Evaluation of Alvarado score in diagnosing acute appendicitis

Using a practical scoring system for diagnosing acute appendicitis can help reduce the rate of unnecessary surgery. This prospective study was carried out to evaluate Alvarado scoring system for diagnosing of acute appendicitis in our set up. Out of total 100 patients, appendicitis was confirmed in...

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Autores principales: Awayshih, Mahmoud Musa Al, Nofal, Mohammad Nabih, Yousef, Ali Jad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2019
Materias:
Case Series
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6859007/
https://www.ncbi.nlm.nih.gov/pubmed/31762884
http://dx.doi.org/10.11604/pamj.2019.34.15.17803
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author Awayshih, Mahmoud Musa Al
Nofal, Mohammad Nabih
Yousef, Ali Jad
author_facet Awayshih, Mahmoud Musa Al
Nofal, Mohammad Nabih
Yousef, Ali Jad
author_sort Awayshih, Mahmoud Musa Al
collection PubMed
description Using a practical scoring system for diagnosing acute appendicitis can help reduce the rate of unnecessary surgery. This prospective study was carried out to evaluate Alvarado scoring system for diagnosing of acute appendicitis in our set up. Out of total 100 patients, appendicitis was confirmed in 80 patients, thus giving negative appendectomy rate of 20% (male 6%, female 14%). Perforation rate was 4%. Positive predictive value was 89%. The sensitivity was 54% and specificity 75%. Alvarado score is not a sensitive tool for aiding diagnosis of acute appendicitis.
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spelling pubmed-68590072019-11-22 Evaluation of Alvarado score in diagnosing acute appendicitis Awayshih, Mahmoud Musa Al Nofal, Mohammad Nabih Yousef, Ali Jad Pan Afr Med J Case Series Using a practical scoring system for diagnosing acute appendicitis can help reduce the rate of unnecessary surgery. This prospective study was carried out to evaluate Alvarado scoring system for diagnosing of acute appendicitis in our set up. Out of total 100 patients, appendicitis was confirmed in 80 patients, thus giving negative appendectomy rate of 20% (male 6%, female 14%). Perforation rate was 4%. Positive predictive value was 89%. The sensitivity was 54% and specificity 75%. Alvarado score is not a sensitive tool for aiding diagnosis of acute appendicitis. The African Field Epidemiology Network 2019-09-06 /pmc/articles/PMC6859007/ /pubmed/31762884 http://dx.doi.org/10.11604/pamj.2019.34.15.17803 Text en © Mahmoud Musa Al Awayshih et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. 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 Case Series
Awayshih, Mahmoud Musa Al
Nofal, Mohammad Nabih
Yousef, Ali Jad
Evaluation of Alvarado score in diagnosing acute appendicitis
title Evaluation of Alvarado score in diagnosing acute appendicitis
title_full Evaluation of Alvarado score in diagnosing acute appendicitis
title_fullStr Evaluation of Alvarado score in diagnosing acute appendicitis
title_full_unstemmed Evaluation of Alvarado score in diagnosing acute appendicitis
title_short Evaluation of Alvarado score in diagnosing acute appendicitis
title_sort evaluation of alvarado score in diagnosing acute appendicitis
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6859007/
https://www.ncbi.nlm.nih.gov/pubmed/31762884
http://dx.doi.org/10.11604/pamj.2019.34.15.17803
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