Correlation of clinical data and the Alvarado's Score as predictors of acute appendicitis

Abstract

Objective To correlate the patient's clinical data and the Alvarado's Score as predictors of acute appendicitis. Methods This is an observational, descriptive and prospective study performed at a public urgency and emergency hospital in the city of Fortaleza, Ceará, between July and December 2016, with 34 patients undergoing open appendectomy with ages between 18 and 70 years. Statistical analysis was performed using the SPSS program. Results The following statistical correlations were performed: number of days with abdominal pain until the operative event and degree of inflammation according to a macroscopic analysis of the appendix, Alvarado's Score and number of days with abdominal pain until the operative event, Alvarado's Score and degree of inflammation according to a macroscopic analysis of the appendix, number of days with abdominal pain until the operative event, and number of days of hospitalization in the postoperative period, degree of inflammation according to amacroscopic analysis of the appendix, number of days of hospitalization in the postoperative period and Alvarado's Score, and number of days of hospitalization in the postoperative period; the first five correlations were statistically significant ( p < 0.05). Conclusion The use of this Alvarado's Score in health services emerges as a tool for the diagnosis of acute appendicitis.

Alvarado’s Criteria for Diagnosis of Children’s Acute Apendicitis

“…Similarly, the study conducted by Cunha et al (2018) also evaluated the efficacy of the Alvarado score in an emergency hospital in the city of Fortaleza, concluding that its use in health services emerges as an accessible and effective tool to optimize the approach of patients with a condition suggestive of appendicitis. In addition, the Alvarado score may also suggest the degree of inflammation of the appendix.…”

Critério De Alvarado Para Diagnóstico De Apendicite Aguda Infantil

“…Da mesma forma, o estudo realizado por Cunha et al 17 também avaliou a eficácia do escore de Alvarado, em um hospital de urgência e emergência na cidade de Fortaleza, concluindo que seu uso nos serviços de saúde surge como uma ferramenta acessível e eficaz para otimizar a abordagem de pacientes com um quadro sugestivo de apendicite. Além disso, o escore de Alvarado também pode sugerir o grau de inflamação do apêndice.…”

Efficacy of the Alvarado scale in patients with a diagnosis of acute apendicitis at the General Surgery Unit at hospital regional de Ciudad del Este, Paraguay

“…5 That is why diagnostic scores like the Alvarado score (AS), RIPASA, and others are useful tools that can contribute to the early detection of AA cases. 6 The application of this score as an auxiliary method in the diagnosis of AA has contributed to decrease the percentage of non-therapeutic appendectomies in 8% and lower hospital costs in 10%.…”

“…(See Figure 1). According to the score obtained, patients can be categorized in four groups: Low risk of developing AA (0-4 points), possible AA (5)(6), probable AA (7)(8), and high risk of AA (9-10). 2 In patients with up to 4 points, it is considered that less than 5% will develop acute appendicitis.…”