Fulltext
The full text of this article is available on the PDF file.
Zahedan Journal of Research in Medical Sciences
The Official Journal of Zahedan University of Medical Sciences
e-ISSN 2383-2894
Image Credit:Zahedan J Res Med Sci
Outline
Diagnostic accuracy of Alvarado score in the diagnosis of acute appendicitis
Authors
Behrooz Hooshmand1, Afshin Shokouh-Saremi2, Alireza Noferesti2, Mohammad Ali Yaghobi3,*, Armin Elahifar3
1Assistant Professor of Surgery, Islamic Azad University, Mashhad Branch, Mashhad, Iran.
2General Physician, Mashhad, Iran.
3Resident of Internal Medicine, Mashhad University of Medical Siences, Mashhad, Iran.
*Corresponding Author: Resident of Internal Medicine, Mashhad University of Medical Siences, Mashhad, Iran. Email: yaqubima@yahoo.com
Published online:May 20, 2011
Article type:Research Article
Received:Oct 20, 2010
Accepted:Nov 23, 2010
How to Cite:Hooshmand B, Shokouh-Saremi A, Noferesti A, Yaghobi MA, Elahifar A. Diagnostic accuracy of Alvarado score in the diagnosis of acute appendicitis. Zahedan J Res Med Sci. 2012;13(8):e93767. doi:
Abstract
Background: Acute appendicitis is one of the commonest surgical emergencies. There are different scoring systems in use to diagnose the appendicitis. The aim of this study was to assess the diagnostic accuracy of Alvarado scoring system in clinical practice for acute appendicitis.
Materials and Method: This medical diagnostic-test study was performed from January 2009 till September 2010 in surgery clinic of Farabi hospital, Mashhad. For all patients, Alvarado score has been determinate preoperatively and intraoperative finding and histopatological examination of the removed appendix confirmed diagnosis.
Results: The study was conducted among 150 patients (63% male, 37% female). Specificity was 68 %, whereas sensitivity was 74.8%. The negative appendectomy rate was 5.7% with score 7 or more Alvarado score. The positive predictive value was 98.1%. The accuracy rate was 74%. The cut-off score was 7.
Conclusions: In the diagnosis of acute appendicitis Alvarado score has a high diagnostic value (74%). Alvarado score increases the diagnostic certainty of clinical examination in diagnosis of acute appendicitis.
Highlights
References
- 1.The References of this article are available on the PDF file.
Copyright
© 2012, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
Similar Articles
3
Mar
2021
Is Alvarado Score Helpful for Pediatrician in Diagnosis of Acute Appendicitis? Our Center Experience
Sedigheh Rafiei Tabatabaei,
Abdollah Karimi,
Mohammad Nassiri,
Leily Mohajerzadeh,
Shahnaz Armin,
Roxana Mansour Ghanaie
,et al.Rafiei Tabatabaei S, Karimi A, Nassiri M, Mohajerzadeh L, Armin S, et al. Is Alvarado Score Helpful for Pediatrician in Diagnosis of Acute Appendicitis? Our Center Experience. Arch Pediatr Infect Dis. 2021;9(3):e107774. doi: https://doi.org/10.5812/pedinfect.107774
18
Dec
2016
Alvarado Score, Ultrasound, and CRP: How to Combine Them for the Most Accurate Acute Appendicitis Diagnosis
Sonay Aydin,
Erdem Fatihoglu,
Hayri Ramadan,
Bilge S. Akhan,
Enver N Koseoglu
Aydin S, Fatihoglu E, Ramadan H, S. Akhan B, Koseoglu EN. Alvarado Score, Ultrasound, and CRP: How to Combine Them for the Most Accurate Acute Appendicitis Diagnosis. I J Radiol. 2017;14(2):e38160. doi: https://doi.org/10.5812/iranjradiol.38160
29
May
2012
The role of abdominal sonography compare to clinical Alvarado criteria in diagnosis of appendicitis
Omid Amanollahi,
Mansour Rezaei,
Arash Golpazir
Amanollahi O, Rezaei M, Golpazir A. The role of abdominal sonography compare to clinical Alvarado criteria in diagnosis of appendicitis. J Kermanshah Univ Med Sci. 2012;16(1):e78877. doi:
17
Jun
2017
Evaluation of Clinical and Imaging Findings in Children with Diagnosis of Acute Appendicitis
Aytekin Kaymakci,
Sirin Guven,
Seher Erdogan,
Ilhan Ciftci,
Recai Gokcan
Kaymakci A, Guven S, Erdogan S, Ciftci I, Gokcan R. Evaluation of Clinical and Imaging Findings in Children with Diagnosis of Acute Appendicitis. Inn J Pediatr. 2017;27(4):e10095. doi: https://doi.org/10.5812/ijp.10095
22
Feb
2017
Investigation of the Diagnostic Value of Neutrophil to Lymphocyte Ratio in Pediatric Appendicitis Cases
Banu Karakus Yilmaz,
Yahya Ayhan ACAR
Yilmaz BK, Ayhan ACAR Y. Investigation of the Diagnostic Value of Neutrophil to Lymphocyte Ratio in Pediatric Appendicitis Cases. Inn J Pediatr. 2017;27(3):e9593. doi: https://doi.org/10.5812/ijp.9593
Cited by
- Scopus by DOI: 0
Last Update: 3 weeks ago
- Scopus by Title: 24
Last Update: 3 weeks ago
- Scopus by Title (Ref): 0
Last Update: 3 weeks ago
- CrossRef: 0
Last Update: 3 hours ago
- OpenAlex: 0
Last Update: 1 day ago
- OpenCitations: 0
Last Update: 4 days ago
Comments
Number of Comments:0