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usefulness of various scoring systems for acute appendicitis

Muhammad Usman Malik, Tara M Connelly, Faisal Awan, Frederik Pretorius, Constantino Fiuza-Castineira, Osama El Faedy, Paul Balfe
AIM: The definitive diagnosis of acute appendicitis (AA) requires histopathological examination. Various clinical diagnostic scoring systems attempt to reduce negative appendectomy rates. The most commonly used in Western Europe and the USA is the Alvarado score. The Raja Isteri Pengiran Anak Saleha appendicitis (RIPASA) score achieves better sensitivity and specificity in Asian and Middle Eastern populations. We aimed to determine the diagnostic accuracy of the RIPASA score in Irish patients with AA...
December 15, 2016: International Journal of Colorectal Disease
Dominik A Walczak, Dariusz Pawełczak, Agata Żółtaszek, Rajmund Jaguścik, Wojciech Fałek, Monika Czerwińska, Karolina Ptasińska, Piotr W Trzeciak, Zbigniew Pasieka
UNLABELLED: Accurate diagnosis of acute appendicitis (AA) is still a problem and is not always easy, even for experienced surgeons. Studies have shown that 20 to 30% of the appendices removedwere normal. Therefore, various scoring systems have been developed to aid in the diagnosis of doubtful cases and reduce the number of unnecessary appendectomies. The aim of this study was to assess the diagnostic value of different scoring systems in acute appendicitis. MATERIAL AND METHODS: The study involved 94 patients who underwent laparotomy due to suspected acute appendicitis...
February 2015: Polski Przeglad Chirurgiczny
Emmanuel S Kanumba, Joseph B Mabula, Peter Rambau, Phillipo L Chalya
BACKGROUND: Decision-making in patients with acute appendicitis poses a diagnostic challenge worldwide, despite much advancement in abdominal surgery. The Modified Alvarado Scoring System (MASS) has been reported to be a cheap and quick diagnostic tool in patients with acute appendicitis. However, differences in diagnostic accuracy have been observed if the scores were applied to various populations and clinical settings. The purpose of this study was to evaluate the diagnostic value of Modified Alvarado Scoring System in patients with acute appendicitis in our setting...
2011: BMC Surgery
Matija Horzić, Antun Salamon, Mario Kopljar, Maja Skupnjak, Kristijan Cupurdija, Dana Vanjak
Acute appendicitis is a common surgical condition that requires prompt diagnosis. Besides modern imaging techniques, scoring systems, based on clinical signs and symptoms and routine laboratory assessments, have been used as a diagnostic aid. However, differences in sensitivities and specificities were observed if the scores were applied to various populations and clinical settings. The purpose of this paper is to assess validity of three scores (modified Alvarado score, Ohmann score and Eskelinen score) for diagnosis of acute appendicitis in women...
June 2005: Collegium Antropologicum
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