccarani, Umberto; Marcotti, E; Donini, Annibale; Risaliti, Andrea; Pasqualucci, Alberto; Bresadola, F

doi:10.1053/jpsu.2000.9316

Cited by 71 publications

(56 citation statements)

References 7 publications

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“…Routine history and physical examination still remain most practical diagnostic modalities [2]. Absolute diagnosis of course is only possible at operation and histopathologic examination of the specimen [3]. For this reason it is impractical to have a definitive preoperative diagnosis by gold standard, histopathology, which leads to an appreciable rate of negative appendicectomy as reported in the world literature varying from 20-40% with its associated morbidity of around 10%, some surgeons even accept a negative appendicectomy rate of 20% [4].…”

Section: Introductionmentioning

confidence: 99%

Alvarado Scoring in Acute Appendicitis—A Clinicopathological Correlation

et al. 2010

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Acute appendicitis is a clinical diagnosis, so it's impossible to have a definitive diagnosis by gold standard (histopathology) pre operatively. The treatment being surgical, negative appendicectomy rates are high. Present study was conducted to evaluate Alvarado scoring system for diagnosis of acute appendicitis and its co relation by histopathology. Retrospective study of consecutive patients admitted with suspected acute appendicitis during the period March 2005 to March 2007. The Alvarado scoring system was computed from admission notes and records and correlated with the histopathology reports. Out of 155 patients, 92 underwent appendicectomy with the intention to treat appendicitis and diagnosis was confirmed in 80 patients. Reliability of scoring system was assessed by calculating negative appendicectomy rate and positive predictive value. The normal appendicectomy frequency was 13% and positive predictive value was 86%. Alvarado scoring system is easy, simple, cheap, useful tool in pre operative diagnosis of acute appendicitis and can work effectively in routine practice.

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Section: Introductionmentioning

confidence: 99%

Alvarado Scoring in Acute Appendicitis—A Clinicopathological Correlation

et al. 2010

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“…Alfred Bond [6], Escriba [7], Dado [8] consider the performance of the score as being very good, while others like Macklin [9], Hsiao [10[, Schneider [11] consider the results as being modest.…”

Section: Discussionmentioning

confidence: 99%

Alvarado score: can it reduce unnecessary interventions for acute appendicitis in children?

Chisalau¹,

Tica

Chirila

et al. 2017

ARS Medica Tomitana

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The purpose of the study is to compare the outcomes of surgical interventions for acute appendicitis with the values of the Alvarado score. We conducted the study on 572 patients that underwent surgical interventions for acute appendicitis. Retrospectively, based on the medical records, we calculated the MANTRELS score and compared the outcomes of the intervention with the values of the applied score. Almost one third of the patients with a MANTRELS score lower than 6 had negative appendectomies. These patients represent 60% of the total cases of negative appendectomies, while in the case of patients with a high score around 2% had negative appendectomies. We concluded that using this scoring system to assess the need of immediate surgical intervention is important and can increase the rate of positive diagnosis mainly by limiting the number of unnecessary interventions.

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“…15 In most of the appendicectomy the naked eye examination of appendix shows inflammation quite often confirms diagnosis, but at times a normal looking may be reported as one with appendicitis. Hence, histological report was taken as the final word in the diagnosis of acute appendicitis.…”

Section: Management Of Appendicular Massmentioning

confidence: 99%

“…Hence, histological report was taken as the final word in the diagnosis of acute appendicitis. 15 A negative rate of appendicectomy is about 20-40% in surgical literature. In our study, it was 12%.…”

Section: Management Of Appendicular Massmentioning

confidence: 99%

Assessment of the accuracy of using the combination of modified alvarado score and abdominal ultrasound in acute appendicitis

Samraj

Kumar

2017

Int Surg J

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Background: Appendix is a worm shaped blind tube of varying length (2-25) cm opening into the caecum 2cm below the ileocaecal valve in posteromedial valve. It is the only organ in the body that has no constant position. Incidence of acute appendicitis parallels that of lymphoid development with peak incidence in early adulthood. It is rare before the age of two. Before puberty the incidence of acute appendicitis is equal in both sexes. But after puberty there is a slight male preponderance. The objective of this study was to evaluate assessment of accuracy of the combined use of modified Alvarado scoring system and ultrasound in the diagnosis of acute appendicitis.Methods: Around 136 patient’s acute appendicitis were subjected to estimation of total leucocyte count and plain x-ray abdomen after thorough history evaluation and clinical examination before surgery. Alvarado score was found in all cases. All of them were operated on the day of admission itself and preoperative findings were noted. All appendicectomy specimens were subjected to histopathological examination (HPE).Results: Acute appendicitis is the most common surgical abdominal emergency in our hospital. Acute appendicitis is more common in males and the commonest age group affected is 21 - 30 years. Right iliac fossa pain is the most common presenting symptom followed by nausea/vomiting. In diagnosis of acute appendicitis Alvarado score has a high diagnostic value (82.5%).Conclusions: The combined use of modified Alvarado score with ultrasonogram done in patients with equivocal or low Alvarado score is useful in identifying the missed-out cases thereby preventing diagnostic delay and its attendant complications. Appendices that appear to be normal on macroscopic inspection may show features of acute appendicitis on histopathologic examination.

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Application of a clinical score for the diagnosis of acute appendicitis in childhood: A retrospective analysis of 197 patients

Cited by 71 publications

References 7 publications

Alvarado Scoring in Acute Appendicitis—A Clinicopathological Correlation

Alvarado Scoring in Acute Appendicitis—A Clinicopathological Correlation

Alvarado score: can it reduce unnecessary interventions for acute appendicitis in children?

Assessment of the accuracy of using the combination of modified alvarado score and abdominal ultrasound in acute appendicitis

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