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

Alvarado score: can it reduce unnecessary interventions for acute appendicitis in children? AbstractThe purpose of the study is to compare the outcomes of surgical interventions for acute appendicitis with the values of the Alvarado score. We conducted the study on 572 patients that underwent surgical interventions for acute appendicitis. Retrospectively, based on the medical records, we calculated the MANTRELS score and compared the outcomes of the intervention with the values of the applied score. Almost one third of the patients with a MANTRELS score lower than 6 had negative appendectomies. These patients represent 60% of the total cases of negative appendectomies, while in the case of patients with a high score around 2% had negative appendectomies. We concluded that using this scoring system to assess the need of immediate surgical intervention is important and can increase the rate of positive diagnosis mainly by limiting the number of unnecessary interventions. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png ARS Medica Tomitana de Gruyter

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

ARS Medica Tomitana , Volume 23 (3): 6 – Aug 28, 2017

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Publisher
de Gruyter
Copyright
© by S. Chirila
ISSN
1841-4036
eISSN
1841-4036
DOI
10.1515/arsm-2017-0020
Publisher site
See Article on Publisher Site

Abstract

AbstractThe purpose of the study is to compare the outcomes of surgical interventions for acute appendicitis with the values of the Alvarado score. We conducted the study on 572 patients that underwent surgical interventions for acute appendicitis. Retrospectively, based on the medical records, we calculated the MANTRELS score and compared the outcomes of the intervention with the values of the applied score. Almost one third of the patients with a MANTRELS score lower than 6 had negative appendectomies. These patients represent 60% of the total cases of negative appendectomies, while in the case of patients with a high score around 2% had negative appendectomies. We concluded that using this scoring system to assess the need of immediate surgical intervention is important and can increase the rate of positive diagnosis mainly by limiting the number of unnecessary interventions.

Journal

ARS Medica Tomitanade Gruyter

Published: Aug 28, 2017

References