Cargando…

Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children

Background. This study aimed to evaluate Pediatric Appendicitis Score (PAS), diagnostic delay, and factors responsible for possible late diagnosis in children <4 years compared with older children who were operated on for suspected appendicitis. Method. 122 children, between 1 and 14 years, opera...

Descripción completa

Detalles Bibliográficos
Autores principales: Salö, Martin, Friman, Gustav, Stenström, Pernilla, Ohlsson, Bodil, Arnbjörnsson, Einar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4276704/
https://www.ncbi.nlm.nih.gov/pubmed/25574500
http://dx.doi.org/10.1155/2014/438076
_version_ 1782350281717055488
author Salö, Martin
Friman, Gustav
Stenström, Pernilla
Ohlsson, Bodil
Arnbjörnsson, Einar
author_facet Salö, Martin
Friman, Gustav
Stenström, Pernilla
Ohlsson, Bodil
Arnbjörnsson, Einar
author_sort Salö, Martin
collection PubMed
description Background. This study aimed to evaluate Pediatric Appendicitis Score (PAS), diagnostic delay, and factors responsible for possible late diagnosis in children <4 years compared with older children who were operated on for suspected appendicitis. Method. 122 children, between 1 and 14 years, operated on with appendectomy for suspected appendicitis, were retrospectively analyzed. The cohort was divided into two age groups: ≥4 years (n = 102) and <4 years (n = 20). Results. The mean PAS was lower among the younger compared with the older patients (5.3 and 6.6, resp.; P = 0.005), despite the fact that younger children had more severe appendicitis (75.0% and 33.3%, resp.; P = 0.001). PAS had low sensitivity in both groups, with a significantly lower sensitivity among the younger patients. Parent and doctor delay were confirmed in children <4 years of age with appendicitis. PAS did not aid in patients with doctor delay. Parameters in patient history, symptoms, and abdominal examination were more diffuse in younger children. Conclusion. PAS should be used with caution when examining children younger than 4 years of age. Diffuse symptoms in younger children with acute appendicitis lead to delay and to later diagnosis and more complicated appendicitis.
format Online
Article
Text
id pubmed-4276704
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-42767042015-01-08 Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children Salö, Martin Friman, Gustav Stenström, Pernilla Ohlsson, Bodil Arnbjörnsson, Einar Surg Res Pract Research Article Background. This study aimed to evaluate Pediatric Appendicitis Score (PAS), diagnostic delay, and factors responsible for possible late diagnosis in children <4 years compared with older children who were operated on for suspected appendicitis. Method. 122 children, between 1 and 14 years, operated on with appendectomy for suspected appendicitis, were retrospectively analyzed. The cohort was divided into two age groups: ≥4 years (n = 102) and <4 years (n = 20). Results. The mean PAS was lower among the younger compared with the older patients (5.3 and 6.6, resp.; P = 0.005), despite the fact that younger children had more severe appendicitis (75.0% and 33.3%, resp.; P = 0.001). PAS had low sensitivity in both groups, with a significantly lower sensitivity among the younger patients. Parent and doctor delay were confirmed in children <4 years of age with appendicitis. PAS did not aid in patients with doctor delay. Parameters in patient history, symptoms, and abdominal examination were more diffuse in younger children. Conclusion. PAS should be used with caution when examining children younger than 4 years of age. Diffuse symptoms in younger children with acute appendicitis lead to delay and to later diagnosis and more complicated appendicitis. Hindawi Publishing Corporation 2014 2014-12-10 /pmc/articles/PMC4276704/ /pubmed/25574500 http://dx.doi.org/10.1155/2014/438076 Text en Copyright © 2014 Martin Salö et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Salö, Martin
Friman, Gustav
Stenström, Pernilla
Ohlsson, Bodil
Arnbjörnsson, Einar
Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children
title Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children
title_full Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children
title_fullStr Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children
title_full_unstemmed Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children
title_short Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children
title_sort appendicitis in children: evaluation of the pediatric appendicitis score in younger and older children
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4276704/
https://www.ncbi.nlm.nih.gov/pubmed/25574500
http://dx.doi.org/10.1155/2014/438076
work_keys_str_mv AT salomartin appendicitisinchildrenevaluationofthepediatricappendicitisscoreinyoungerandolderchildren
AT frimangustav appendicitisinchildrenevaluationofthepediatricappendicitisscoreinyoungerandolderchildren
AT stenstrompernilla appendicitisinchildrenevaluationofthepediatricappendicitisscoreinyoungerandolderchildren
AT ohlssonbodil appendicitisinchildrenevaluationofthepediatricappendicitisscoreinyoungerandolderchildren
AT arnbjornssoneinar appendicitisinchildrenevaluationofthepediatricappendicitisscoreinyoungerandolderchildren