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Pediatric appendicitis score: A retrospective analysis
AIMS: Evaluation of the pediatric appendicitis score (PAS), in all patients who had an appendicectomy over a one-year period. METHODS: Retrospective study of 56 patients aged 4–15 years, who underwent an emergency appendicectomy. PAS was applied and patients were divided according to the PAS protoco...
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Formato: | Texto |
Lenguaje: | English |
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Medknow Publications
2008
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2788473/ https://www.ncbi.nlm.nih.gov/pubmed/20011493 http://dx.doi.org/10.4103/0971-9261.44761 |
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author | Goulder, F. Simpson, T. |
author_facet | Goulder, F. Simpson, T. |
author_sort | Goulder, F. |
collection | PubMed |
description | AIMS: Evaluation of the pediatric appendicitis score (PAS), in all patients who had an appendicectomy over a one-year period. METHODS: Retrospective study of 56 patients aged 4–15 years, who underwent an emergency appendicectomy. PAS was applied and patients were divided according to the PAS protocol into high probability and low probability groups. These results were then correlated with histology. RESULTS: The PAS had sensitivity 0.87, specificity 0.59, positive predictive value 0.83, and negative predictive value 0.67. The negative appendicectomy rate would have been reduced to 17%, but five patients with appendicitis would have been denied early surgical treatment and may have been discharged. CONCLUSIONS: The PAS cannot be recommended as it would lead to an unacceptable risk of wrongly discharging or delaying necessary surgery in 13% of patients with appendicitis. |
format | Text |
id | pubmed-2788473 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-27884732009-12-13 Pediatric appendicitis score: A retrospective analysis Goulder, F. Simpson, T. J Indian Assoc Pediatr Surg Original Article AIMS: Evaluation of the pediatric appendicitis score (PAS), in all patients who had an appendicectomy over a one-year period. METHODS: Retrospective study of 56 patients aged 4–15 years, who underwent an emergency appendicectomy. PAS was applied and patients were divided according to the PAS protocol into high probability and low probability groups. These results were then correlated with histology. RESULTS: The PAS had sensitivity 0.87, specificity 0.59, positive predictive value 0.83, and negative predictive value 0.67. The negative appendicectomy rate would have been reduced to 17%, but five patients with appendicitis would have been denied early surgical treatment and may have been discharged. CONCLUSIONS: The PAS cannot be recommended as it would lead to an unacceptable risk of wrongly discharging or delaying necessary surgery in 13% of patients with appendicitis. Medknow Publications 2008 /pmc/articles/PMC2788473/ /pubmed/20011493 http://dx.doi.org/10.4103/0971-9261.44761 Text en © Journal of Indian Association of Pediatric Surgeons http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Goulder, F. Simpson, T. Pediatric appendicitis score: A retrospective analysis |
title | Pediatric appendicitis score: A retrospective analysis |
title_full | Pediatric appendicitis score: A retrospective analysis |
title_fullStr | Pediatric appendicitis score: A retrospective analysis |
title_full_unstemmed | Pediatric appendicitis score: A retrospective analysis |
title_short | Pediatric appendicitis score: A retrospective analysis |
title_sort | pediatric appendicitis score: a retrospective analysis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2788473/ https://www.ncbi.nlm.nih.gov/pubmed/20011493 http://dx.doi.org/10.4103/0971-9261.44761 |
work_keys_str_mv | AT goulderf pediatricappendicitisscorearetrospectiveanalysis AT simpsont pediatricappendicitisscorearetrospectiveanalysis |