Role of Alvarado score in the diagnosis of acute appendicitis

G, Vijay Bhaskar Reddy; Vv, Subramanyam; Veersalingam, B; Sateesh, Sreeram; Bangla, Gidion; Rao, Pasupuleti Sreenivasa

doi:10.5455/2320-6012.ijrms20131117

Cited by 7 publications

(1 citation statement)

References 13 publications

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“…Common mistakes in diagnosing such patients are made in females who are of reproductive age and in patients who are at extremes of ages (4). Severe outcomes can be anticipated in scenarios where the diagnosis of acute appendicitis is missed, these included perforation of appendix, peritonitis, and abscess formation leading to increased rate of mortality by up to 10% (5). There are 12% chances of missing an acute appendicitis (6).…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Gray Scale Ultrasonography Versus Color Doppler In Suspected Cases of Acute Appendicitis

et al. 2024

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ABSTRACT: BACKGROUND: A common surgical emergency is acute appendicitis. Various diagnostic tools are available to diagnosis acute appendicitis. Radiological investigations play an important role in making accurate and early diagnosis and thus preventing morbidity associated with the disease. OBJECTIVE: To determine the diagnostic accuracy of gray scale ultrasonography versus color Doppler in suspected cases of acute appendicitis. MATERIALS AND METHODS: The study was carried in the department of Radiology of Mayo Hospital, Lahore. A total of 75 patients were enrolled of age 18-40 years, both genders who were suspected cases of acute appendicitis. All patients underwent baseline investigations along with gray scale ultrasonography and color Doppler. All patients were subjected to surgery to confirm the diagnosis and findings were subjected to statistical analysis. RESULTS: The mean age of the patients was 23.25 ±10.55 and mean transverse diameter of appendix was 8.37 ±3.39. There were 62.7% males and 37.3%females. Findings of gray scale ultrasonography and color Doppler were then correlated with surgical findings to calculate the diagnostic accuracy of these modalities. The results revealed that gray scale ultrasonography sensitivity, specificity, positive predictive value, negative predictive value and accuracy was 92.7%, 94.32%, 95%, 91.4% and 93.3% respectively, whereas color Doppler had sensitivity, specificity, positive predictive value, negative predictive value and accuracy of 97.7%, 93.9%, 95.3%, 97% and 96% respectively. Diagnostic accuracy of both modalities together was 98.6%. CONCLUSION: Color Doppler has better diagnostic accuracy than gray scale ultrasonography for diagnosis of acute appendicitis and the combination of both modalities yields diagnostic accuracy that is similar to gold standard.

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Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Gray Scale Ultrasonography Versus Color Doppler In Suspected Cases of Acute Appendicitis

et al. 2024

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The diagnostic value of the systemic immune-inflammatory index in acute appendicitis cases in the emergency department

TELAFARLI

Yeni

2023

Langenbecks Arch Surg

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Background and aim:Acute appendicitis (AA) is one of the most common causes of acute abdomen conditions and continues to cause mortality and morbidity despite all the improvements. There is still a necessity for inexpensive and easily calculable index and scoring systems with fewer side effects for the diagnosis of AA and the detection of complications. Since the systemic immune-in ammation index (SIII) is an index that could be used in this context, we aimed to measure the success and reliability of SIII for the diagnosis of AA and related complications and to contribute to the literature. MethodsOur study was carried out retrospectively in a tertiary care hospital and conducted with 180 AA patients (study group-SG) and 180 control group (CG) patients. Demographic data, laboratory data, and clinical data of the cases, as well as Alvarado score (AS), Adult Appendicitis Score (AAS), and SIII and neutrophil/lymphocyte ratio (NLR) values calculated from laboratory data were recorded in the previously created study form. p < 0.05 was accepted as the signi cance level for the study. ResultsIn this study, age and gender were similar in the SG and CG groups. SIII and NLR levels calculated in SG cases were found to be signi cantly higher than CG. In addition, SIII and NLR levels were found to be signi cantly higher in complicated AA cases than in complicated cases. Although SIII was more signi cant in the diagnosis of AA; NLR was more successful than SIII in detecting the presence of complications. SIII, NLR, AAS, and AS were signi cantly positively correlated in the diagnosis of AA. In the presence of peritonitis, SIII and NLR were also found to be signi cantly higher when compared to cases without peritonitis. ConclusionsWe found that SIII is a usable index in the diagnosis of AA and the prediction of complicated AA. However, NLR was found to be more signi cant than SIII in estimating complicated AA. In addition, it is recommended to be careful in terms of peritonitis in cases with high SIII and NLR levels.

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