Diagnostic score in appendicitis

Abstract

The Eskelinen score delivered acceptable clinical results only after calibration to a cut-off value of 57. The data from this study suggest the investigation of whether a calibrated score might be particularly instrumental in the pre-admission evaluation of the patient in whom appendicitis is suspected.

A diagnostic score for children with suspected appendicitis

“…Clinical and computer-aided scoring systems have been shown to increase the diagnostic accuracy and reduce unnecessary appendicectomies in adults [8][9][10][11][12][13]. However, diagnostic scores abstracted from adults' data have not been found to be useful in children [8,12], and, to our knowledge, only one study has addressed the issue of a prognostic scoring system unique to children with suspected appendicitis [14].…”

Sensitivity and Specificity of Fenyö-Lindberg and Teicher Scores in the Diagnosis of Acute Appendicitis in Women

“…1). Th e possible reason for these diff erences could be diff erent geographical settings of these two studies 8 . In order to improve diagnostic accuracy, several easy to use scoring systems have been developed and tested 3,4,14,15 .…”

“…Th is was the reason for developing new scoring systems and their re-evaluation in diff erent settings 16 . Age and gender are factors that infl uence clinical presentation of acute abdominal pain 4,7,8 . It is known that extreme age groups have a higher rate of perforation 15 .…”

“…However, when scores were applied to diff erent groups of patients and clinical settings, diff erences in sensitivity and specifi city were observed, usually with worse performance if applied in the populations and institutions other than those in which they were originally created 4,7 . Also, their application in diff erent populations could be impaired by geographic variation in the incidence and clinical pattern of acute abdominal pain 8 . Rates of 15%-30% of negative laparotomies and laparoscopies have been reported [9][10][11] in suspected acute appendicitis, and accurate diagnosis of acute appendicitis is particularly diffi cult in women, especially those of fertile age [9][10][11][12] .…”

Clinical Scoring Systems in the Management of Suspected Appendicitis in Children

“…The authors further calculated these statistical variables using thresholds ranging from 50 to 60, and determined 57 to be the most favorable in their population. (Sitter, Hoffmann, Hassan, & Zielke, 2004) …”