Evaluation of Alvarado Scoring System in Preoperative Diagnosis of Acute Appendicitis
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 12
Abstract
Background: Aim of the study was to evaluate Alvarado scoring system in preoperative diagnosis of Acute Appendicitis and to compare clinical diagnosis and Alvarado scoring for early diagnosis and correlate them with histopathological findings in case of acute appendicitis. Material and Method: The present study is carried out in 100 cases of appendicitis admitted in of Index Medical College, Hospital and Research Centre, Indore during the period from January 2015 to June 2016 (18 months) . Calculation of Alvarado score done on the basis of signs symptoms and Laboratory findings of patients admitted in IMCHRC during the course of the study. Confirmation of diagnosis by histopathological correlation. Result: We concluded our study in 100 consecutive patients with clinical features of acute appendicitis among them 32were females and 68 were males. Male to female ratio 2.12:1. Most of the patients belong to younger age group (43% in age group of 21-30 years). Mean scores for the emergency surgery group, and observation group were 7-10 and 5-6 respectively .Negative appendectomy rate in our study was 32.9% out of which among males it is lesser (31.57%) as compared to females who had a higher Negative appendectomy rate of 35.7%. Sensitivity of Alvarado score ≥7 was 92.9% and specificity was 78.5%. Positive and Negative value of Alvarado score ≥7 was 89.8% and84.6% respectively. Conclusion: Acute Appendicitis was definitely absent among 28 operated cases. This rate of 32.9% was by no means high when compared to the reported range of 8- 33% in the literature but certainly not enough to make its adoption recommendable
Authors and Affiliations
Ashish Agrawal
Keywords
Related Articles
- EP ID EP210103
- DOI -
- Views 56
- Downloads 0
Reduced Serum Nitrate in Individuals with Primary Hypertension
Background and objectives: Primary or essential hypertension (PHTN ) is the most prevalent form of hypertension accounting 90 % of all cases of hypertension . Evidence suggests that Nitic oxide (NO) plays a major role in...
A Rare Case of Spontaneous Reduction of Adult Appendicular Intussusception with Acute Appendicitis
Appendiceal intussusception is a very rare disease that is found in only 0.01% of patients who have undergone an appendectomy. The term intussusception is defined as invagination of a segment of the gastrointestinal trac...
Hyperinsulinemia in Polycystic Ovary Syndrome
Background: Polycystic ovary syndrome is one of the most common endocrinopathies affecting 4.7% of women in reproductive age group contribute to a major share of anovulatory infertility. It is more prevalent in South Asi...
Crush Smear Cytology: A Rapid Diagnostic Technique in the Intraoperative Diagnosis of CNS Tumours
Cytology has been shown to be of great value in intraoperative consultations of central nervous system (CNS) pathology. Intraoperative smear cytology provides a rapid and reliable intraoperative diagnosis and guidance to...
Association of Serum Fetuin-A Concentration and Bone Mineral Density in Women with Postmenopausal Osteoporosis
Osteoporosis is a chronic, progressive, skeletal disease characterized by low bone mass and microarchitectural deterioration of bone tissue, with a consequent increase in bone fragility. Biological pathways leading to os...