Diagnostic accuracy of Alvarado, RIPASA and Tzanakis scoring system in acute appendicitis: A prospective observational study
| Autor: | Gomathi Shankar, Ankit Jain, Pushkar Sharma, Sreenath G Shamanna, Uday Kumbhar, Sreerekha Jinkala |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Scoring system Diagnostic accuracy Sensitivity and Specificity Emergency appendicectomy 03 medical and health sciences 0302 clinical medicine medicine Appendectomy Humans Prospective Studies business.industry Public Health Environmental and Occupational Health Appendicitis medicine.disease Infectious Diseases Alvarado score 030220 oncology & carcinogenesis Acute Disease Emergency medicine Acute appendicitis 030211 gastroenterology & hepatology Observational study Ultrasonography business |
| Zdroj: | Tropical Doctor. 51:475-481 |
| ISSN: | 1758-1133 0049-4755 |
| Popis: | Our prospective observational study, enrolling 167 patients undergoing emergency appendicectomy, served to evaluate the Alvarado, Tzanakis and RIPASA diagnostic scores. The latter was found to be a better scoring system because of its higher diagnostic accuracy. At centres with limited expertise in ultrasonography, RIPASA outperforms the Tzanakis score. Although easy to use, the Alvarado score was useful only to ‘rule in’ cases with AA with significant accuracy but at the cost of low sensitivity. It cannot be effectively used in triaging. |
| Databáze: | OpenAIRE |
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