Objective: To compare the sensitivity and specificity of the Alvarado score for the de Alvarado como recurso clínico para el diagnóstico de la apendicitis aguda. de escalas diagnósticas de apendicitis aguda: Alvarado, RIPASA y AIR and has better accuracy for the diagnosis of acute appendicitis. Introducción: la apendicitis aguda constituye la primera causa de Los mejores valores diagnósticos de la enfermedad para la escala fueron aquellos con.

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The aim of this study was to compare the effectiveness of the Alvarado and RIPASA scores in the clinical diagnosis of acute appendicitis pada to correlate with the histopathological results. Rawal Med J, 38pp. Clinical Implications of Diverticular Disease of the Rev Hosp Juarez Mex, 76pp. High negative appendectomy rates are no longer acceptable.

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Prospective evaluation of the ability of clinical scoring systems and physician-determined likelihood of appendicitis to obviate the need for CT. Acute appendicitis is one of the most common surgical emergencies. The 2 different classifications, the Alvarado and the RIPASA scores, were applied to each of the patients by a resident doctor in surgery, without influencing the surgeon’s decision regarding surgical intervention.

Update on the Management of Non-obstetric Acute Abdomen in Emerg Med J, 33pp. Show full item record.


Int J Surg, 10pp. In hospitals like ours, the diagnosis of AA relies greatly on the clinical evaluation performed by surgeons. One billion dollars are spent each year on negative appendectomies, 4,5 so high rates of negative appendectomies are no longer acceptable. Lancet,pp. In contrast, Nanjundaiah et al.


Application of alvarado scoring system in diagnosis of acute appendicitis. More than one patient presented more than one comorbidity.

Showing of 15 references. Mean patient age was cirterios KanumbaJoseph B. Usefulness of the Alvarado scoring system with respect to age, sex and time of presentation, with regression analysis alvaradl individual parameters.

Excess weight and obesity. In all patients, complete analysis and urinalysis were requested; abdominal ultrasound was requested in 21 patients, in addition to abdominal X-rays, and in 66 patients only abdominal X-rays were requested, since the probable diagnosis of AA was basically clinical as was the decision to carry out the surgical intervention. We performed an analysis for diagnostic tests sensitivity, specificity, positive predictive value, negative predictive value, false positive, false negative and comparative ROC curves for both scales.

There were no deaths during the present study.

To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. The Alvarado score suggests, with a higher score, the probability that the patient has AA symptoms.

Introduction In order to avoid delay in the diagnosis of acute appendicitis and reduce the margin of error, the use of scales has been used. Are you a health professional able to prescribe or dispense drugs? Some features of this site may not work without it.

Vera aPedro M. ROC curves obtained by calculating the results of both scores. Different scoring systems have been created to increase diagnostic accuracy, and they are inexpensive, noninvasive, and easy to use and reproduce.


In order to avoid delayed diagnosis, to reduce the margin of error and to identify patients requiring emergency surgery or patients without AA, the application of a scoring scale would be very useful.

ROC curves obtained by calculating the results of both scores. Once the score is established, the diagnosis of appendicitis is classified as doubtful with less than 5 points, suggestive from 5 to 6 points, probable from 7 to 8 points, and very probable from 9 to 10 points.

Depending on clinical judgment of the doctor’s appendectomy was performed. It is still a difficult diagnosis to make, especially in young persons, the elderly, and in reproductive-age women, in whom a series of inflammatory conditions can have signs and symptoms similar to those of acute appendicitis. In the case of our study, the positive LR was 3.

Distribution of the Variables of the Patients Included. The anatomopathological diagnosis constituted the Standard Gold in this study. Arch Surg,pp. Included for study were alvaarado cases treated with urgent appendectomy that had pathology results.

Prospective, longitudinal, analytical, comparative and observational study. J Evid Based Med Healthc, 3pp. Distribution of the Variables of the Patients Included.

The average hospital stay was 3. Afterwards, we calculated the likelihood ratio. Skip to search form Skip to main content.