The comparison of the effectiveness of tomography and Alvarado scoring system in patients who underwent surgery with the diagnosis of appendicitis
| Autor: | Talha Atalay, Omer Faruk Akinci, Zuhal Yananlı, Alaattin Öztürk |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Scoring system medicine.diagnostic_test business.industry General surgery Computed tomography medicine.disease Appendicitis Preliminary diagnosis 03 medical and health sciences 0302 clinical medicine Alvarado score Acute appendicitis medicine Surgery In patient 030212 general & internal medicine Radiology Tomography business 030217 neurology & neurosurgery Original Investigation |
| Popis: | The aim of this study is to compare the effectiveness of computed tomography and Alvarado scoring system in the diagnosis of acute appendicitis in patients who underwent appendectomy with the preliminary diagnosis of acute appendicitis.One hundred and one patients who underwent appendectomy with the diagnosis of acute appendicitis between January and December 2011 were included in the study. Alvarado scores were calculated, and abdominal tomography scans were obtained for each patient before surgery. Patients with Alvarado score ≥7 were considered to have appendicitis while patients with a score7 were considered not to have appendicitis. Patients were classified into two groups based on the presence of appendicitis findings on abdominal tomography. Histopathological examination of the appendices was performed following appendectomy. All patients were classified into groups according to pathology results, Alvarado score and tomography findings. The effectiveness of Alvarado score and tomography were compared using the McNemar test.Sixty patients (59.4%) were male and 41 (40.6%) were female, with a mean age of 32 years (5-85 years). The rate of negative appendectomy was 3.9%. In 78 patients (77.3%) the Alvarado score was ≥7, while 23 patients (22.7%) had Alvarado scores7. The presence of appendicitis was determined by histopathology in 22 out of 23 patients whose Alvarado score was7. Tomography indicated appendicitis in 97 patients (95.9%) whereas four patients (4.1%) exhibited no signs of appendicitis by tomography. However, histopathological evaluation indicated the presence of appendicitis in those four patients as well.The study results imply that tomography is a more effective means of diagnosing acute appendicitis as compared to the Alvarado scoring system. |
| Databáze: | OpenAIRE |
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