Alvarado Score System, how useful is in Emergency Department? Some consideration about it.

Abstract

Background; “Acute Appendicitis” is one of the most usual causes of emergency hospital admissions and appendectomy is one of the most common emergency procedures performed in the contemporary medicine. This study aims to identify the Alvarado Score System as a simplified tool for the emergency doctor in the abdominal emergency in general and for the Acute Appendicitis in particular. Materials and methods; The study is of retrospective character and includes 130 cases presented with abdominal Pain in University Hospital Centre” Mother Theresa” Tirana, Albania, in the period 1 April 2019 - 30 May 2019 from which 100 allegedly suspected with “Appendicitis Acute”. Results; Gender distribution has a slight male predominance. The predominant age group was 14-21 years old. The most frequent clinical data has been the tenderness in right iliac fossa. In our study 3% of cases belonged to the group 1-4 Alvarado points, 17% of the cases belonged to the group 5-6 Alvarado points and 80% of the cases belonged to the group 7-10 Alvarado points. Conclusions; In underdeveloped or developing countries where the decision to operate depends on clinical judgment, the Alvarado Score can serve as a precise and consistent tool to exclude Acute Appendicitis. Alvarado Score can also serve the emergency doctor as a tool with predictive value in the abdominal emergency. Key Words: Acute Appendicitis, appendectomy, Alvarado Score