Yıl: 2017 Cilt: 33 Sayı: 3 Sayfa Aralığı: 200 - 204 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Evaluation of the Alvarado scoring system in the management of acute appendicitis

Öz:
Objective: In this study, we aimed to show the effectiveness of Alvarado score and its components to predict the correct diagnosis of acute appendicitis and to find an optimum cut-off value for Alvarado score. Material and Methods: The patients who underwent surgical operation between January 2011 and January 2012 with the suspicion of acute appendicitis were included in the study. Their demographic and clinical features and histopathological results were retrieved from the medical records. They were divided into three groups according to their Alvarado scores. With the use of "receiver operating characteristic" curve analysis, the optimum cut-off value needed to make a correct diagnosis of acute appendicitis was determined. Results: In all, 156 patients were included into the study. The mean age was 31.41±13.27 years. Histopathologically, acute appendicitis was detected in 125 (80.1%) patients, and negative appendectomy was found in 31 patients (19.8%). Mean Alvarado score was 6.44±1.49. There was a significant correlation between negative appendectomy and low Alvarado score (p<0.001). The main component of Alvarado score that makes the difference was rebound. Fever higher than 37.3°C, rebound, loss of appetite, and existence of shifting pain were statistically differential components (p=0.042, p<0.001, p=0.045, p<0.001, respectively). The rate of correct diagnosis of acute appendicitis was maximum in group 3 (100%) and minimum in group 1 (21.7%). Optimum cut-off value for Alvarado score was 7.Conclusion: Patients with an Alvarado score of over 7 can be taken into surgical operation without the need of imaging methods.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ÖZSOY Z, YENİDOĞAN E (2017). Evaluation of the Alvarado scoring system in the management of acute appendicitis. , 200 - 204.
Chicago ÖZSOY Zeki,YENİDOĞAN Erdinç Evaluation of the Alvarado scoring system in the management of acute appendicitis. (2017): 200 - 204.
MLA ÖZSOY Zeki,YENİDOĞAN Erdinç Evaluation of the Alvarado scoring system in the management of acute appendicitis. , 2017, ss.200 - 204.
AMA ÖZSOY Z,YENİDOĞAN E Evaluation of the Alvarado scoring system in the management of acute appendicitis. . 2017; 200 - 204.
Vancouver ÖZSOY Z,YENİDOĞAN E Evaluation of the Alvarado scoring system in the management of acute appendicitis. . 2017; 200 - 204.
IEEE ÖZSOY Z,YENİDOĞAN E "Evaluation of the Alvarado scoring system in the management of acute appendicitis." , ss.200 - 204, 2017.
ISNAD ÖZSOY, Zeki - YENİDOĞAN, Erdinç. "Evaluation of the Alvarado scoring system in the management of acute appendicitis". (2017), 200-204.
APA ÖZSOY Z, YENİDOĞAN E (2017). Evaluation of the Alvarado scoring system in the management of acute appendicitis. Turkish Journal of Surgery, 33(3), 200 - 204.
Chicago ÖZSOY Zeki,YENİDOĞAN Erdinç Evaluation of the Alvarado scoring system in the management of acute appendicitis. Turkish Journal of Surgery 33, no.3 (2017): 200 - 204.
MLA ÖZSOY Zeki,YENİDOĞAN Erdinç Evaluation of the Alvarado scoring system in the management of acute appendicitis. Turkish Journal of Surgery, vol.33, no.3, 2017, ss.200 - 204.
AMA ÖZSOY Z,YENİDOĞAN E Evaluation of the Alvarado scoring system in the management of acute appendicitis. Turkish Journal of Surgery. 2017; 33(3): 200 - 204.
Vancouver ÖZSOY Z,YENİDOĞAN E Evaluation of the Alvarado scoring system in the management of acute appendicitis. Turkish Journal of Surgery. 2017; 33(3): 200 - 204.
IEEE ÖZSOY Z,YENİDOĞAN E "Evaluation of the Alvarado scoring system in the management of acute appendicitis." Turkish Journal of Surgery, 33, ss.200 - 204, 2017.
ISNAD ÖZSOY, Zeki - YENİDOĞAN, Erdinç. "Evaluation of the Alvarado scoring system in the management of acute appendicitis". Turkish Journal of Surgery 33/3 (2017), 200-204.