THE SIGNIFICANCE OF ALVARADO SCORE IN THE DIAGNOSIS OF ACUTE APPENDICITIS BASED ON AGE AND SEX

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AMINI MAHMOUD; ZANDBAF T.; ALIZADEH SH.A.; JAND Y.; HOSSEINI S.A.R.; ESHRATI B.; SIROUS A.; AMINI HAMIDEH

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Journal: ARAK MEDICAL UNIVERSITY JOURNAL (AMUJ) Year:2011 | Volume:14 | Issue:1 (54) Page(s): 12-18

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Title

THE SIGNIFICANCE OF ALVARADO SCORE IN THE DIAGNOSIS OF ACUTE APPENDICITIS BASED ON AGE AND SEX

Author(s)

Keywords

ACUTE APPENDICITISQ2

ROC CURVEQ2

SENSITIVITYQ2

SPECIFICITYQ3

Abstract

Background: Diagnosis of ACUTE APPENDICITIS is one of the challenges that surgeons face in the emergency ward. Although Alvarado score has been recommended in the diagnosis of ACUTE APPENDICITIS, this criterion has some limitations in terms of age, sex, and race. The aim of this study was to evaluate the effectiveness of Alvarado score in the diagnosis of ACUTE APPENDICITIS based on the age and gender.Materials and Methods: In this cross-sectional study, 407 patients who underwent operation with the preoperative diagnosis of ACUTE APPENDICITIS from June 2008 to August 2009 were included in the study. The patients’ data were recorded by the investigators. The data were compared by parametric tests. The SENSITIVITY and SPECIFICITY were determined by the optimal cut-off point on ROC CURVE using MedCalc software version 10.2.0.0.Results: The optimal cut-off point for women was lower than men (6 and 7, respectively). The rate of negative appendectomy in the group with Alvarado scores 9 and 10 was 11.8%, while the negative appendectomy rate in the other two groups with Alvarado scores 7 and 8 and 5 and 6 were 29.9% and 52.8%, respectively.Conclusion: The diagnostic value of Alvarado score of 8 and less in physical examination is lower than the abdominal tenderness exam alone. Also, the cut-off point for the diagnosis of ACUTE APPENDICITIS in women should be considered lower than that in men. On the other hand, the cut-off point in adolescents and children is higher than adults.

Cites

DIAGNOSIS OF ACUTE APPENDICITIS IN CHILDREN USING ARTIFICIAL NEURAL NETWORK

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APA: Copy

AMINI, MAHMOUD, ZANDBAF, T., ALIZADEH, SH.A., JAND, Y., HOSSEINI, S.A.R., ESHRATI, B., SIROUS, A., & AMINI, HAMIDEH. (2011). THE SIGNIFICANCE OF ALVARADO SCORE IN THE DIAGNOSIS OF ACUTE APPENDICITIS BASED ON AGE AND SEX. ARAK MEDICAL UNIVERSITY JOURNAL (AMUJ), 14(1 (54)), 12-18. SID. https://sid.ir/paper/69064/en

Vancouver: Copy

AMINI MAHMOUD, ZANDBAF T., ALIZADEH SH.A., JAND Y., HOSSEINI S.A.R., ESHRATI B., SIROUS A., AMINI HAMIDEH. THE SIGNIFICANCE OF ALVARADO SCORE IN THE DIAGNOSIS OF ACUTE APPENDICITIS BASED ON AGE AND SEX. ARAK MEDICAL UNIVERSITY JOURNAL (AMUJ)[Internet]. 2011;14(1 (54)):12-18. Available from: https://sid.ir/paper/69064/en

IEEE: Copy

MAHMOUD AMINI, T. ZANDBAF, SH.A. ALIZADEH, Y. JAND, S.A.R. HOSSEINI, B. ESHRATI, A. SIROUS, and HAMIDEH AMINI, “THE SIGNIFICANCE OF ALVARADO SCORE IN THE DIAGNOSIS OF ACUTE APPENDICITIS BASED ON AGE AND SEX,” ARAK MEDICAL UNIVERSITY JOURNAL (AMUJ), vol. 14, no. 1 (54), pp. 12–18, 2011, [Online]. Available: https://sid.ir/paper/69064/en

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