| Autor: |
Shah, Mihir K., Doliya, Tejas, Chaudhary, Shivani, Khan, Shahin, Mallik, Shashwat |
| Předmět: |
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| Zdroj: |
Surgical Chronicles; Oct-Dec2022, Vol. 27 Issue 4, p490-493, 4p |
| Abstrakt: |
Background: Appendicitis is a commonly encountered condition in clinical practice. It is a difficult diagnosis and a high rate of negative appendectomy increases complications, morbidity and mortality among patients. Histopathological examination is the modality for definitive diagnosis, which requires patients to undergo appendectomy. This predisposes possibly normal individuals to postoperative complications. Scoring systems for diagnosing appendicitis have been developed and we attempt to validate one such recently developed scoring system, RAMA-AS. Our study also compared RAMA-AS with a more commonly used Alvarado scoring system. Materials and Methods: A prospective observational study of 100 clinically suspected patients of appendicitis was conducted in a tertiary care center. They were given scores according to the RAMA-AS and Alvarado scoring systems. Patient scores according to both scoring systems were subjected to analysis with USG findings. Results: We found a significant association between the RAMA-AS and USG diagnosis with a sensitivity, specificity and positive predictive value of 51.35%, 92.30% and 95% as compared to the Alvarado scoring system, which showed a sensitivity, specificity and positive predictive value of 28.37%, 84.61% and 84%. Conclusions: The incorporation of scoring systems can help in detecting patients with high scores as probable cases of appendicitis. RAMA-AS was found to have a significant association with appendicitis. RAMA-AS showed a better sensitivity, specificity, positive predictive value and negative predictive value than the Alvarado scoring system. But, patients with low scores should utilize other diagnostic modalities to decrease the chances of missing positive cases. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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