Abstract
References
- Rathod S, Ali I, Bawa AP, Singh G, Mishra S, Nongmaithem M. Development of the RIPASA score: a new appendicitis scoring system for the diagnosis of acute appendicitis. Singapore Med J 2010; 51: 220–5.
- Horzić M, Salamon A, Kopljar M, Skupnjak M, Cupurdija K, Vanjak D. Analysis of scores in diagnosis of acute appendicitis in women.Coll Antropol 2005; 1: 133-8.
- Escriba A, Gamell AM, Fernandez Y, Quintilla JM, Cubells CL. Prospective validation of two systems of classification for the diagnosis of acute appendicitis. Pediatr Emerg Care 2011; 27: 165-9.
- Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med 1986; 15: 557-64.
- Eskelinen M, Ikonen J, Lipponen P. A computer based diagnostic score to aid in diagnosis of acute appendicitis: a prospective study of 1333 patients with acute abdominal pain. Theor Surg 1992; 7: 86-90.
- Ohmann C, Yang Q, Franke C. Diagnostic scores for acute appendicitis. Abdominal Pain Study Group. Eur J Surg 1995; 161: 273-81.
- Lintula H, Kokki H, Pulkkinen J, Kettunen R, Gröhn O, Eskelinen M. Diagnostic score in acute appendicitis. Validation of a diagnostic score (Lintula score) for adults with suspected appendicitis. Langenbecks Arch Surg 2010; 395: 495-500.
- Chong CF, Adi MI, Thien A, et al.Development of the RIPASA score: a new appendicitis scoring system for the diagnosis of acute appendicitis. Singapore Med J 2010; 51: 220-5.
- Fenyo G, Lindberg G, Blind P, Enochsson L, Oberg A. Diagnostic decision support in suspected acute appendicitis: validation of a simplified scoring system. Eur J Surg 1997; 163: 831–8.
- Sitter H, Hoffmann S, Hassan I, Zielke A. Diagnostic score in appendicitis. Validation of a diagnostic score (Eskelinen score) in patients in whom acute appendicitis is suspected. Langenbecks Arch Surg 2004; 389: 213-8.
- Toorenvliet BR, Wiersma F, Bakker RF, Merkus JW, Breslau PJ, Hamming JF. Routine ultrasound and limited computed tomography for the diagnosis of acute appendicitis. World J Surg 2010; 34: 2278–85.
- Erdem H, Çetinkünar S, Daş K, et al. Alvarado, Eskelinen, Ohhmann and Raja Isteri Pengiran Anak Saleha Appendicitis scores for diagnosis of acute appendicitis.World J Gastroenterol 2013; 19: 9057-62.
- Pinto F, Pinto A, Russo A, et al. Accuracy of ultrasonography in the diagnosis of acute appendicitis in adult patients: review of the literature. Crit Ultrasound J 2013; 5: 1-3.
- Terasawa T, Blackmore CC, Bent S, Kohlwes RJ. Systematic review: Computed tomography and ultrasonography to detect acute appendicitis in adults and adolescents. Ann Intern Med 2004; 141: 537–46.
- Ozkan S, Duman A, Durukan P, Yildirim A, Ozbakan O. The accuracy rate of Alvarado score, ultrasonography, and computerized tomography scan in the diagnosis of acute appendicitis in our center. Niger J Clin Pract2014; 17: 413-8.
- Wani MM, Yousaf MN, Khan MA, et al. Usefulness of the Alvarado scoring system with respect to age, sex and time of presentation, with regression analysis of individual parameters. Internet J Surg 2007; 11: 1-5.
- Nirajlal B, Gabriel R, Anand R, Sohil AK. Evaluation of Alvarado score in acute appendicitis: a prospective study. Internet J Surg 2011; 9: 1–5.
- Kırkıl C, Karabulut K, Aygen E, et al. Appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain. Ulus Travma Acil Cerrahi Derg 2013; 19: 13-9.
- Yılmaz EM, Kapçı M, Çelik S, Manoğlu B, Avcil M, Karacan E. Should Alvarado and Ohmann scores be real indicators for diagnosis of appendicitis and severity of inflammation? Ulus Travma Acil Cerrahi Derg 2017; 23: 29-33.
- Yoldas O, Karaca T, Tez M. External validation of Lintula score in Turkish acute appendicitis patients. Int J Surg 2012; 10: 25-7.
- Konan A, Hayran M, Kılıç YA, Karakoç D, Kaynaroğlu V. Scoring systems in the diagnosis of acute appendicitis in the elderly. Ulus Travma Acil Cerrahi Derg 2011; 17: 396-400.
Abstract
Aim: The diagnosis of acute appendicitis is still challenging. Negative appendectomy rate is reported as 20-30%. Therefore, various scoring systems have been developed to prevent unnecessary appendectomies. The aim of our study is to analyze the diagnostic value of different scoring systems in acute appendicitis.
Material and Method: The study conducted with 200 consecutive patients who were operated with the diagnosis of acute appendicitis. After the admission and deciding the operation via experienced general surgeon, the probability of acute appendicitis was calculated using via 6 different scoring systems: Alvarado, Eskelinen, Ohmann, Lintula, RIPASA, Fenyo, respectively, and results were analyzed statistically. p<0.05 was considered statistically significant.
Results: RIPASA had the highest sensitivity (83.8%) and accuracy (78%) ratio in all patient groups; The Lintula scoring system had the highest specificity (66.7%). Sensitivity values were found to be higher in males, and the sensitivity of Lintula (44.6%/12.6%; p: 0.001) and Fenyo (67.6%/19.4%; p<0.001) scores were significantly higher in males. The spesificity value was significantly higher for Eskelinen (85.7%/35.7%; p: 0.031) and Lintula (100%/50%; p: 0.022) in females.
Conclusion: RIPASA is the scoring system with the highest sensitivity for both genders. Eskelinen and Lintula is noteworthy in females. We believe that the use of scoring tests with classifying according to gender may lead to a decrease in negative appendectomies.
References
- Rathod S, Ali I, Bawa AP, Singh G, Mishra S, Nongmaithem M. Development of the RIPASA score: a new appendicitis scoring system for the diagnosis of acute appendicitis. Singapore Med J 2010; 51: 220–5.
- Horzić M, Salamon A, Kopljar M, Skupnjak M, Cupurdija K, Vanjak D. Analysis of scores in diagnosis of acute appendicitis in women.Coll Antropol 2005; 1: 133-8.
- Escriba A, Gamell AM, Fernandez Y, Quintilla JM, Cubells CL. Prospective validation of two systems of classification for the diagnosis of acute appendicitis. Pediatr Emerg Care 2011; 27: 165-9.
- Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med 1986; 15: 557-64.
- Eskelinen M, Ikonen J, Lipponen P. A computer based diagnostic score to aid in diagnosis of acute appendicitis: a prospective study of 1333 patients with acute abdominal pain. Theor Surg 1992; 7: 86-90.
- Ohmann C, Yang Q, Franke C. Diagnostic scores for acute appendicitis. Abdominal Pain Study Group. Eur J Surg 1995; 161: 273-81.
- Lintula H, Kokki H, Pulkkinen J, Kettunen R, Gröhn O, Eskelinen M. Diagnostic score in acute appendicitis. Validation of a diagnostic score (Lintula score) for adults with suspected appendicitis. Langenbecks Arch Surg 2010; 395: 495-500.
- Chong CF, Adi MI, Thien A, et al.Development of the RIPASA score: a new appendicitis scoring system for the diagnosis of acute appendicitis. Singapore Med J 2010; 51: 220-5.
- Fenyo G, Lindberg G, Blind P, Enochsson L, Oberg A. Diagnostic decision support in suspected acute appendicitis: validation of a simplified scoring system. Eur J Surg 1997; 163: 831–8.
- Sitter H, Hoffmann S, Hassan I, Zielke A. Diagnostic score in appendicitis. Validation of a diagnostic score (Eskelinen score) in patients in whom acute appendicitis is suspected. Langenbecks Arch Surg 2004; 389: 213-8.
- Toorenvliet BR, Wiersma F, Bakker RF, Merkus JW, Breslau PJ, Hamming JF. Routine ultrasound and limited computed tomography for the diagnosis of acute appendicitis. World J Surg 2010; 34: 2278–85.
- Erdem H, Çetinkünar S, Daş K, et al. Alvarado, Eskelinen, Ohhmann and Raja Isteri Pengiran Anak Saleha Appendicitis scores for diagnosis of acute appendicitis.World J Gastroenterol 2013; 19: 9057-62.
- Pinto F, Pinto A, Russo A, et al. Accuracy of ultrasonography in the diagnosis of acute appendicitis in adult patients: review of the literature. Crit Ultrasound J 2013; 5: 1-3.
- Terasawa T, Blackmore CC, Bent S, Kohlwes RJ. Systematic review: Computed tomography and ultrasonography to detect acute appendicitis in adults and adolescents. Ann Intern Med 2004; 141: 537–46.
- Ozkan S, Duman A, Durukan P, Yildirim A, Ozbakan O. The accuracy rate of Alvarado score, ultrasonography, and computerized tomography scan in the diagnosis of acute appendicitis in our center. Niger J Clin Pract2014; 17: 413-8.
- Wani MM, Yousaf MN, Khan MA, et al. Usefulness of the Alvarado scoring system with respect to age, sex and time of presentation, with regression analysis of individual parameters. Internet J Surg 2007; 11: 1-5.
- Nirajlal B, Gabriel R, Anand R, Sohil AK. Evaluation of Alvarado score in acute appendicitis: a prospective study. Internet J Surg 2011; 9: 1–5.
- Kırkıl C, Karabulut K, Aygen E, et al. Appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain. Ulus Travma Acil Cerrahi Derg 2013; 19: 13-9.
- Yılmaz EM, Kapçı M, Çelik S, Manoğlu B, Avcil M, Karacan E. Should Alvarado and Ohmann scores be real indicators for diagnosis of appendicitis and severity of inflammation? Ulus Travma Acil Cerrahi Derg 2017; 23: 29-33.
- Yoldas O, Karaca T, Tez M. External validation of Lintula score in Turkish acute appendicitis patients. Int J Surg 2012; 10: 25-7.
- Konan A, Hayran M, Kılıç YA, Karakoç D, Kaynaroğlu V. Scoring systems in the diagnosis of acute appendicitis in the elderly. Ulus Travma Acil Cerrahi Derg 2011; 17: 396-400.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Article |
| Authors | |
| Publication Date | January 17, 2022 |
| Published in Issue | Year 2022 Volume: 5 Issue: 1 |
Cited By
The relationship between oral and dental health and appendicitis
Anatolian Current Medical Journal
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