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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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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 |
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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 |
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