ASSESSING THE RELIABILITY OF ALVARADO SCORING SYSTEM IN PREDICTION OF ACUTE APPENDICITIS.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2018, Vol 6, Issue 1
Abstract
Scoring systems like Lintula, Madan, Ohmann, Eskelinen, De Dombal, and Alvarado might be helpful to predict the condition of acute appendicitis. These scoring methods do not need much practical expertise. Alvarado score is non-invasive method and based on clinical and experimental data. This retrospective work was carried out to find reliability Alvarado score system to determine acute appendicitis among patients of King Fahad Specialist Hospital. In this retrospective Chart Review-Analytical study, the data were collected for period from 01/01/2015 to 01/01/2017. Based on predetermined exclusion and inclusion criteria, out of 500 patients, 200 patients were selected. The data was analyzed by using SPSS software (version 18). The Alvarado score ranged from 2-10 and based on this score three groups was defined: High (7-10), intermediate (5-6) and low (<5) clinical probability. The number of patients among high, intermediate and low clinical probability groups were 93 (96.88%), 66 (94.30%) and 28 (82.35%), respectively. The overall positive and negative predicative score were 94.5% and 5.5%. However, the sensitivity, specificity and likelihood ratio for high score and intermediate to high score were low, and did not indicate the prospective potential of Alvarado scoring systems to predict acute appendicitis.
Authors and Affiliations
Alhanouf Abdulaziz Alammar, Mawiah Hamed Alshebromi, Anas Hamed Alshebromi, Abdulaziz Altwejri
Keywords
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- EP ID EP268431
- DOI 10.21474/IJAR01/6201
- Views 68
- Downloads 0
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