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...

BACKGROUND In conditions like acute appendicitis it is impractical to have definitive diagnosis by gold standard test (histopathology) before surgery, we would like a simple test like Alvarado scoring system which depends on the presence and absence of certain variables and which provides an accurate guide to whether or not the patient has the condition. This study was conducted to evaluate Alv...

BACKGROUND Appendicitis being the commonest surgical emergency is primarily diagnosed clinically but posses diagnostic difficulty usually, especially to junior surgeons, demanding the need for tool/scoring system that can be easily applicable, accurate & reproducible in the diagnosis of appendicitis, with low negative Appendicectomy rate. This study is designed to assess one such scoring system...

INTRODUCTION The accuracy of the Alvarado score in diagnosing acute appendicitis in an Asian population has been disappointingly low. We prospectively compared the RIPASA score with the Alvarado score for the diagnosis of acute appendicitis. METHODS 200 consecutive patients who presented to the Accident and Emergency Department with right iliac fossa pain were recruited in the study. Both the...

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 leuc...

INTRODUCTION The negative appendicectomy rate (NAR) is a quality metric in the management of appendicitis. While computed tomography (CT) has been associated with a low NAR, Alvarado scoring produces an acceptable NAR. The definition of negative appendicectomy may affect the NAR. This study examined the impact of CT, Alvarado score and definition on the NAR. METHODS The charts of 1,306 emerg...

BACKGROUND Artificial neural networks is one of pattern analyzer method which are rapidly applied on a bio-medical field. OBJECTIVE The aim of this research was to propose an appendicitis diagnosis system using artificial neural networks (ANNs). METHODS Data from 801 patients of the university hospital in Dongguk were used to construct artificial neural networks for diagnosing appendicitis ...

The diagnosis of acute appendicitis is mainly based on clinical examination and various diagnostic scores are available. We compared Alvarado and RIPASA scoring systems for the diagnosis of acute appendicitis and their negative appendectomy rate in 100 patients of appendicitis.

OBJECTIVE The incidence of acute appendicitis after liver transplantation (LT) is extremely low, reported to be 0.09% to 0.49%, but the efficacy of the Alvarado score in this patient group has not been studied. This study was an investigation of the clinical management of patients who developed acute appendicitis after LT and the usefulness of the Alvarado score in the diagnosis. METHODS The ...