Tzanakis Score versus Alvarado Score in the Diagnosis of Acute Appendicitis: A Comparative Study

Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 9

Abstract

Abstract:Acute appendicitis is most common surgical emergency. The study was conducted to compare the efficacy of Tzanakis score and Alvarado score in diagnosing acute appendicitis. The study was designed as a non randomised, prospective, observational, clinical study, conducted at Patna Medical College and Hospital, Patna, over a period of 6 months between July 2016 and December 2016. It included 98 clinically diagnosed cases of acute appendicitis who underwent emergency open or laparoscopic appendectomy. Final diagnosis of acute appendicitis was based on histopathological examination report of resected appendix. The sensitivity, specificity, positive predictive value and negative predictive value of Tzanakis score was 93.83%, 52.94%, 90.48% and 64.29% respectively and the sensitivity, specificity, positive predictive value and negative predictive value of Alvarado score was 86.42%, 47.06%, 88.61% and 42.11% respectively. The negative appendectomy rate in the study was found to be 17.35%. To conclude, clinical diagnosis of acute appendicitis can be complemented with Tzanakis scoring system for more accurate diagnosis of acute appendicitis. Keywords:Acute appendicitis, Alvarado score, Tzanakis Score

Authors and Affiliations

Atreya A, Kumar J

Keywords

Related Articles

Birth defect surveillance from 21 weeks gestation onwards and its correlation with different maternal risk factors

The study was aimed to find out the overall incidence of birth defects in newborns from 21 weeks gestation onwards and to study their patterns and distribution; and to study the relation with various maternal risk factor...

Comparative study of HRCT thorax with plain chest radiograph in evaluating the patients with interstitial lung diseases

Abstract: Diffuse interstitial lung disease encompasses a large number of disorders that are characterized by cellular infiltrates in a peri acinar location. Many patients come with various respiratory complaints. Chest...

Detection of Methicillin Resistance and Vancomycin Resistance among Clinical Isolates of Staphylococcus aureus in a Tertiary Care Hospital at Tirupati

Staphylococcus aureus is one of the important causes of community acquired and hospital acquired infections worldwide. Methicillin resistant Staphylococcus aureus is one of the major antibiotic resistant organisms. The p...

Morphometry of Mitral Valve in South Indian Adult Hearts: A Cadaveric Study

Mitral valve situated between left atrium and ventricle It is composed of several elements namely: annulus, cusps, tendinous cords and papillary muscles. It is the most common valve to be involved in acute Rheumatic hear...

A Case of Unilateral Euthyroid Graves’ Disease

Unilateral proptosis and ptosis in euthyroid Graves’s disease is very rare with 5 -10% cases reported. We present a clinically Euthyroid male with features of thyroid ophthalmopathy who presented with unilateral proptosi...

Download PDF file
  • EP ID EP371449
  • DOI -
  • Views 92
  • Downloads 0

How To Cite

Atreya A, Kumar J (2017). Tzanakis Score versus Alvarado Score in the Diagnosis of Acute Appendicitis: A Comparative Study. Scholars Journal of Applied Medical Sciences, 5(9), 3523-3526. https://europub.co.uk/articles/-A-371449