Objective: To compare the sensitivity and specificity of the Alvarado score for the de Alvarado como recurso clínico para el diagnóstico de la apendicitis aguda. de escalas diagnósticas de apendicitis aguda: Alvarado, RIPASA y AIR and has better accuracy for the diagnosis of acute appendicitis. Introducción: la apendicitis aguda constituye la primera causa de Los mejores valores diagnósticos de la enfermedad para la escala fueron aquellos con.
|Published (Last):||6 November 2016|
|PDF File Size:||14.58 Mb|
|ePub File Size:||20.99 Mb|
|Price:||Free* [*Free Regsitration Required]|
The pathology report was obtained and the efficacy of both scores for the diagnosis of acute appendicitis was compared. Regarding the operation, all appendectomies were open surgeries; in 69, the McBurney-type incision was used, while 31 were performed with a midline laparotomy. Likewise, Sinnet et al. The purpose of alvaraod study alfarado to apply both scales in the emergency department in cases of patients with presumptive diagnosis of AA and to compare these with the pathology reports after appendectomy, thereby comparing the efficacy, sensitivity and specificity of the Alvarado and RIPASA scores in the diagnosis of AA at a tertiary hospital serving the population of eastern Mexico.
JAMA,pp. Si continua navegando, consideramos que acepta su uso. Update on the Management of Non-obstetric Acute Abdomen in The intraoperative findings for each of the patients were recorded, and the diagnosis of AA was confirmed with the pathology study of the excised appendix.
The further away from 1, the better the test is to differentiate between sick and healthy subjects. Criteriod can change the settings or obtain more information by clicking here. Leukocytosis higher than 10 A practical score for the early diagnosis apenvicitis acute appendicitis. In the case of our study, the positive LR was 3. Has misdiagnosis of appendicitis decreased over time?
Arch Surg,pp. Are you a health professional able to prescribe or dispense apendlcitis Postoperative complications occurred in 8 patients 4 seromas, 2 infections of the surgical site and 2 residual abscesses. In hospitals like ours, the diagnosis of AA relies greatly on the clinical evaluation performed by surgeons. Evaluation of the Alvarado score in the diagnosis of acute appendicitis. Several scoring systems have been developed for the early and equivocal diagnosis of this entity, one of these scales is the modified Alvarado, most used in the Western population; however, zguda RIPASA scale emerges in showing high sensitivity and specificity for Asian and Eastern populations, there are few studies in Western populations of this new scale.
The Alvarado score published in is an assessment chart Table 1whose sum gives a maximum of 10 points with a higher probability that the patient has AA. The average time that elapsed from the initial assessment ppara the surgeon until the surgical resolution was 8. In order to avoid delay in the diagnosis of acute appendicitis and reduce the margin of error, the use of scales has been used.
APENDICITIS by Gustavo Rondon on Prezi
Showing of 15 references. Usefulness of the Alvarado scoring system with respect to age, sex and time of presentation, with regression analysis of individual parameters.
Dig Surg, 20pp. Cancer risks attributable to low doses of ionizing radiation: Int J Surg, 10pp. J Evid Based Med Healthc, 3pp.
There was a problem providing the content you requested
The aim of this study was to compare the apemdicitis of the Alvarado and RIPASA scores in the clinical diagnosis of acute appendicitis and to correlate with the histopathological results. The clinical and economic correlates of misdiagnosed appendicitis nationwide analysis.
Likewise, we determined that the cut-off point for the Alvarado score can be as low as 6. Application of alvarado scoring system in diagnosis of acute appendicitis. Please cite this article as: The 2 different classifications, the Alvarado and the RIPASA scores, were applied to each of the patients by a resident doctor in surgery, without influencing the surgeon’s decision regarding surgical intervention.
The LR is a good parameter to decide when a diagnostic test should be performed. Continuing navigation will be considered as acceptance of this use. To improve our services and products, apra use “cookies” own or dee parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.
Skip to search form Skip to main content. The average time between the onset of symptoms and the first medical assessment was In order to avoid delayed diagnosis, to reduce the margin of error and to identify patients requiring emergency surgery or patients without AA, the application of a scoring scale would be very useful.
In the handling of the data, confidentiality was maintained and patient anonymity was respected.
Later, we calculated the LR agudw our results and for each of the previous similar reports Table 4. The average hospital stay was 3.
Singapore Med J, 51pp.