SONOGRAPHY VERSUS THE ALVARADO SCORING SYSTEM FOR THE DIAGNOSIS OF ACUTE APPENDICITIS

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LAL M.; GERANPAYEH L.; KHODADADI FARANAK; SALAVATIPOUR A.; SADEGHI AHMAD REZA

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Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2008 | Volume:66 | Issue:6 Page(s): 408-412

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Title

SONOGRAPHY VERSUS THE ALVARADO SCORING SYSTEM FOR THE DIAGNOSIS OF ACUTE APPENDICITIS

Author(s)

Keywords

ACUTE APPENDICITISQ3

ALVARADO SCOREQ3

SONOGRAPHYQ3

Abstract

Background: Various imaging tests as well as different scoring systems based on symptoms, signs and laboratory findings are commonly used to improve diagnostic accuracy in ACUTE APPENDICITIS. The aim of this study was to compare the diagnostic accuracy of MANTRELS scoring system (designed by Alfredo Alvarado), which is based on symptoms, signs and laboratory results, with sonographic findings.Methods: In this prospective observational study, 106 patients with acute abdomen suspicious of ACUTE APPENDICITIS at Sina Hospital, Isfahan, Iran, were studied from March 2004 to February 2006.Results: The disease was most common in patients aged 20-29 years, with male predominance. All patients had appendectomies. One hundred patients had ACUTE APPENDICITIS and six had negative appendectomy. Among the patients with ACUTE APPENDICITIS, 88% had an ALVARADO SCORE of ³6 and 12% had a score of £5. Among the six patients with negative appendectomy, 66.7% had ALVARADO SCOREs of £5 and 33.3% had scores of ³6, which was significantly different (p=0.005). The sonographic results were abnormal in 71.9% of patients with ACUTE APPENDICITIS and in 25% of patients with negative appendectomy, which was not significantly different (p=0.08). In our study, the diagnostic accuracy of an ALVARADO SCORE ³6 was 88% and that of the sonographic results was 71.9% for ACUTE APPENDICITIS. If the ALVARADO SCORE ³6 and abnormal sonographic findings are considered together, the diagnostic accuracy improves to 97.2%.Conclusions: This study showed that clinical findings and laboratory results are more important than sonographic findings alone.

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APA: Copy

LAL, M., GERANPAYEH, L., KHODADADI, FARANAK, SALAVATIPOUR, A., & SADEGHI, AHMAD REZA. (2008). SONOGRAPHY VERSUS THE ALVARADO SCORING SYSTEM FOR THE DIAGNOSIS OF ACUTE APPENDICITIS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 66(6), 408-412. SID. https://sid.ir/paper/38327/en

Vancouver: Copy

LAL M., GERANPAYEH L., KHODADADI FARANAK, SALAVATIPOUR A., SADEGHI AHMAD REZA. SONOGRAPHY VERSUS THE ALVARADO SCORING SYSTEM FOR THE DIAGNOSIS OF ACUTE APPENDICITIS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2008;66(6):408-412. Available from: https://sid.ir/paper/38327/en

IEEE: Copy

M. LAL, L. GERANPAYEH, FARANAK KHODADADI, A. SALAVATIPOUR, and AHMAD REZA SADEGHI, “SONOGRAPHY VERSUS THE ALVARADO SCORING SYSTEM FOR THE DIAGNOSIS OF ACUTE APPENDICITIS,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 66, no. 6, pp. 408–412, 2008, [Online]. Available: https://sid.ir/paper/38327/en

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