Alvarado vs tzanakis score- better score for appenticitis.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
Appendicitis is the most common abdominal emergency worldwide. Out of many scoring systems, Alvarado scoring system showed good sensitivity and specificity when applied in a western population, several studies have shown its limitations when applied in an Asian population. As a result a new scoring system named Tzanakis score was developed. The aim of the study is to compare the sensitivity and specificity of Tzanakis score with Alvarado score in diagnosing acute appendicitis in Indian population. A total of 100 patients who fulfilled the eligibility criteria were studied. All the patients included in the present study were suspected of having acute appendicitis based on history and clinical examination. Patients were scored according to Alvarado as well as Tzanakis score at the time of admission. Decision to operate was usually made by the surgical team who were not a part of the research team. Post-surgery specimen was subjected to histopathological evaluation. The sensitivity, specificity, positive and negative predictive values of Tzanakis and Alvarado scoring system in diagnosing acute appendicitis were compared. To conclude, Tzanakis scoring system is an effective modality to establish the accurate diagnosis of acute appendicitis which requires surgery especially in low resource areas and helps in reducing the rates of negative appendectomy. Though acute appendicitis is a clinical diagnosis the scoring system can complement the clinical diagnosis. Investigations like CECT and diagnostic laparoscopy are of high cost may not be available universally. The search for a more appropriate scoring system / diagnostic methodology for diagnosis of acute appendicitis is highly recommended.
Authors and Affiliations
Geolin Mithun J, Sundararajan G, Christa K
Keywords
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