scholarly journals A one year prospective study to compare and evaluate diagnostic accuracy of modified Alvarado score and ultrasonography in acute appendicitis, in adults

2008 ◽  
Vol 70 (3) ◽  
pp. 125-129 ◽  
Author(s):  
Sanjot B. Kurane ◽  
M. S. Sangolli ◽  
A. S. Gogate
Keyword(s):  
Acute Appendicitis ◽  
Diagnostic Accuracy ◽  
Prospective Study ◽  
Alvarado Score ◽  
One Year ◽  
Modified Alvarado Score

scholarly journals A three year prospective study-suspected acute appendicitis: diagnostic accuracy of modified Alvarado score versus ultrasonography in adults

2017 ◽  
Vol 4 (12) ◽  
pp. 3924
Author(s):  
Murhari D. Gaikwad ◽  
Anand Auti ◽  
Avinash Magare
Keyword(s):  
Acute Appendicitis ◽  
Diagnostic Accuracy ◽  
Prospective Study ◽  
Predictive Value ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Alvarado Score ◽  
Suspected Appendicitis ◽  
Modified Alvarado Score ◽  
Suspected Acute Appendicitis

Background: To evaluate and compare diagnostic accuracy of modified Alvarado score and ultrasonography in co-relation to histopathology report for diagnosis of acute appendicitis.Methods: A prospective study of the patients who underwent appendectomy for suspected acute appendicitis at IIMS and R Medical College and Noor Hospital Warudi, Badnapur, Dist. Jalna (Maharashtra). The clinical (radiological) and ultrasonography data of 760 patients with suspected appendicitis was collected between March 2014 to Feb. 2017. These patients were evaluated by modified Alvarado score and ultrasonographically, which was corrected with histopathological finding.Results: Out of 760 patients 69.34% had acute appendicitis 63.81% had modified Alvarado score≥7 and 58.28% patients were ultrasonographically positive. In present study modified Alvarado score has sensitivity of 89.37% specificity 93.99% positive predictive value 97.11%, negative predictive value 79.64%, diagnostic accuracy of 81.32%.Conclusions: Modified Alvarado score can be used effectively in clinical decision making. When compare with ultrasonography neither one is advantageous. However, additional information provided by ultrasonography improves diagnostic accuracy.

scholarly journals DIAGNOSTIC ACCURACY IN CASES OF ACUTE APPENDICITIS MODIFIED ALVARADO SCORE SYSTEM VS. ULTRASONOGRAPHIC IMAGING

2016 ◽  
Vol 5 (34) ◽  
pp. 1899-1902
Author(s):  
Manisha Srivastava ◽  
Brijendra Nigam ◽  
Saket Nigam ◽  
Umesh Paliwal
Keyword(s):  
Acute Appendicitis ◽  
Diagnostic Accuracy ◽  
Alvarado Score ◽  
Score System ◽  
Modified Alvarado Score

scholarly journals OBSERVATIONAL STUDY OF DIAGNOSTIC ACCURACY OF MODIFIED ALVARADO SCORE AND ULTRASONOGRAPHY IN ACUTE APPENDICITIS IN ADULTS

2018 ◽  
Vol 7 (05) ◽  
pp. 667-671
Author(s):  
Varun Dogra ◽  
Shakeel Ahmad Mir ◽  
Syed Mushtaq Ahmad Shah ◽  
Ishfaq Ahmed Gilkar ◽  
Hanief Mohamed Dar
Keyword(s):  
Observational Study ◽  
Acute Appendicitis ◽  
Diagnostic Accuracy ◽  
Alvarado Score ◽  
Modified Alvarado Score

scholarly journals Comparison of the Modified Alvarado Score and Ultrasonography for Diagnosing Acute Appendicitis

2021 ◽  
pp. 171-177
Author(s):  
S. Keerthana ◽  
. Vignaradj
Keyword(s):  
Acute Appendicitis ◽  
Positive Predictive Value ◽  
Diagnostic Accuracy ◽  
Predictive Value ◽  
Care Center ◽  
Age Groups ◽  
Alvarado Score ◽  
Health Care Center ◽  
Modified Alvarado Score ◽  
Sensitivity Specificity

Background: Acute appendicitis can be diagnosed much accurately by using Modified Alvarado score and Ultrasound together in the clinical setting. Objectives: Comparison of the diagnostic accuracy of Modified Alvarado score and Ultrasonographic findings in acute appendicitis. Materials and Methods: A total of 200 patients of age group ranging from 4-65 years, both male and female, who visited the tertiary health care center with clinical features suggestive of acute appendicitis were randomly selected. Data from the patients regarding their Modified Alvarado score, ultrasonographic findings and histopathological reports were collected for the study. Statistical analysis was performed for the results of both Modified Alvarado score and Ultrasonographic findings in contrast to the pathology reports.  Results: The study included 200 patients, with maximum incidence of acute appendicitis seen in males (70.5%) and among 21-30 age groups (40.5%). The sensitivity, specificity of Modified Alvarado Score was 89.47% and 73.33%, with Positive Predictive Value, Negative Predictive Value and diagnostic accuracy being 40%, 73.33% and 45% respectively. Ultrasonography revealed 89.58% sensitivity, 15.62 % specificity, Positive predictive value and NPV were 75.88% and 50%, and diagnostic accuracy was 72%. The negative appendectomies rates accounted to 15%. Conclusion: It is advised that both Modified Alvarado score and Ultrasound can be used to together to diagnose acute appendicitis. This can be useful in decreasing the negative appendectomies and hence reduce the morbidity and mortality.

scholarly journals EVALUATION OF MODIFIED ALVARADO SCORE IN DIAGNOSIS OF ACUTE APPENDICITIS- A PROSPECTIVE STUDY COMPARING THE SCORE WITH HISTOPATHOLOGY

2017 ◽  
Vol 6 (29) ◽  
pp. 2391-2395 ◽  
Author(s):  
Sajikumar Raghavan N ◽  
Sunil Raveendran ◽  
Ramlal Vamanaprabhu R
Keyword(s):  
Acute Appendicitis ◽  
Prospective Study ◽  
Alvarado Score ◽  
Modified Alvarado Score ◽  
A Prospective Study

scholarly journals Comparative Study of Diagnostic Accuracy of Modified Alvarado Score and Ultrasonography in Acute Appendicitis

2014 ◽  
Vol 13 (1) ◽  
pp. 36-40 ◽  
Author(s):  
Dr. Satyajeet Kr Singh ◽  
Dr. Kunal Kr Singh ◽  
Dr. Chitrangada Singh ◽  
Prof. Dr Subrata Nag
Keyword(s):  
Acute Appendicitis ◽  
Comparative Study ◽  
Diagnostic Accuracy ◽  
Alvarado Score ◽  
Modified Alvarado Score

scholarly journals A prospective study of accuracy of modified Alvarado score in patients with acute appendicitis in tertiary care hospital

2018 ◽  
Vol 5 (3) ◽  
pp. 937
Author(s):  
Suman Parihar ◽  
M. S. Parihar ◽  
J. L. Kumawat ◽  
C. P. Joshi
Keyword(s):  
Acute Appendicitis ◽  
Diagnostic Accuracy ◽  
Predictive Value ◽  
Scoring System ◽  
Tertiary Care ◽  
Care Hospital ◽  
Alvarado Score ◽  
Medical College ◽  
Modified Alvarado Score ◽  
A Prospective Study

Background: Acute appendicitis is the most common acute emergency of the abdomen. Clinical diagnosis of acute appendicitis is challenging in most of situation. The present study was designed to evaluate the role of modified Alvarado scoring system in diagnosis of acute appendicitis.Methods: One hundred consecutive patients presenting in the department of surgery Geetanjali Medical College and Hospital from January 2014 to 2016 were included. Demographic characteristics, symptoms and signs, laboratory results were recorded. Data was collected using a pre-tested questionnaire and analyzed using statistical calculation.Results: In the present study 100 patients were studied in a period of two years. Maximum percentage of patients were in age group 20-30 years and males dominated the series. The sensitivity and specificity of modified Alvarado score was 91.57% and 76.47% respectively with positive predictive value 95% and negative predictive value 65% and diagnostic accuracy of 89%.Conclusions: This study shows that use of modified Alvarado scoring system in patients with acute appendicitis provides a high degree of diagnostic accuracy.

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