Cross sectional study to evaluate modified Alvardo score in the diagnosis of acute appendicitis

Pramatha Nath Dutta, Ranadip Chatterjee, Tamoghna Das, Lita Bag, Purba Bhaumik
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Abstract

Background: Appendectomy is one of the most commonly performed emergency operation. The diagnosis requires distinguishing from other causes of pain in that region of the abdomen like acute ureteric colic, right sided salphingoophoritis. Presently ultrasonogram and contrast enhanced CT scan are the diagnostic modalities of choice. Although these facilities are readily available in urban areas but rural areas still suffer from lack of timely diagnosis and negative appendectomy, enhancing the need for a reliable scoring system for diagnosis of acute appendicitis. Here we will evaluate modified Alvardo scoring system in diagnosis of acute appendicitis. Methods: This is an observational cross-sectional hospital-based study at KPC medical college, Kolkata with 92 consecutive cases of suspected acute appendicitis, who were admitted, investigated and treated during 1st February 2022 to 31st January, 2023. Modified Alvardo score is calculated of each patient and compared with the histopathological findings of operated appendix. Results: The above study shows that modified Alvardo score 7-9 has high sensitivity of 93.10% in men and in female sensitivity is 77.78%. Overall sensitivity of modified Alvardo score of 7-9 came out to be 83.63%. Conclusions: It can be concluded that modified Alvardo score of 7-9 can be used as a potent diagnostic tool in male. But in females due to lower sensitivity and significant number of negative appendectomy, it can be used an diagnostic aid in addition to imaging studies for diagnosis.
评价改良Alvardo评分在急性阑尾炎诊断中的横断面研究
背景:阑尾切除术是最常见的紧急手术之一。诊断需要与其他原因的疼痛在该区域的腹部,如急性输尿管绞痛,右侧输卵管囊肿炎。目前,超声检查和增强CT扫描是首选的诊断方式。虽然这些设施在城市地区很容易获得,但农村地区仍然存在缺乏及时诊断和阑尾切除术阴性的问题,因此需要一个可靠的急性阑尾炎诊断评分系统。本文将评价改进的Alvardo评分系统对急性阑尾炎的诊断价值。方法:对2022年2月1日至2023年1月31日期间入院、调查和治疗的92例疑似急性阑尾炎患者进行观察性横断面医院基础研究。计算每位患者的改良Alvardo评分,并与阑尾手术的组织病理学结果进行比较。结果:上述研究表明,改良Alvardo评分7-9对男性的敏感性为93.10%,对女性的敏感性为77.78%。修正Alvardo评分7 ~ 9分的总体敏感性为83.63%。结论:改良的Alvardo评分7 ~ 9分可作为男性前列腺癌的有效诊断工具。但在女性阑尾切除术中,由于敏感性较低,阴性病例较多,故可作为除影像学检查外的诊断辅助手段。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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