Pediatric appendicitis score in the diagnosis of childhood appendicitis: a validation study

Parveen, Kambalabettu Zohara; Avabratha, K. Shreedhara; Shetty, Kishan

doi:10.18203/2349-3291.ijcp20174756

Cited by 4 publications

(8 citation statements)

References 7 publications

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“…The average time of symptom evolution in patients with complicated appendicitis was 47.7 hours, longer than in patients with uncomplicated appendicitis. This is consistent with other authors, who state that more than 60% of patients with complicated appendicitis have symptoms of more than 72 hours of evolution (8,15).…”

Section: Discussionsupporting

confidence: 93%

“…In the present study, the average number of leukocytes in the initial hemogram was high for the age ranges, which would suggest the usefulness of scales such as the pediatric score (PAS) (8) in our environment. The criteria of these scales indicate that a leukocyte count greater than 10,000 cells/mm 3 may increase the diagnostic probability of appendicitis (8,9). Creactive protein was tested in just over half the population.…”

Section: Discussionmentioning

confidence: 50%

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Experiencia en la atención de pacientes menores de 16 años con apendicitis aguda en el Hospital Universitario San Ignacio entre los años 2014 y 2019

Ramírez¹,

Cano²,

Sanchez³

et al. 2020

Univ. Med.

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Objective: To describe the characteristics of the care of patients under 16 years old with acute appendicitis taken to appendectomy between January 2014 and May 2019. Methodology: Retrospective descriptive observational study of the records of patients with acute appendicitis over 5 years. Results: 257 records met the inclusion criteria. The average age of the patients was 9.5 years. The average diagnosis time from admission was 7 hours and they were taken to surgery in the first 6 hours after diagnosis. The majority were uncomplicated appendicitis with a low percentage of postoperative complications. Six percent of patients underwent intraoperative peritoneal fluid culture without this involving significant changes in medical behavior. Conclusions: The success in the management of acute appendicitis in pediatric patients of hospital reflects high quality care. The use of ampicillin sulbactam as an empirical management shows favorable results with a low complication rate. Peritoneal fluid culture did not generate changes in medical or surgical behavior. Given the above, it is feasible to make reasonable use of resources, providing high quality care with optimal results and a lower cost to the health system.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 50%

Experiencia en la atención de pacientes menores de 16 años con apendicitis aguda en el Hospital Universitario San Ignacio entre los años 2014 y 2019

Ramírez¹,

Cano²,

Sanchez³

et al. 2020

Univ. Med.

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“…Recently Parveen and colleagues validated PAS scores by evaluating ultrasound findings and histopathology report. 20 Another study also documented that PAS≥7 was strongly indicative of appendicitis and reported rate of negative appendectomy as 0%. 21 A local study showed that Alvarado score of 6 or more has a diagnostic accuracy of 82.9% in predicting acute appendicitis in children.…”

Section: Discussionmentioning

confidence: 97%

Non-operative treatment versus appendectomy for acute uncomplicated appendicitis: A randomized controlled trial

2021

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Objectives: To compare the outcome of non-operative treatment (NOT) with antibiotics versus surgical management of uncomplicated appendicitis in children. Methods: This randomized clinical trial (NCT 04030741) was carried out in Pediatric Surgery Department, Mayo Hospital from September 2018 to September 2019. Total sample size was 180, and after informed consent patients were randomly allocated in two groups. All children between 5 and 15 years of age and having pediatric appendicitis score (PAS) ≥7 were included. Patients with previous abdominal surgery, peritonitis, appendicular mass, or intra-abdominal abscess were excluded. Children in NOT group (Group A) were given intravenous Meropenem and Metronidazole for 48 hours and after starting oral, antibiotics were continued orally for 7 days. In Group B, children underwent appendectomy. Failure of NOT was labeled if there was abscess formation or peri-appendiceal fluid collection on ultrasound, development of peritonitis or recurrence of appendicitis. Results: In Group A, mean age was 9.56±1.8 years and in Group B 10.11±1.8 years. There were 123 male and 57 female patients. Group B had 100% successful outcome. NOT (Group A) had successful outcome in 75 patients (83.3%) and failure was noted in 15 (16.7%). Five needed operation within 48 hours, all had appendicolith, and 10 patients presented within 6 months. Raised total leukocyte count (p value < 0.0001) and C reactive protein (p value < 0.04) levels were noted with failure of NOT. Conclusions: In this study, success of NOT was 84% so a trial of NOT in cases of uncomplicated appendicitis should be considered in children. doi: https://doi.org/10.12669/pjms.37.5.4016 How to cite this:Sajjad MN, Naumeri F, Hina S. Non-operative treatment versus appendectomy for acute uncomplicated appendicitis: A randomized controlled trial. Pak J Med Sci. 2021;37(5):---------. doi: https://doi.org/10.12669/pjms.37.5.4016 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…Children rarely show symptoms of appendicitis symptoms that are typical of adults, this causes challenges for medical personnel, especially doctors. to make a timely diagnosis (Parveen KZ et al, 2017). To assist in establishing a diagnosis of acute appendicitis in children, there is a scoring system that has been proposed and until now the Pediatric Appendicitis Score (PAS) has been used.…”

Section: Discussionmentioning

confidence: 99%

“…Good correlation was also found between PAS assessment and biopsy results, but no correlation was found good between PAS and USG results, and this study concludes that PAS is an assessment tool for diagnosing appendicitis. (Parveen KZ et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Correlation of the Results of Pediatric appendicitis Score (Pas) with the Results of the Ultrasonography (Usg) Appendix in Children's Appendicitis Patients

Irawan¹,

Fikri²,

Daulay³

2019

IJCTR

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Introduction: Appendicitis is the most common cause of surgery in children in the emergency unit. Diagnosis of appendicitis in children is difficult, the diagnosis of appendicitis is based on clinical symptoms, physical examination, laboratory and investigation, namely radiological imaging, To help in establishing a diagnosis of acute appendicitis in children, there is a scoring system that has been proposed and until now the one used is the Pediatric Appendicitis Score (PAS), Ultrasound is the most commonly used diagnostic procedure because it does not cause pain in its use and the results can be known directly. Method:This study is a prospective analytical study with cross sectional design to see the relationship between the results of the Pediatric Appendicitis Score (PAS) with the results of Ultrasound (USG) preoperative appendix in children. The target population is pediatric patients with complaints of abdominal pain and clinically diagnosed appendicitis. Affordable population was pediatric patients with complaints of abdominal pain and appendicitis diagnosed with treatment at General Hospital Haji. Adam Malik and USU Hospital in Medan.Data will be analyzed descriptively to see the frequency distribution of research subjects based on the characteristics and types of appendicitis using the Chi square test, the results are significant with a significance value of <0.05. Result:Majority of the study samples were 19 women (57.6%) with a median age of 13 years. The results of the PAS calculation showed that 63.5% entered into the simple category while the USG results of 84.8% stated suggestive of appendicitis. There is not significant relationship between PAS with ultrasound examination results with p> 0.05, p = 0.076. Conclusion: We have shown patients of appendicitis by using Ultrasonography and compared it with PAS the final result, there is no significant value, we conclude that USG and PAS could be the main tools for diagnostic but there is no relatonship between USG and PAS.

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Pediatric appendicitis score in the diagnosis of childhood appendicitis: a validation study

Cited by 4 publications

References 7 publications

Experiencia en la atención de pacientes menores de 16 años con apendicitis aguda en el Hospital Universitario San Ignacio entre los años 2014 y 2019

Experiencia en la atención de pacientes menores de 16 años con apendicitis aguda en el Hospital Universitario San Ignacio entre los años 2014 y 2019

Non-operative treatment versus appendectomy for acute uncomplicated appendicitis: A randomized controlled trial

Correlation of the Results of Pediatric appendicitis Score (Pas) with the Results of the Ultrasonography (Usg) Appendix in Children's Appendicitis Patients

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