Application of Alvarado Score in Diagnosis of Acute Appendicitis in Patients

The aim of this study was to assess the application of the Alvarado score in diagnosis of acute appendicitis. This study was reported for the first time from Republic of Mauritius. A total of 106 patients with clinical impression of acute appendicitis were included in this study. All patients underwent thorough clinical evaluation, pre-operative total leucocyte count (TLC) and differential leucocyte count (DLC) along with Alvarado scoring. Based on the presence of signs & symptoms Alvarado score was assigned. Decision of appendicectomy was based on high clinical suspicion. The removed appendix were sent for histopathological examination. Out of 106 patients evaluated, 67 patients were managed conservatively with supportive treatment and 36 patients underwent emergency appendicectomy and 3 patients underwent interval appendicectomy following initial conservative management. In all 39 cases histopathology confirmed acute appendicitis. It is concluded that Alvarado score increased the diagnostic sensitivity in our study.