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Evaluation of alvarado score in acute appendicitis: A prospective study

Rodrigues, Gabriel and Rao, A and Khan, Sohil Ahmed (2006) Evaluation of alvarado score in acute appendicitis: A prospective study. The Internet Journal of Surgery, 9 (1). pp. 1-5. ISSN 1528-8242

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Abstract

Background: Acute appendicitis is a common cause of abdominal pain for which a prompt diagnosis is rewarded by a marked decrease in morbidity and mortality. Right iliac foss a pain is the hallm ark of acute appendicitis until proven otherwise. Decis ion making in a cases of acute appendicitis may be difficult, es pecially for junior surgeons. Hence we aimed at analyzing the Alvarado Score in patients with right iliac fossa pain. Methods: A prospective study involving 231 patients with right iliac fossa pain were included in the study, with patients from 16-65 years of age (mean-26.3). Patients were categorized into 2 groups: Group I, Alvarado Score 7 (118 patients) and Group II, Alvarado Score I 6 (113 patients). Results: 103 patients in Group 1 underwentsurgeryand 101 had acute appendicitis. In Group 11,24patients underwent delayed surgerywhere 6 patients had appendicitis on histological examination. Ultrasonography diagnosed acute appendicitis in 110 patients out of which 107 had appendicitis, proven histologically. Three patients were over diagnosed to have appendicitis byultrasonography. Negative appendicectomies were seen more in females than in males (6:2). The Alvarado score had an overall sensitivityof88.8% and specificityof75%. Conclusion: The diagnostic accuracy of Alvarado score is found to be helpful in the diagnosis and management of acute appendicitis. Diagnosis of acute appendicitis is virtually confirmed with a score of7-10 especially in males and they should undergo appendicectomy. Diagnostic laparoscopyis advised to minimize the unacceptable high false negative rate in women. Patients with score 5-6 must be admitted and scored frequently. Score 1-4 can be discharged unless otherwise indicated.

Item Type: Article
Uncontrolled Keywords: Appendicectomy; appendicitis; laparoscopy; surgery.
Subjects: Pharmacy > MCOPS Manipal > Pharmacy Practice
Medicine > KMC Manipal > Surgery
Depositing User: KMC Manipal
Date Deposited: 29 May 2015 04:57
Last Modified: 29 May 2015 04:57
URI: http://eprints.manipal.edu/id/eprint/142817

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