EVALUATION OF MODIFIED ALVARADO SCORING SYSTEM IN THE DIAGNOSIS OF ACUTE APPENDICITIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 13
Abstract
BACKGROUND Acute appendicitis is one of the most common cause of abdominal surgical emergencies. The diagnosis of acute appendicitis is clinical. Despite its frequency, the diagnosis of appendicitis is sometimes difficult. Early diagnosis and prompt operative intervention is the key for successful management of acute appendicitis. In order to reduce the negative appendicectomy rate, various scoring systems have been developed for supporting the diagnosis of acute appendicitis. The most commonly used scoring system is Alvarado score and equally its modifications. Aims and Objectives1. To evaluate the Modified Alvarado Score System (MASS) in the diagnosis of acute appendicitis. 2. To find out sensitivity, positive and negative predictive value of MASS. 3. To find out negative appendicectomy rate. MATERIALS AND METHODS This is a prospective study conducted in tertiary care teaching hospital in Vidarbha from November 2016 to October 2017. Total 196 patients were evaluated, of which 14 were excluded according to exclusion criteria. Therefore, 182 patients were included in this study. RESULTS 182 patients were included in this study. Total 126 (67 males and 59 females) patients were operated. On histopathology, appendicitis was confirmed in 102 (58 males and 44 females) patients. Overall, sensitivity and specificity of Alvarado score was 71.57% and 45.83%. Positive and negative predictive values were found to be 84.88% and 27.5% respectively. Positive appendicectomy rate was found to be 80.95%. Overall, negative appendicectomy rate was 19.05%. CONCLUSION Acute appendicitis is usually a clinical diagnosis and should remain one in the vast majority of patients coming with right iliac fossa pain. Alvarado scoring system is a very useful method to make a clinical diagnosis of acute appendicitis and can be arrived virtually in no time.
Authors and Affiliations
Syed Rizwanuddin Qazi, Anil V Dorakar, Varsha N. Bijwe, Rajiv M. Mulmule
Keywords
Related Articles
- EP ID EP412235
- DOI 10.14260/jemds/2018/372
- Views 51
- Downloads 0
NON HODGKIN'S LYMPHOMA OF STOMACH WITH SPONTANEOUS PERFORATION: A CASE REPORT WITH REVIEW OF LITERATURE
Stomach is the commonest extranodal site of lymphomas. A case of Non-Hodgkin’s Lymphoma of stomach is reported here for its unusual way of presentation. Fifty year old male presented with features of perforation perito...
STUDY OF PLEURAL EFFUSIONS OF PANCREATIC AETIOLOGY IN A TERTIARY CARE CENTRE
BACKGROUND We have studied seven cases of Pleural effusion of pancreatic aetiology from 2015 to 2017. Aim of the Study- Alcoholism is increasing in our society and so are the pancreatic problems. Pleural effusions of pan...
AESTHETIC MANAGEMENT OF FRACTURED ANTERIORS- A CONSERVATIVE APPROACH
PRESENTATION OF CASE Traumatic dental injuries are a common occurrence in routine dental practice. Such injuries mostly involve the anterior teeth, especially the maxillary incisors because of their vulnerable position i...
ROLE OF PRE-OPERATIVE UPPER GASTRO-INTESTINAL ENDOSCOPY IN SYMPTOMATIC PATIENTS UNDERGOING ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY FOR GALL BLADDER STONE DISEASE
BACKGROUND Gallbladder stone disease is one of the most common problems encountered in surgical practice. The diagnosis of gallbladder stone disease has increased over the last decade because of the ease of access to son...
SKIN MANIFESTATIONS OF GASTROINTESTINAL DISEASES: A REVIEW
Skin is the largest organ of human body and stands as a guard for our internal organs. It can be regarded as a mirror giving a reflection of metabolic, biochemical and functional status of our internal organs. Derma...