Efficacy of modified Alvarado scoring system as a diagnostic tool for acute appendicitis
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Background: Acute appendicitis is one of the common surgical emergencies. Different scoring systems have been used to diagnose appendicitis. The aim and objective of this study is to evaluate the efficacy of Modified Alvarado scoring system (MASS) in the diagnosis of acute appendicitis, to reduce the rate of negative appendicectomy. Material and Methods: A total of 100 hospitalized cases of suspected appendicitis were scored out of 9 according to Modified Alvarado score. All the patients underwent appendicectomy. The specimen of appendix was sent for histopathological examinationto analyze efficacy of MASS in the diagnosis of acute appendicitis. Results: 88 cases were having Modified Alvarado Score 7 or more, out of which 80 cases reported with positive histopathology report. Rest 12 cases were having equivocal score i.e. less than 7, of which 8 cases reported with positive histopathology. The overall negative appendicectomy rate of this whole study was 12%. Discussion: The accuracy of diagnosis is more in patients with high MASS score. Patients with low score should be kept under observation. Score sensitivity is more in male than female patients. The diagnostic score may be used as a guide to decide whether the patients need surgery or observation. This scoring systems can be used as a cheap and inexpensive way for conclusive diagnosis of acute appendicitis.
Authors and Affiliations
Ravibhushan J Kasale, Ganesh A Swami
Keywords
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