Literature DB >> 19077488

[Application of alvarado score in patients with suspected appendicitis].

Sung Ouk Jang1, Byung Seok Kim, Duk Jin Moon.   

Abstract

BACKGROUND/AIMS: Though acute appendicitis is one of the most common surgical conditions, the diagnosis in patients with equivocal signs can be difficult. Many patients with suspected appendicitis are admitted for observation. We designed this study to investigate whether the Alvarado score can be used as an admission criterion.
METHODS: This is a prospective study comprising consecutive patients who attended the emergency room with right lower abdominal pain from January 2007 to March 2007. Patients were scored with the Alvarado score and if they were admitted, had a second scoring in the ward. Patients who were not admitted were told to attend the clinic the next day and patients who did not attend the clinic were interviewed by telephone.
RESULTS: Total of 132 patients (M=83, F=49) were included and 105 patients were admitted for observation. Eighty-seven patients had surgery with the intention to treat appendicitis and 10 patients did not have appendicitis. The diagnosis of acute appendicitis was highly accurate for an Alvarado score above 6 (90.9%). Patients with a score 4 or less in the ward as well as in the emergency room did not have appendicitis. Of the patients with appendicitis, 49% (38/77) had higher scores in the ward than initial score at the emergency room.
CONCLUSIONS: None of the patients with a score of 4 or less had appendicitis. They did not need admission. The Alvarado score can be used as an admission criterion in patients with suspected appendicitis.

Entities:  

Mesh:

Year:  2008        PMID: 19077488

Source DB:  PubMed          Journal:  Korean J Gastroenterol        ISSN: 1598-9992


  9 in total

1.  Neutrophil-to-lymphocyte ratio has a close association with gangrenous appendicitis in patients undergoing appendectomy.

Authors:  Mitsuru Ishizuka; Takayuki Shimizu; Keiichi Kubota
Journal:  Int Surg       Date:  2012 Oct-Dec

2.  A Comparative Study of RIPASA Score and ALVARADO Score in the Diagnosis of Acute Appendicitis.

Authors:  Nanjundaiah N; Ashfaque Mohammed; Venkatesh Shanbhag; Kalpana Ashfaque; Priya S A
Journal:  J Clin Diagn Res       Date:  2014-11-20

3.  Prospective validation of neutrophil-to-lymphocyte ratio as a diagnostic and management adjunct in acute appendicitis.

Authors:  A Khan; M Riaz; Michael E Kelly; W Khan; R Waldron; K Barry; I Z Khan
Journal:  Ir J Med Sci       Date:  2017-07-25       Impact factor: 1.568

4.  Clinical, ultrasonographic, and pathologic characteristics of patients with chronic right-lower-quadrant abdominal pain that may benefit from appendectomy.

Authors:  Alain Chichom Mefire; Robert Tchounzou; Patrick M Kuwong; Jean P A Atangana; Albert C Lysinge; Eimo E Malonga
Journal:  World J Surg       Date:  2011-04       Impact factor: 3.352

5.  RIPASA and air scoring systems are superior to alvarado scoring in acute appendicitis: Diagnostic accuracy study.

Authors:  Meer M Chisthi; Anilkumar Surendran; Jiju Therumpurathu Narayanan
Journal:  Ann Med Surg (Lond)       Date:  2020-09-24

6.  A comparison between modified Alvarado score and RIPASA score in the diagnosis of acute appendicitis.

Authors:  Anand Singla; Satpaul Singla; Mohinder Singh; Deeksha Singla
Journal:  Updates Surg       Date:  2016-06-23

7.  Which One is Better? Comparison of the Acute Inflammatory Response, Raja Isteri Pengiran Anak Saleha Appendicitis and Alvarado Scoring Systems.

Authors:  Mohammad Yasin Karami; Hadi Niakan; Navid Zadebagheri; Parviz Mardani; Zahra Shayan; Iman Deilami
Journal:  Ann Coloproctol       Date:  2017-12-31

8.  Appendiceal foreign body in an infant.

Authors:  Min Lee; Soon Chul Kim
Journal:  Medicine (Baltimore)       Date:  2017-04       Impact factor: 1.889

9.  Comparison between the specificity and sensitivity of the RIPASA and Alvarado Scoring systems in the diagnosis of acute appendicitis among patients with complaints of right iliac fossa.

Authors:  Seyed Ashkan Tabibzadeh Dezfuli; Reza Yazdani; Mohammadjavad Khorasani; Seyed Alireza Hosseinikhah
Journal:  AIMS Public Health       Date:  2020-01-02
  9 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.