20Mar 2017

THE USEFULNESS & ACCURACY OF THE MODIFIED ALVARADO SCORE IN THE PREOPERATIVE DIAGNOSIS OF ACUTE APPENDICITIS.

  • M.B.CH.B, F.I.C.M.S, Senior in general surgery at AL-Yarmouk Teaching Hospital.
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This prospective study was conducted to evaluate the usefulness & accuracy of the modified Alvarado score in the preoperative diagnosis of acute appendicitis. The study included one hundred & fifty patients of different age groups & from both genders with provisional diagnosis of acute appendicitis presented to the emergency department of Al- Yarmouk Teaching Hospital over eighteen months period. All patients were evaluated on admission & given specific scores according to the variables of Modified Alvarado Score. In adult male patients acute appendicitis was confirmed in (40) of (42) patients giving sensitivity rate of (88.8%) & specificity rate of (91.6%), in adult female, it was confirmed in (25) of (28) patients with sensitivity rate of (80.6%) & specificity rate of (89.6%), while in children acute appendicitis was confirmed in (7) of (9) patients giving a sensitivity rate of (53.8%) & specificity rate of (75%). The overall sensitivity rate of Modified Alvarado Score was 80.9% & its specificity was 88.5%. Total negative appendicectomy rate was 15.2%. The Modified Alvarado Score is simple, easy to apply & cheap complementary aid for supporting the diagnosis of acute appendicitis especially for junior surgeons.

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[Mounis Mahdi Salih. (2017); THE USEFULNESS & ACCURACY OF THE MODIFIED ALVARADO SCORE IN THE PREOPERATIVE DIAGNOSIS OF ACUTE APPENDICITIS. Int. J. of Adv. Res. 5 (Mar). 92-98] (ISSN 2320-5407). www.journalijar.com

Dr. Mounis Mahdi Salih, M.B.CH.B, F.I.C.M.S
Senior in general surgery at AL-Yarmouk Teaching Hospital, Iraq, Baghdad

DOI:

Article DOI: 10.21474/IJAR01/3490      
DOI URL: http://dx.doi.org/10.21474/IJAR01/3490

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