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Retrospective audit of patients presenting for ultrasound with suspicion of appendicitis

Purpose: To assess the ultrasound performance on patients presenting to Waikato hospital ultrasound department with a clinical suspicion of appendicitis. Method: This was a retrospective audit of 309 patients presenting to our department within business hours with clinical suspicion of appendicitis...

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Autores principales: Yuan, Fei, Necas, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5024970/
https://www.ncbi.nlm.nih.gov/pubmed/28191243
http://dx.doi.org/10.1002/j.2205-0140.2015.tb00044.x
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author Yuan, Fei
Necas, Martin
author_facet Yuan, Fei
Necas, Martin
author_sort Yuan, Fei
collection PubMed
description Purpose: To assess the ultrasound performance on patients presenting to Waikato hospital ultrasound department with a clinical suspicion of appendicitis. Method: This was a retrospective audit of 309 patients presenting to our department within business hours with clinical suspicion of appendicitis between September 2012 and March 2014. The patients were evaluated by operators of mixed experience. The scan reports, surgical reports, histology and discharge summaries were reviewed. Results: The overall sensitivity of ultrasound on detecting appendicitis was 50%, the specificity was 98.5%. The positive predictive value and the negative predictive value were 84% and 92.6% respectively. The appendix was visualised in 14% of the true positive cases. When the appendix was visualised, the sensitivity and specificity of ultrasound was 95.2% and 69.2% respectively. Conclusion: The sensitivity of ultrasound to appendicitis was lower than that commonly reported in the literature, but on a par with a recent audit from another tertiary hospital in New Zealand.
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spelling pubmed-50249702017-02-10 Retrospective audit of patients presenting for ultrasound with suspicion of appendicitis Yuan, Fei Necas, Martin Australas J Ultrasound Med Original Research Purpose: To assess the ultrasound performance on patients presenting to Waikato hospital ultrasound department with a clinical suspicion of appendicitis. Method: This was a retrospective audit of 309 patients presenting to our department within business hours with clinical suspicion of appendicitis between September 2012 and March 2014. The patients were evaluated by operators of mixed experience. The scan reports, surgical reports, histology and discharge summaries were reviewed. Results: The overall sensitivity of ultrasound on detecting appendicitis was 50%, the specificity was 98.5%. The positive predictive value and the negative predictive value were 84% and 92.6% respectively. The appendix was visualised in 14% of the true positive cases. When the appendix was visualised, the sensitivity and specificity of ultrasound was 95.2% and 69.2% respectively. Conclusion: The sensitivity of ultrasound to appendicitis was lower than that commonly reported in the literature, but on a par with a recent audit from another tertiary hospital in New Zealand. John Wiley and Sons Inc. 2015-12-31 2015-05 /pmc/articles/PMC5024970/ /pubmed/28191243 http://dx.doi.org/10.1002/j.2205-0140.2015.tb00044.x Text en © 2015 Australasian Society for Ultrasound in Medicine
spellingShingle Original Research
Yuan, Fei
Necas, Martin
Retrospective audit of patients presenting for ultrasound with suspicion of appendicitis
title Retrospective audit of patients presenting for ultrasound with suspicion of appendicitis
title_full Retrospective audit of patients presenting for ultrasound with suspicion of appendicitis
title_fullStr Retrospective audit of patients presenting for ultrasound with suspicion of appendicitis
title_full_unstemmed Retrospective audit of patients presenting for ultrasound with suspicion of appendicitis
title_short Retrospective audit of patients presenting for ultrasound with suspicion of appendicitis
title_sort retrospective audit of patients presenting for ultrasound with suspicion of appendicitis
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5024970/
https://www.ncbi.nlm.nih.gov/pubmed/28191243
http://dx.doi.org/10.1002/j.2205-0140.2015.tb00044.x
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