Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?

Eğin, Seracettin; Yeşiltaş, Metin; Karakaş, Dursun Özgür; Hot, Semih; Gökçek, Berk

doi:10.5505/tjtes.2018.72318

Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?

Metin Yeşiltaş, (Okmeydanı Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, Türkiye)

Dursun KARAKAŞ, (Okmeydanı Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, Türkiye)

Berk Gökçek, (Okmeydanı Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, Türkiye)

Semih Hot, (Okmeydanı Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, Türkiye)

Seracettin Eğin (Okmeydanı Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

3 0

Yıl: 2018 Cilt: 24 Sayı: 6 Sayfa Aralığı: 557 - 562 Metin Dili: İngilizce DOI: 10.5505/tjtes.2018.72318 İndeks Tarihi: 17-09-2020

Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?

Öz:

BACKGROUND: The Alvarado score (AS) and the Appendicitis Inflammatory Response score (AIRS) were developed to diagnoseacute appendicitis (AA). The aim of this study was to evaluate the severity of AA using the AS and the AIRS tools.METHODS: Patients who presented between January 2016 and December 2017 and underwent surgery for AA and who had apreoperative AS and AIRS value were evaluated retrospectively. The details of age, sex, pathological severity, the presence of localperitonitis or fecaloid, drainage, appendix diameter, and operation type were evaluated according to the AS and the AIRS.RESULTS: A total of 578 patients were included in the study. Appendicitis was the most common pathological severity classification(44.4%). The most common appendix diameter group was 7–10 mm (59.2%). The difference observed in the AS and AIRS results forall of the pathological severity categories was statistically significant (p<0.05). The AIRS revealed a statistically significant difference(p<0.05) in the detection of uncomplicated and complicated appendicitis. The AIRS difference was statistically significant for appendixdiameter (p<0.05). The AS and the AIRS results were both statistically significant for drainage (p<0.05). The AS was correlated withpathological severity, local peritonitis, and drainage, while the AIRS was correlated with pathological severity, uncomplicated/complicated determination, appendix diameter, and drainage (p<0.05).CONCLUSION: Both the AS and the AIRS can evaluate pathological severity, but only the AIRS can evaluate complicated or uncomplicated appendicitis and the diameter of the appendix. These tools can be used to reduce the number of unnecessary radiological or surgical interventions.

Anahtar Kelime:

Alvarado ve Apandisit İnflamatuvar Yanıt skorlamaları akut apandisitin şiddetini değerlendirebilir mi?

Öz:

AMAÇ: Alvarado (AS) ve apandisit inflamatuvar yanıt (AİYS) skorları akut apandisit (AA) tanısı için geliştirilmiş skorlardır. Bu çalışmanın amacı AA şiddetinin AS ve AIYS ile değerlendirmesidir. GEREÇ VE YÖNTEM: Ocak 2016–Aralık 2017 tarihleri arasında AA nedeni ile ameliyat edilen ve ameliyat öncesi AS ve AİYS yapılan hastalar geriye dönük değerlendirildi. Yaş, cinsiyet, patolojik şiddet, lokal peritonit, fekaloid, drenaj, apendiks çapı ve operasyon şekli AS ve AİYS’ye göre değerlendirildi. BULGULAR: Çalışmaya 578 hasta dâhil edildi. Apandisit %44.4 ile en sık görülen patolojiydi. En sık ölçülen apandiks çapı ise %59.2 ile 7-10 mm idi. Bütün patolojiler arasındaki AS ve AİYS istatistiksel olarak anlamlı bulundu (p<0.05). Komplike ve komplike olmayan apandisitler arasındaki sadece AİYS istatistiksel olarak anlamlı bulundu (p<0.05). Apandiks çapları arasındaki sadece AİYS istatistiksel olarak anlamlı bulundu (p<0.05). Drenaj yapılan hastalarda AS ve AİYS istatistiksel olarak anlamlı farklılık saptandı (p<0.05). AS ile patolojik şiddet, lokal peritonit ve drenajın korelasyonu, AİYS ile patolojik şiddet, komplike/komplike olmayan, apandiks çapı ve drenajın korelasyonu istatistiksel olarak anlamlı bulundu (p<0.05). TARTIŞMA: Alvarado skoru ve AİYS her ikisi de patolojik şiddeti değerlendirebilmekte iken sadece AİYS komplike ve komplike olmayan apandisitleri, apandiks çapının daha anlamlı değerlendirebilmektedir. Bu skorları kullanarak gereksiz radyolojik ve cerrahi girişimlerini azaltabilecektir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Yeşiltaş M, Karakaş D, Gökçek B, Hot S, Eğin S (2018). Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?. , 557 - 562. 10.5505/tjtes.2018.72318
Chicago	Yeşiltaş Metin,Karakaş Dursun Özgür,Gökçek Berk,Hot Semih,Eğin Seracettin Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?. (2018): 557 - 562. 10.5505/tjtes.2018.72318
MLA	Yeşiltaş Metin,Karakaş Dursun Özgür,Gökçek Berk,Hot Semih,Eğin Seracettin Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?. , 2018, ss.557 - 562. 10.5505/tjtes.2018.72318
AMA	Yeşiltaş M,Karakaş D,Gökçek B,Hot S,Eğin S Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?. . 2018; 557 - 562. 10.5505/tjtes.2018.72318
Vancouver	Yeşiltaş M,Karakaş D,Gökçek B,Hot S,Eğin S Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?. . 2018; 557 - 562. 10.5505/tjtes.2018.72318
IEEE	Yeşiltaş M,Karakaş D,Gökçek B,Hot S,Eğin S "Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?." , ss.557 - 562, 2018. 10.5505/tjtes.2018.72318
ISNAD	Yeşiltaş, Metin vd. "Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?". (2018), 557-562. https://doi.org/10.5505/tjtes.2018.72318

APA	Yeşiltaş M, Karakaş D, Gökçek B, Hot S, Eğin S (2018). Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?. Ulusal Travma ve Acil Cerrahi Dergisi, 24(6), 557 - 562. 10.5505/tjtes.2018.72318
Chicago	Yeşiltaş Metin,Karakaş Dursun Özgür,Gökçek Berk,Hot Semih,Eğin Seracettin Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?. Ulusal Travma ve Acil Cerrahi Dergisi 24, no.6 (2018): 557 - 562. 10.5505/tjtes.2018.72318
MLA	Yeşiltaş Metin,Karakaş Dursun Özgür,Gökçek Berk,Hot Semih,Eğin Seracettin Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?. Ulusal Travma ve Acil Cerrahi Dergisi, vol.24, no.6, 2018, ss.557 - 562. 10.5505/tjtes.2018.72318
AMA	Yeşiltaş M,Karakaş D,Gökçek B,Hot S,Eğin S Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(6): 557 - 562. 10.5505/tjtes.2018.72318
Vancouver	Yeşiltaş M,Karakaş D,Gökçek B,Hot S,Eğin S Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(6): 557 - 562. 10.5505/tjtes.2018.72318
IEEE	Yeşiltaş M,Karakaş D,Gökçek B,Hot S,Eğin S "Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?." Ulusal Travma ve Acil Cerrahi Dergisi, 24, ss.557 - 562, 2018. 10.5505/tjtes.2018.72318
ISNAD	Yeşiltaş, Metin vd. "Can Alvarado and Appendicitis Inflammatory Response scores evaluate the severity of acute appendicitis?". Ulusal Travma ve Acil Cerrahi Dergisi 24/6 (2018), 557-562. https://doi.org/10.5505/tjtes.2018.72318