Diagnostic score in acute appendicitis. Validation of a diagnostic score (Lintula score) for adults with suspected appendicitis

Abstract

The use of the acute appendicitis score developed for paediatric patients seems to provide some benefits compared to an unaided clinical diagnosis and may, thus, be a useful diagnostic tool for general surgeons.

The appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain

“…Patients with Alvarado scores between 4 and 6 and Lintula scores between 16 and 20 are suspected cases for acute appendicitis; close inpatient follow-up is recommended for this group. [13,14] We performed a retrospective simulation to determine how charges would have changed if the Alvarado and Lintula appendicitis scoring systems had been used in patients admitted to our department due to right lower quadrant (RLQ) pain. A secondary objective of the study was to determine the diagnostic accuracy of the Alvarado and Lintula scoring systems.…”

The Optimization Variables of Input Data of Artificial Neural Networks for Diagnosing Acute Appendicitis

“…Several methods were established such as the clinical scoring system, imaging analysis, and computer-aid [4][5][6][7][8]. However, the clinical diagnosis of appendicitis is not easy even for experienced surgeons due to its complex diagnosis process.…”

“…Some researchers have developed and modified the Alvarado clinical scoring system, and they suggested the new clinical scoring systems such as the Lintula score, and RIPASA score [7,8]. The CT, and MRI are highly associated with radiation exposure and diagnostic quality of US highly depends on operator.…”

Missed Appendicitis in Primary Care: Lessons Learned

“…To increase accuracy of early diagnosis of appendicitis and decrease the rate of negative histopathology of appendectomy, we need to identify clinical scoring systems, laboratory and diagnostic imaging [21][22][23][24][25][26][27][28][29].…”

“…The use of seven independent predictive variables in Ohmann score (right lower quadrant pain, rebound tenderness, no micturition difficulties, steady pain, leukocyte count ≥ 10.0, age ≤ 50 years, and positive abdominal rigidity) [26]. The predictive symptoms and signs to diagnosis appendicitis in children by using Lintula score (gender, intensity of pain, relocation of pain, vomiting, pain in the right lower quadrant, fever, guarding, bowel sounds and rebound tenderness); which subsequently been validated in adults [27,28]. The Fenyo-Lindberg scoring system uses nine clinical and one laboratory variable to form a score to predict cases of appendicitis [29].…”