Reliability of Leukocytosis in Diagnosing Acute Appendicitis

Vaidya, Vikram Panjabrao; Lamture, Yashwant; Ramteke, Harshal; Mundada, Aditya; Gajbhiye, Varsha; Yeola, Minakshi

doi:10.14260/jemds/2020/493

Cited by 4 publications

(4 citation statements)

References 8 publications

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Section: Introductionmentioning

confidence: 99%

Tzanakis Scoring System in Acute Appendicitis Concern to Indian Population

2020

MLU

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Background: Acute appendicitis is amongst the most encountered emergencies seen in casualties requiring intervention. The incidence of negative laparotomy is 15% to 25% and is associated with notable morbidity. Scoring systems are useful and logical for distinguishing acute appendicitis from non-specific abdominal pain. Presently many scoring systems exist that aids in the diagnosis of acute appendicitis but still fail to decrease the rates of wrong diagnosis and the negative appendicectomy rate. This study has been undertaken to evaluate the efficacy of the Tzanakis scoring system for the Indian population in diagnosing acute appendicitis. Method and Material:A prospective study to evaluate Tzanakis scoring system on 50 patients. The decision of an appendicectomy was taken by the consultant surgeon. The outcomes of the Tzanakis scoring system in terms of sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy were calculated.

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Section: Introductionmentioning

confidence: 99%

Tzanakis Scoring System in Acute Appendicitis Concern to Indian Population

2020

MLU

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“…There is a 6% chance of appendicitis in the general population [1] . Though the mortality has declined from 26% to 1% with the dawn of broad-spectrum antibiotics and timely surgery, it remains 5 to 15% in the elderly [2]. The incidence of negative laparotomy is 15% to 25% and is associated with notable morbidity, the frequency being more in women of reproductive age group (till 45%) due to the commonness of inflammatory tubo-ovarian diseases, ectopic pregnancy, and other gynecological pathology [3].…”

Section: Introductionmentioning

confidence: 99%

Yash Scoring System in the Diagnosis of Acute Appendicitis

2020

MLU

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Background: Acute appendicitis is amongst the most encountered emergencies seen in casualties requiring intervention. The incidence of negative laparotomy is 15% to 25% and is associated with notable morbidity. Scoring systems are useful and logical for distinguishing acute appendicitis from non-specific abdominal pain. Presently many scoring systems exist that aids in the diagnosis of acute appendicitis but still fail to decrease the rates of wrong diagnosis and the negative appendicectomy rate. This study has been undertaken to evaluate the efficacy of the newer Yash scoring system which has been found more effective for the Indian population in diagnosing acute appendicitis. Method and Material:A prospective study of the Yash scoring system was done on 50 patients. The decision of an appendicectomy was taken by the consultant surgeon. The outcomes of the Yash scoring system in terms of sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy were calculated.

show abstract

“…There is a 6% chance of appendicitis in the general population [1]. Though the mortality has declined from 26% to 1% with the dawn of broad-spectrum antibiotics and timely surgery, it remains 5 to 15% in the elderly [2]. The incidence of negative laparotomy is 15% to 25% and is associated with notable morbidity, the frequency being more in women of reproductive age group (till 45%) due to the commonness of inflammatorytuboovarian diseases, ectopic pregnancy, and other gynecological pathology [3].…”

Section: Introductionmentioning

confidence: 99%

“…The regular laboratory investigations of blood and urine are necessary. Leukocytosis is a convenient finding but is non-specific and may be missing in the elderly [2]. C-Reactive protein is elevated in almost all acute inflammatory conditions, hence is considered as a non-specific marker but its estimation guides a surgeon in reducing negative appendicectomies [7].…”

Section: Introductionmentioning

confidence: 99%

Comparison Between the Tzanakis Scoring System and Yash Scoring System in the Diagnosis of Acute Appendicitis

Mundada¹,

Lamture²,

Gajbhiye³

et al. 2020

MLU

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Background: Acute appendicitis is amongst the most encountered emergencies seen in casualties requiring intervention. The incidence of negative laparotomy is 15% to 25% and is associated with notable morbidity. Scoring systems are useful and logical for distinguishing acute appendicitis from non-specific abdominal pain. Presently many scoring systems exist that aids in the diagnosis of acute appendicitis but still fail to decrease the rates of wrong diagnosis and the negative appendicectomy rate. This comparative study has been undertaken to evaluate and compare the efficacy of the Tzanakis scoring system with the relatively newer Yash scoring system which has been found more effective for the Indian population in diagnosing acute appendicitis. Aim:To compare the efficacy of the Yash scoring system with the Tzanakis scoring system in diagnosing acute appendicitis. Method and Material:A prospective comparison of the Tzanakis scoring system and Yash scoring system was done on 50 patients. The decision of an appendicectomy was taken by the consultant surgeon. The outcomes of the Tzanakis scoring system and Yash scoring system in terms of sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy were calculated and compared.

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Reliability of Leukocytosis in Diagnosing Acute Appendicitis

Cited by 4 publications

References 8 publications

Tzanakis Scoring System in Acute Appendicitis Concern to Indian Population

Tzanakis Scoring System in Acute Appendicitis Concern to Indian Population

Yash Scoring System in the Diagnosis of Acute Appendicitis

Comparison Between the Tzanakis Scoring System and Yash Scoring System in the Diagnosis of Acute Appendicitis

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