Alvarado score: can it reduce unnecessary interventions for acute appendicitis in children?

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The Alvarado score and acute appendicitis.

INTRODUCTION This is a retrospective study to assess the accuracy of the Alvarado score in predicting appendicitis for patients with right iliac fossa pain. MATERIALS AND METHODS This is a retrospective study of consecutive patients with suspected appendicitis. The Alvarado score was computed from the admission notes and correlated with the final outcome of the patient. Patients discharged wi...

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Value of Focused Appendicitis Ultrasound and Alvarado Score in Predicting Appendicitis in Children: Can We Reduce the Use of CT?

OBJECTIVE The purpose of this study was to evaluate the effectiveness of focused appendicitis ultrasound combined with Alvarado score to accurately identify appendicitis in children in whom it is suspected, thereby reducing unnecessary CT examinations and associated radiation exposure. MATERIALS AND METHODS We retrospectively evaluated the focused appendicitis ultrasound, CT, clinical, and la...

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The Alvarado score for predicting acute appendicitis: a systematic review

BACKGROUND The Alvarado score can be used to stratify patients with symptoms of suspected appendicitis; the validity of the score in certain patient groups and at different cut points is still unclear. The aim of this study was to assess the discrimination (diagnostic accuracy) and calibration performance of the Alvarado score. METHODS A systematic search of validation studies in Medline, Emb...

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Diagnostic Importance of Alvarado and RIPASA Score in Acute Appendicitis

Introduction: One of the most common surgical emergencies encountered in the day to day practice both in developed and developing countries in the world is acute appendicitis. The incidence may range from 13% to 77%. The diagnosis is purely based on clinical history, examination and ultrasonography. Many studies are available about the diagnostic methods used for acute appendicitis in western p...

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Modified Alvarado Score in Children with Diagnosis of Appendicitis

Background: Appendicitis is one of the most common abdominal emergency. Some predictive scoring systems are recommended to decrease the rate of negative appendectomy. Aim: To evaluate sensitivity, specificity, positive predictive value, and negative predictive value of modified Alvarado score in children who underwent appendectomy. Methods: Four hundred children with initial diagnosis of ap...

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ژورنال

عنوان ژورنال: ARS Medica Tomitana

سال: 2017

ISSN: 1841-4036

DOI: 10.1515/arsm-2017-0020