Sensitivity and Specificity of Fenyö-Lindberg and Teicher Scores in the Diagnosis of Acute Appendicitis in Women
| Autor: | Dubravka Mužina Mišić, Zrinko Madžar, Mario Zovak, Tomislav Madžar, Mario Kopljar, Slaven Čiček, Marko Mesić |
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| Rok vydání: | 2017 |
| Předmět: |
Appendicitis – diagnosis
Adult 030213 general clinical medicine 0209 industrial biotechnology medicine.medical_specialty Abdominal pain Urban Population Croatia Predictive value lcsh:Medicine 02 engineering and technology Sensitivity and Specificity 03 medical and health sciences Young Adult Sensitivity 020901 industrial engineering & automation 0302 clinical medicine Predictive Value of Tests Internal medicine medicine Appendectomy Humans Women Appendicitis - diagnosis ROC curve Specificity Prospective Studies Pain Measurement Appendicitis diagnosis Speccity Receiver operating characteristic business.industry lcsh:R Curve analysis General Medicine Emergency department Middle Aged medicine.disease Appendicitis Abdominal Pain Diagnostic Techniques Digestive System ROC Curve Acute appendicitis Population study Women's Health Female medicine.symptom business Emergency Service Hospital |
| Zdroj: | Acta Clinica Croatica, Vol 55, Iss 4., Pp 593-599 (2016) |
| ISSN: | 1333-9451 |
| Popis: | The aim of the study was to assess diagnostic accuracy (sensitivity and specificity) of Fenyo- Lindberg and Teicher scores for distinguishing patients that need immediate surgical treatment from the others, in a female population from an urban setting. The study prospectively included 130 female patients admitted to the emergency department with abdominal pain indicating acute appendicitis. The scores and parameters of validity were calculated and compared to definitive diagnosis. For Fenyo-Lindberg score of -17 or less, 84.5% sensitivity, 55.6% specificity, 87.9% positive predictive value (PPV) and 48.4% negative predictive value (NPV) were recorded. For cut-off value greater or equal to -2, there was 59.2% sensitivity, 77.8% specificity, 91% PPV and 33.3% NPV. The Receiver Operating Characteristic (ROC) curve analysis of Fenyo-Lindberg score showed that the best single cut-off value for discriminating acute appendicitis in the study population was -15. For Teicher score, values greater than -3 yielded 89.3% sensitivity and 22.2% specificity, 81.4% PPV and 35.3% NPV. In conclusion, Fenyo-Lindberg score could be used as an additional tool to exclude appendicitis and avoid unnecessary appendectomies. Teicher score may help in recognizing patients with appendicitis. None of the two scores can indicate or decline appendectomy in all cases. Scoring systems may be useful for pointing to important clinical signs and symptoms in specific subpopulations. |
| Databáze: | OpenAIRE |
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