Efficiency of Alvarado Score in Diagnosis of Acute Appendicitis / Akut Apandisit Tanisinda Alvarado Skorunun Etkinligi

Tatlı, Faik; Ekici, Uğur; Kanlıöz, Murat; Gözeneli, Orhan; Uzunköy, Ali; Yucel, Yusuf; Dirican, Abuzer

doi:10.5455/jtomc.2015.11-030

Cited by 2 publications

(3 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is important to observe a curve of the bowel with edema in the right lower quadrant in X-ray. Some scoring tests (Alvarado, Heidelberg) and laparoscopy are used in the diagnosis [10][11][12]. Primary treatment in AP is surgery.…”

Section: Introductionmentioning

confidence: 99%

The Relationship of Perforated Appendicitis with Total and Direct Bilirubin

Kanlıöz¹,

Karatas

2019

Cureus

Self Cite

View full text Add to dashboard Cite

Introduction Very different results have been reported regarding the relationship between bilirubin and perforated appendicitis. We observed this relationship with our own studies. Methods The patients, who underwent appendectomy, were retrospectively categorized as perforated and non-perforated based on their files. Those with a total bilirubin (TB) 1.20 mg/dL or less were considered normal whereas those with a 1.21 mg/dL or higher were considered having a high. Those with a direct bilirubin (DB) 0.50 mg/dL or less were considered normal whereas those with a 0.51 mg/dL or higher were considered having a high. The patients were assessed under two groups. Perforated appendicitis (PA) and non-perforated appendicitis (NPA) were analyzed according to the TB in Group 1 and the DB in Group 2. Results Group 1 included 269 patients whose TB were measured. Of those, 218 had NPA and 51 had PA. The rate of patients with high TB among the patients with PA was 1.37 times higher than those with NPA (p ˂ 0.01). Group 2 included 258 patients whose DB values were measured. Of those, 208 had NPA and 50 had PA. The rate of patients with high TB among the patients with PA was 1.71 times higher than those with NPA (p ˂ 0.001). Conclusion In the diagnosis of PA, both TB and DB show low diagnostic values. In the diagnosis, they can only be considered as a supportive factor to other parameters. However, in the case of a differential diagnosis, we recommend using DB since it has a higher sensitivity and specificity.

show abstract

Section: Introductionmentioning

confidence: 99%

The Relationship of Perforated Appendicitis with Total and Direct Bilirubin

Kanlıöz¹,

Karatas

2019

Cureus

Self Cite

View full text Add to dashboard Cite

show abstract

“…In our study, the sensitivity of USG was calculated as 71.4%, specificity as 45.4%, positive predictive value as 93.8% and negative predictive value as 3.9%. Most studies report that USG is highly effective in diagnosing acute appendicitis (7). When there is doubt in the definitive diagnosis, it is recommended that US be used as an imaging test first, as this technique is easily accessible, has low cost, and is easy to use.…”

Section: Resultsmentioning

confidence: 99%

“…USG and CT are generally used as auxiliary imaging methods. Although USG has a high level of accuracy, it can give false negative results due to reasons such as individual dependency, appendix location, and obesity (7). CT is frequently used in differential diagnosis, especially to reduce negative appendectomy rates.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Ultrasonography and Computed Tomography in the Diagnosis of Acute Appendicitis

Gümer,

Erkmen,

Karaca

et al. 2024

Harran Üniversitesi Tıp Fakültesi Dergisi

View full text Add to dashboard Cite

Background: Acute appendicitis is the acute inflammation of the appendix vermiformis and is one of the leading emergency intra-abdominal surgeries. In the study; To investigate the effectiveness of preoperative USG and CT in the diagnosis of acute appendicitis. Materials and Methods: The records of 332 patients who underwent appendectomy between March 2018 and March 2023 were retrospectively examined. Gender, age, USG and CT reports and patho-logy results of the patients were recorded. Sensitivity, specificity, positive predictive value and negative predictive values of USG and CT in the diagnosis of acute appendicitis were calculated separately. Results: The pathology result was reported as acute appendicitis in 312 of the patients, and was evaluated as normal in 20 of them. The pathology result of 254 of 261 patients, whose CT results were evaluated as compatible with acute appendicitis, was reported as acute appendicitis. In 7 patients, it was found to be normal appendicitis. Of 28 patients whose CT results were incompatible with acute appendicitis, the pathology result was positive in 18 and negative in 10. Pathology results of 96 patients whose USG results were compatible with acute appendicitis; Acute appendicitis was found in 90 patients and normal appendix in 6 patients. Pathology results of 41 patients whose USG results were evaluated as negative; It was reported to be compatible with acute appendicitis in 36 cases and normal in 5 cases. Conclusions: In our study, both the sensitivity and specificity of CT were found to be superior to USG, consistent with the literature. Researching IT effectiveness; We think that prospective studies com-paring teleradiology reports and the reports of radiologists working in hospitals would be useful.

show abstract

Efficiency of Alvarado Score in Diagnosis of Acute Appendicitis / Akut Apandisit Tanisinda Alvarado Skorunun Etkinligi

Cited by 2 publications

References 2 publications

The Relationship of Perforated Appendicitis with Total and Direct Bilirubin

The Relationship of Perforated Appendicitis with Total and Direct Bilirubin

Effectiveness of Ultrasonography and Computed Tomography in the Diagnosis of Acute Appendicitis

Contact Info

Product

Resources

About