04Jan 2018

ASSESSING THE RELIABILITY OF ALVARADO SCORING SYSTEM IN PREDICTION OF ACUTE APPENDICITIS.

  • Undergraduate students at College of medicine, Qassim University.
  • MBBs, MD, SBGS, General surgery consultant, head of general surgery department king fahad specialist hospital-Buraidah.
  • MBBS, general surgery senior specialist, head of A&E department at king fahad specialist hospital-Buraidah.
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  • References
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Scoring systems like Lintula, Madan, Ohmann, Eskelinen, De Dombal, and Alvarado might be helpful to predict the condition of acute appendicitis. These scoring methods do not need much practical expertise. Alvarado score is non-invasive method and based on clinical and experimental data. This retrospective work was carried out to find reliability Alvarado score system to determine acute appendicitis among patients of King Fahad Specialist Hospital. In this retrospective Chart Review-Analytical study, the data were collected for period from 01/01/2015 to 01/01/2017. Based on predetermined exclusion and inclusion criteria, out of 500 patients, 200 patients were selected. The data was analyzed by using SPSS software (version 18). The Alvarado score ranged from 2-10 and based on this score three groups was defined: High (7-10), intermediate (5-6) and low (<5) clinical probability. The number of patients among high, intermediate and low clinical probability groups were 93 (96.88%), 66 (94.30%) and 28 (82.35%), respectively. The overall positive and negative predicative score were 94.5% and 5.5%. However, the sensitivity, specificity and likelihood ratio for high score and intermediate to high score were low, and did not indicate the prospective potential of Alvarado scoring systems to predict acute appendicitis.

  1. Hospital Episode Statistics. Primary diagnosis: summary. www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID = 1937&categoryID = 202 (accessed 28 Aug 2006).
  2. Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appen- dicitis and appendectomy in the United States. Am J Epidemiol 1990;132:910-25.
  3. Andersson R. Meta-analysis of the clinical and laboratory diagnosis of appendicitis. Br J Surg 2004;91:28-37.
  4. Carr NJ. The pathology of acute appendicitis. Ann Diagn Pathol. 2000;4:46?58. 16.
  5. Ohle R, O?Reilly F, O?Brien KK, et al. The Alvarado score for predicting acute appendicitis: a systematic review. BMC Med 2011;9:139
  6. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med 1986;15:557-64.
  7. Dey S, Mohanta PK, Baruah AK, Kharga B, Bhutia KL, et al. (2010) Alvarado Scoring in Acute Appendicitis?A Clinicopathological Correlation. The Indian Journal of Surgery 72: 290-293.
  8. ?zsoy Z, Yenidoğan E (2017) Evaluation of the Alvarado scoring system in the management of acute appendicitis. Turkish Journal of Surgery 33: 200-204.
  9. Khan I, ur Rehman A (2005) Application of alvarado scoring system in diagnosis of acute appendicitis. J Ayub Med Coll Abbottabad 17: 41-44.
  10. Ohle R, O'Reilly F, O'Brien KK, Fahey T, Dimitrov BD (2011) The Alvarado score for predicting acute appendicitis: a systematic review. BMC Medicine 9: 139-139.
  11. Lintula H, Pesonen E, Kokki H, Vanamo K, Eskelinen M (2005) A diagnostic score for children with suspected appendicitis. Langenbecks Arch Surg 390: 164-170.
  12. Rasheed A, Al-Harthy M, Obeid Dhafar K, Maimini O, Abdul Sattar Shaker H, et al. (2011) Alvarado score and appendicectomy. Hellenic Journal of Surgery 83: 197.
  13. Al-Hashemy AM, Seleem MI (2004) Appraisal of the modified Alvarado score for acute appendicitis in adults. Saudi Med J 25: 1229-1231.
  14. Chan M, Tan C, Chiu M, Ng Y (2003) Alvarado score: an admission criterion in patients with right iliac fossa pain. The Surgeon 1: 39-41.
  15. Jawaid A, Asad A, Motiei A, Munir A, Bhutto E, et al. (1999) Clinical scoring system: a valuable tool for decision making in cases of acute appendicitis. J Pak Med Assoc 49: 254-259.
  16. Pogorelic Z, Rak S, Mrklic I, Juric I (2015) Prospective Validation of Alvarado Score and Pediatric Appendicitis Score for the Diagnosis of Acute Appendicitis in Children. Pediatric Emergency Care 31: 164-168.
  17. Subotic AM, Sijacki AD, Dugalic VD, Antic AA, Vukovic GM, et al. (2008) Evaluation of the Alvarado score in the diagnosis of acute appendicitis. Acta Chir Iugosl 55: 55-61.
  18. Memon ZA, Irfan S, Fatima K, Iqbal MS, Sami W (2013) Acute appendicitis: Diagnostic accuracy of Alvarado scoring system. Asian Journal of Surgery 36: 144-149.

[Alhanouf Abdulaziz Alammar, Mawiah Hamed Alshebromi, Anas Hamed Alshebromi, Sultan Alsaigh and Abdulaziz Altwejri. (2018); ASSESSING THE RELIABILITY OF ALVARADO SCORING SYSTEM IN PREDICTION OF ACUTE APPENDICITIS. Int. J. of Adv. Res. 6 (Jan). 174-179] (ISSN 2320-5407). www.journalijar.com

Sultan Hamad Alsaigh
MBBs, MD, SBGS, General surgery consultant, head of general surgery department king fahad specialist hospital-Buraidah

DOI:

Article DOI: 10.21474/IJAR01/6201      
DOI URL: https://dx.doi.org/10.21474/IJAR01/6201

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