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air score appendicitis

Maxim Avanesov, Nis Jesper Wiese, Murat Karul, Helena Guerreiro, Sarah Keller, Philip Busch, Frank Jacobsen, Gerhard Adam, Jin Yamamura
OBJECTIVES: To develop a routinely applicable severity index for the management of acute appendicitis in adults using combined clinical and radiological parameters and retroperitoneal space planes (RSP). METHODS: Two hundred consecutive patients with histologically proven acute appendicitis and available presurgical CT scans were analysed retrospectively. Two radiologists assessed all CT scans for morphologic sings of appendicitis and six RSP. Clinical parameters were age, body temperature, C-reactive protein (CRP), white blood cell count, and duration of symptoms...
March 14, 2018: European Radiology
Mohammad Yasin Karami, Hadi Niakan, Navid Zadebagheri, Parviz Mardani, Zahra Shayan, Iman Deilami
Purpose: Acute appendicitis (AA) is one of the most common causes of an acute abdomen. The accuracies of the Alvarado and the acute inflammatory response (AIR) scores in the diagnosis of appendicitis is very low in Asian populations, so a new scoring system, the Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) system, was designed recently. We applied and compared the Alvarado, AIR, and RIPASA scores in the diagnoses of appendicitis in the Iranian population. Methods: We prospectively compared the RIPASA, Alvarado, and AIR systems by applying them to 100 patients...
December 2017: Annals of Coloproctology
(no author information available yet)
INTRODUCTION: Patients presenting with right iliac fossa (RIF) pain are a common challenge for acute general surgical services. Given the range of potential pathologies, RIF pain creates diagnostic uncertainty and there is subsequent variation in investigation and management. Appendicitis is a diagnosis which must be considered in all patients with RIF pain; however, over a fifth of patients undergoing appendicectomy, in the UK, have been proven to have a histologically normal appendix (negative appendicectomy)...
January 13, 2018: BMJ Open
M Andersson, B Kolodziej, R E Andersson
BACKGROUND: The role of imaging in the diagnosis of appendicitis is controversial. This prospective interventional study and nested randomized trial analysed the impact of implementing a risk stratification algorithm based on the Appendicitis Inflammatory Response (AIR) score, and compared routine imaging with selective imaging after clinical reassessment. METHOD: Patients presenting with suspicion of appendicitis between September 2009 and January 2012 from age 10 years were included at 21 emergency surgical centres and from age 5 years at three university paediatric centres...
October 2017: British Journal of Surgery
Malsha Kularatna, Melanie Lauti, Cheyaanthan Haran, Wiremu MacFater, Laila Sheikh, Ying Huang, John McCall, Andrew D MacCormick
BACKGROUND: Clinical prediction rules (CPRs) provide an objective method of assessment in the diagnosis of acute appendicitis. There are a number of available CPRs for the diagnosis of appendicitis, but it is unknown which performs best. AIM: The aim of this study was to identify what CPRs are available and how they perform when diagnosing appendicitis in adults. METHOD: A systematic review was performed in accordance with the PRISMA guidelines...
July 2017: World Journal of Surgery
Si Kyung Jung, Dong Yoon Rhee, Woon Jeong Lee, Seon Hee Woo, Seung Hwan Seol, Dae Hee Kim, Seung Pill Choi
PURPOSE: The diagnostic value of the neutrophil-to-lymphocyte count ratio (NLR) and the Appendicitis Inflammatory Response (AIR) score for identifying acute appendicitis (AA) perforation in elderly patients in the emergency department (ED) were evaluated. METHODS: A total of 103 patients who were admitted for appendectomy for AA via the ED between January 2012 and December 2014 were reviewed retrospectively. Patients aged 65 and over were included. Patient age, sex, comorbidities, body temperature, clinical findings and initial laboratory results including white blood cell (WBC) count, NLR, serum levels of CRP and total bilirubin (TB) in the ED were assessed, and the AIR score was calculated...
June 2017: Aging Clinical and Experimental Research
Bruno Von-Mühlen, Orli Franzon, Murilo Gamba Beduschi, Nicolau Kruel, Daniel Lupselo
BACKGROUND: Acute appendicitis is the most common cause of acute abdomen. Approximately 7% of the population will be affected by this condition during full life. The development of AIR score may contribute to diagnosis associating easy clinical criteria and two simple laboratory tests. AIM: To evaluate the score AIR (Appendicitis Inflammatory Response score) as a tool for the diagnosis and prediction of severity of acute appendicitis. METHOD: Were evaluated all patients undergoing surgical appendectomy...
July 2015: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
J J Atema, C C van Rossem, M M Leeuwenburgh, J Stoker, M A Boermeester
BACKGROUND: Non-operative management may be an alternative for uncomplicated appendicitis, but preoperative distinction between uncomplicated and complicated disease is challenging. This study aimed to develop a scoring system based on clinical and imaging features to distinguish uncomplicated from complicated appendicitis. METHODS: Patients with suspected acute appendicitis based on clinical evaluation and imaging were selected from two prospective multicentre diagnostic accuracy studies (OPTIMA and OPTIMAP)...
July 2015: British Journal of Surgery
A J Scott, S E Mason, M Arunakirinathan, Y Reissis, J M Kinross, J J Smith
BACKGROUND: Current management of suspected appendicitis is hampered by the overadmission of patients with non-specific abdominal pain and a significant negative exploration rate. The potential benefits of risk stratification by the Appendicitis Inflammatory Response (AIR) score to guide clinical decision-making were assessed. METHODS: During this 50-week prospective observational study at one institution, the AIR score was calculated for all patients admitted with suspected appendicitis...
April 2015: British Journal of Surgery
D Kollár, D P McCartan, M Bourke, K S Cross, J Dowdall
BACKGROUND: Patients presenting with suspected appendicitis pose a diagnostic challenge. The appendicitis inflammatory response (AIR) score has outperformed the Alvarado score in two retrospective studies. The aim of this study was to evaluate the AIR Score and compare its performance in predicting risk of appendicitis to both the Alvarado score and the clinical impression of a senior surgeon. METHODS: All parameters included in the AIR and Alvarado scores as well as the initial clinical impression of a senior surgeon were prospectively recorded on patients referred to the surgical on call team with acute right iliac fossa pain over a 6-month period...
January 2015: World Journal of Surgery
Manne Andersson, Marie Rubér, Christina Ekerfelt, Hanna Björnsson Hallgren, Gunnar Olaison, Roland E Andersson
BACKGROUND: The diagnosis of appendicitis is difficult and resource consuming. New inflammatory markers have been proposed for the diagnosis of appendicitis, but their utility in combination with traditional diagnostic variables has not been tested. Our objective is to explore the potential of new inflammatory markers for improving the diagnosis of appendicitis. METHODS: The diagnostic properties of the six most promising out of 21 new inflammatory markers (interleukin [IL]-6, chemokine ligand [CXCL]-8, chemokine C-C motif ligand [CCL]-2, serum amyloid A [SAA], matrix metalloproteinase [MMP]-9, and myeloperoxidase [MPO]) were compared with traditional diagnostic variables included in the Appendicitis Inflammatory Response (AIR) score (right iliac fossa pain, vomiting, rebound tenderness, guarding, white blood cell [WBC] count, proportion neutrophils, C-reactive protein and body temperature) in 432 patients with suspected appendicitis by uni- and multivariable regression models...
November 2014: World Journal of Surgery
Salomone Di Saverio, Andrea Sibilio, Eleonora Giorgini, Andrea Biscardi, Silvia Villani, Federico Coccolini, Nazareno Smerieri, Michele Pisano, Luca Ansaloni, Massimo Sartelli, Fausto Catena, Gregorio Tugnoli
OBJECTIVES: To assess the safety and efficacy of antibiotics treatment for suspected acute uncomplicated appendicitis and to monitor the long term follow-up of non-operated patients. BACKGROUND: Right lower quadrant abdominal pain is a common cause of emergency department admission. The natural history of acute appendicitis nonoperatively treated with antibiotics remains unclear. METHODS: In 2010, a total of 159 patients [mean AIR (Appendicitis Inflammatory Response) score = 4...
July 2014: Annals of Surgery
Parvin Nassiri, Somayeh Farhang Dehghan, Mohammad Reza Monazzam
OBJECTIVES: Noise is probably the most common occupational hazard facing workers today. This paper presents a model to evaluate and select a unit as the first priority for implementing noise control measures from the different parts of an industrial complex. METHODS: For this purpose, a formula was proposed as a priority risk index (NCPI) by considering some criteria, including: the number of exposed workers in each part, their exposure times and the range of sound pressure level...
2013: Journal of Occupational Health
Shi-kuan Li, Hai-kuan Wang, Yuan-bo Li, Xin-gang Peng, Pei-ge Wang, Yan-bing Zhou, Xiao-bin Zhou
OBJECTIVE: To explore the diagnostic value of combined modified Alvarado scores (MAS) and computed tomography imaging in the pathological types of acute appendicitis in adults. METHODS: Clinical data of a total of 396 adult patients with acute appendicitis confirmed by surgery and pathology were analyzed retrospectively from June 2007 to July 2010. Case-control study was used to investigate the MAS. CT signs were studied in 115 patients who underwent preoperative CT scan...
December 2012: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
S M M de Castro, C Ünlü, E Ph Steller, B A van Wagensveld, B C Vrouenraets
BACKGROUND: Acute appendicitis is still a difficult diagnosis. Scoring systems are designed to aid in the clinical assessment of patients with acute appendicitis. The Alvarado score is the most well known and best performing in validation studies. The purpose of the present study was to externally validate a recently developed appendicitis inflammatory response (AIR) score and compare it to the Alvarado score. METHODS: The present study selected consecutive patients who presented with suspicion of acute appendicitis between 2006 and 2009...
July 2012: World Journal of Surgery
Patrick L Wagner, Soumitra R Eachempati, Anna Aronova, Lynn J Hydo, Frederic M Pieracci, Marie Bartholdi, Ben-Paul N Umunna, Jian Shou, Philip S Barie
BACKGROUND: We defined the contemporary conversion rate from laparoscopic appendectomy (LA) to open appendectomy and identified pre-operative factors associated with conversion. METHODS: Retrospective review of 941 consecutive LAs performed for suspected acute appendicitis in a single urban university hospital between 2000 and 2007. Patient characteristics, clinical features, physical examination findings, laboratory values, computed tomography (CT) findings, surgeon identity, operative findings, and pathologic results were assessed...
August 2011: Surgical Infections
A E Nicolau, V Merlan, V Veste, B Micu, M Beuran
BACKGROUND: Suture repair became the standard treatment for perforated duodenal ulcer (PDU) due to the efficacy of modern anti-ulcer therapy. This study compared short-term outcomes of open versus laparoscopic suture repair of PDU in patients without risk factors. METHOD: Patients with perforated duodenal ulcer were selected for open or laparoscopic suture repair. Patients with either one or more of the following risk factors were excluded: age > 50 years, interval between perforation and operation > or = 12 hours, presence of major comorbidities (American Society of Anesthesiologists [ASA] III-IV), and previous abdominal surgery...
November 2008: Chirurgia
Adam J Hansen, Scott W Young, Giovanni De Petris, Deron J Tessier, Jose L Hernandez, Daniel J Johnson
HYPOTHESIS: A regression model based on computed tomographic (CT) findings alone can accurately predict the histologic severity of acute appendicitis in patients who have a high disease likelihood. DESIGN: Retrospective study. SETTING: Mayo Clinic in Scottsdale, Ariz. PATIENTS: Consecutive sample of 105 patients (50 women and 55 men, aged 15-89 years) undergoing nonincidental appendectomy within 3 days of nonfocused abdominal CT...
December 2004: Archives of Surgery
Ronald J Place, Robert M Rush, Edward D Arrington
PURPOSE: Forward Surgical Teams (FST) deploy to support conventional combat units of at least regimental size. This report examines the injuries and treatments of an FST in an environment of unconventional tactics, limited personal protection, and extended areas of responsibility during Operation ENDURING FREEDOM. METHODS: A prospective evaluation of the personal protective measures, mechanisms of injury, types of injuries, and times to treatment in Operation ENDURING FREEDOM...
July 2003: Current Surgery
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