Evaluation of the Modified Alvarado Score in the Diagnosis of Acute Appendicitis: A Prospective Study

2020 ◽  
Vol 11 (3) ◽  
pp. 373-379
Author(s):  
Sudhir Singh
Keyword(s):  
Acute Appendicitis ◽  
Prospective Study ◽  
Alvarado Score ◽  
Modified Alvarado Score ◽  
A Prospective Study

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.

Management of Acute Appendicitis in Covid Pandemic- A Prospective Study of 25 Cases

2020 ◽  
pp. 7-11
Author(s):  
Dr. Abhishek Mahadik ◽  
Dr. Meena Kumar ◽  
Dr. Nida Khan ◽  
Dr. Manish Kumar ◽  
Dr. Meenal Mapari
Keyword(s):  
Acute Appendicitis ◽  
Prospective Study ◽  
Conservative Management ◽  
Poor Response ◽  
Surgical Team ◽  
Lower Abdomen ◽  
Open Appendicectomy ◽  
Alvarado Score ◽  
Multimodality Approach ◽  
A Prospective Study

Acute Appendicitis is a surgical emergency. Patients present with pain in right lower abdomen, with other symptoms like nausea/vomiting, fever, diarrhoea, urinary symptoms. Diagnosis is based on a multimodality approach that includes, clinical, radiological and pathological findings. Alvarado Score helps determine the severity of infection, confirm diagnosis and guide further management. Management is either conservative with antibiotics or surgical depending on severity. However approach to surgical management has changed with the ongoing Covid-19 pandemic. It has necessitated categorisation of surgical procedures into essential and non essential to limit risk to both patient and surgical team and also for prioritization of resources to the rising, continued spread of Covid-19. We present a prospective study of 25 cases of appendicitis presenting during the Covid Pandemic between 15th March and 30th May to our hospital, with an intent to try conservative management for all patients except in the presentations with complications like perforation, abscess or the presence of fecolith or poor response to conservative management.Patients not amenable to conservative management were treated by Open appendicectomy.

scholarly journals The Alvarado score versus computed tomography in the diagnosis of acute appendicitis: A prospective study

2016 ◽  
Vol 72 (4) ◽  
pp. 332-337 ◽  
Author(s):  
Ashraf F. Al-Faouri ◽  
Khaled Y. Ajarma ◽  
Abdulhamid M. Al-Abbadi ◽  
Abdullah H. Al-Omari ◽  
Tariq S. Almunaizel ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Appendicitis ◽  
Prospective Study ◽  
Alvarado Score ◽  
A Prospective Study

scholarly journals TO EVALUATE THE ACCURACY OF ALVARADO SCORE IN THE DIAGNOSIS OF ACUTE APPENDICITIS - A PROSPECTIVE STUDY

2015 ◽  
Vol 4 (102) ◽  
pp. 16739-16742
Author(s):  
Surendra Kumar Jain ◽  
Saurabh Kothari ◽  
Vandana Jain ◽  
Mayank Srivastava
Keyword(s):  
Acute Appendicitis ◽  
Prospective Study ◽  
Alvarado Score ◽  
A Prospective Study

scholarly journals Modified Alvarado Scoring System in the Diagnosis of Acute Appendicitis

1970 ◽  
Vol 5 (1) ◽  
pp. 18-20 ◽  
Author(s):  
David Bibhutosh Talukder ◽  
AKM Zafrullah Siddiq
Keyword(s):  
Acute Appendicitis ◽  
Scoring System ◽  
Scoring Systems ◽  
Histopathological Diagnosis ◽  
Alvarado Score ◽  
Diagnostic Modality ◽  
Female Patients ◽  
Surgical Emergencies ◽  
Modified Alvarado Score ◽  
A Prospective Study

Acute appendicitis is one of the common surgical emergencies. Different scoring systems are there in use to diagnose appendicitis. The purpose of this study was to evaluate the diagnostic accuracy of the modified Alvarado scoring system in clinical practice for acute appendicitis. A prospective study was conducted on 100 patients hospitalized with abdominal pain suggestive of acute appendicitis and were subsequently operated, from July 2005 to June 2008 at Bangladesh Rifles (BDR) hospital, Dhaka. Both male and female patients from 7 years to 55 years of age were enrolled in the study. Preoperatively, modified Alvarado score was assigned to all, and the results were compared with operative and histopathological diagnosis. Out of 100 operated patients 84 were diagnosed as a case of acute appendicitis on the basis of histopathological report. Patients with modified Alvarado score of 8-10, 5-7 and 1-4 have the accuracy of 95%, 78%, and 0% respectively. In the higher score group the accuracy is more and acceptable. Lower score group should be kept under observation. Score sensitivity is more in male than female patients. This scoring system is a reliable and practicable diagnostic modality to increase the accuracy in diagnosis of acute appendicitis and thus to minimize unnecessary appendicectomy.Key Words: Alvarado scoring system, Acute appendicitis.   doi: 10.3329/jafmc.v5i1.2845 JAFMC Bangladesh. Vol 5, No 1 (June) 2009 pp.18-20

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