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
- EP ID EP371449
- DOI -
- Views 93
- Downloads 0
Metastatic Seminoma Presenting As Enlarged Neck Node: Diagnosis by Fine Needle Aspiration Cytology
In testicular malignancy, the incidence of neck metastases range from 4.5 to 15% and in an estimated 5% of these cases, a neck mass is the initial presentation. We present a case of testicular seminoma which presented wi...
Fetal and Maternal Effects of Pregnancy after Using IVF / ICSI in Women Comprehensive Hospital in Tehran in 5 Years
Success in In Vitro Fertilization (IVF)- a technique of Assisted Reproductive Technology (ART) for treatment of infertility -has increased day by day.According to several studies, pregnancies following IVF / ICSI were as...
Tranexamic Acid as Anti-Fibrinolytic to Control Blood Loss during Pre and Post Hemiarthoplasty of Trance Cervical Fracture Neck Femur
Major orthopedic surgeries are commonly associated with marked blood loss, which is associated with post operative mortality and morbidity. The causes of bleeding are multifactorial, increased fibrinolytic activity being...
The Ossified Caroticoclinoid Ligament and Interclinoid Ligament in a Specimen of Sphenoid Bone: A Case Report
The interclinoid ligaments between the anterior, middle and posterior clinoid process are occasionally ossified. A bony bridge between the anterior and middle clinoid process and another between the anterior and posterio...
The Prognostic Value of p53 Expression and Ki-67 Proliferation Index in the Post Resection Lung Adenocarcinoma Cases
Abstract: Lung cancer is the leading cause of cancer-related deaths and there is a debate over the effects of p53 expression and Ki-67 proliferation index on survival in cases with lung adenocarcinoma. In the present stu...