Yücel Yüksel1, Bülent Dinç2, Deniz Yüksel3, Selcan Enver Dinç4, Ayhan Mesci5. 1. Department of General Surgery, Tatvan State Hospital, Bitlis, Turkey. 2. Department of General Surgery, Atatürk State Hospital, Antalya, Turkey. 3. Department of Anaesthesiology, Tatvan State Hospital, Bitlis, Turkey. 4. Department of Emergency Medicine, Akdeniz University Faculty of Medicine, Antalya, Turkey. 5. Department of General Surgery, Akdeniz University Faculty of Medicine, Antalya, Turkey.
Abstract
BACKGROUND: We aimed to investigate the reliability of the Alvarado score (AS) in determining acute appendicitis and the different parameters that affect the AS. METHODS: Three hundred and thirteen patients suspected of acute appendicitis (AA) aged 18-70 years were included in this study. Patient data including AS calculated from emergency services and at discharge, follow-up, and operations were recorded. Patients were divided into three groups according to the AS, as AS <4, AS 5-7 and AS 8-10. AA and appendicitis perforation rates were compared according to the different parameters. RESULTS: The mean age of patients (55% females, 45% males) was 30.8±10.8 years. The AA (appendix perforation) rates of 211 patients who underwent operation were found as: AS ≤4: 56.5% (7.7%), AS 5-7: 75.9% (10%), and AS 8-10: 89% (27.8%). The percentage of negative appendectomy was 19.4%. The scoring was more reliable in males with AS 5-7, and the reliability weakened as body mass index (BMI) increased in all groups. CONCLUSION: Patients with AS ≤4 must be followed up and should be informed at the time of their discharge about the slight possibility of appendicitis. The effect of AS in determining the diagnosis of appendicitis is not influenced by age or symptom duration.
BACKGROUND: We aimed to investigate the reliability of the Alvarado score (AS) in determining acute appendicitis and the different parameters that affect the AS. METHODS: Three hundred and thirteen patients suspected of acute appendicitis (AA) aged 18-70 years were included in this study. Patient data including AS calculated from emergency services and at discharge, follow-up, and operations were recorded. Patients were divided into three groups according to the AS, asAS <4, AS 5-7 and AS 8-10. AA and appendicitis perforation rates were compared according to the different parameters. RESULTS: The mean age of patients (55% females, 45% males) was 30.8±10.8 years. The AA (appendix perforation) rates of 211 patients who underwent operation were found as: AS ≤4: 56.5% (7.7%), AS 5-7: 75.9% (10%), and AS 8-10: 89% (27.8%). The percentage of negative appendectomy was 19.4%. The scoring was more reliable in males with AS 5-7, and the reliability weakened as body mass index (BMI) increased in all groups. CONCLUSION:Patients with AS ≤4 must be followed up and should be informed at the time of their discharge about the slight possibility of appendicitis. The effect of AS in determining the diagnosis of appendicitis is not influenced by age or symptom duration.
Authors: Mehmet Tahsin Tekeli; Enver Ilhan; Orhan Ureyen; Abdullah Senlikci; Eyup Yeldan; Mucteba Ozturk; Mehmet Akif Ustuner; Ugur Gokcelli; Emrah Dadali; Fevzi Cengiz; Savas Yakan Journal: Indian J Surg Date: 2016-01-11 Impact factor: 0.656