Efficacy of Alvarado and Appendicitis Inflammatory Response Scores in the Diagnosis and Management of Acute Appendicitis - A Cross Sectional Study from Nizamabad, Telangana
| العنوان: | Efficacy of Alvarado and Appendicitis Inflammatory Response Scores in the Diagnosis and Management of Acute Appendicitis - A Cross Sectional Study from Nizamabad, Telangana |
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| المؤلفون: | Gudas Ravinder, Keerthi Sunil Kumar, Boda Kumaraswamy |
| المصدر: | Journal of Evidence Based Medicine and Healthcare. 8:1726-1730 |
| بيانات النشر: | Level Up Business Center, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Cross-sectional study, business.industry, Inflammatory response, Internal medicine, Acute appendicitis, Medicine, business, medicine.disease, Appendicitis |
| الوصف: | BACKGROUND Accurate clinical diagnosis and timely surgical intervention are the two important events that help the surgeon in the management of acute appendicitis. Two diagnostic score systems that help in avoiding the removal of normal appendix are reviewed in this study. The purpose of this study was to evaluate the sensitivity and specificity of Alvarado score (AS) and Appendicitis inflammatory response scores (AIRS) in the diagnosis of acute appendicitis (AA) and correlate their efficacy in the management of acute appendicitis as per the diagnostic scores used. METHODS This was a cross-sectional clinical study. 73 patients who attended the emergency ward for clinical features of acute appendicitis were included in the study. Clinical examination included the diagnostic tools 1. The Alvarado score, 2. Appendicitis Inflammatory Response score. Based on their score a provisional diagnosis was made among the patients. All the data was classified and analysed. RESULTS The positive predictive value was 63/73 (86.30 %) with Alvarado diagnostic tool and 66/73 (90.41 %) with AIS diagnostic tool. The false positive values using Alvarado system was 06.84 % and 04.10 % with AIS system. The true negative rate of diagnosis of acute appendicitis in this study was 09.58 %. CONCLUSIONS Both Alvarado and AIS diagnostic tools were simple and accurate in the early diagnosis of acute appendicitis in the adult population. Both the tools are highly sensitive and specific in nature. KEYWORDS Appendix, Acute Appendicitis, Perforation, USG, Laparotomy and Alvarado Score |
| تدمد: | 2349-2570 2349-2562 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::9de7b48670dec03ca32f058177430cfaTest https://doi.org/10.18410/jebmh/2021/326Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi...........9de7b48670dec03ca32f058177430cfa |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23492570 23492562 |
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