logo
Volume 5, Issue 1 (march 2016)                   J Emerg Health Care 2016, 5(1): 1-4 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Qusous S, Odeh A, Haddadin S, Gsous R, Bdour B, Gsous G et al . Correlation between Surgical Alvarado score and histological examination in the assessment of acute appendicitis. J Emerg Health Care 2016; 5 (1) :1-4
URL: http://intjmi.com/article-1-214-en.html
Correlation between Surgical Alvarado score and histological examination in the assessment of acute appendicitis
Sahim Qusous , Ala Odeh , Sahel Haddadin , Rami Gsous , Bilal Bdour , Ghaith Gsous * , Ghadeer Al - Muhisen
resident General Surgery , Royal Medical Services
Abstract:   (9633 Views)

Abstract
Objective: The aim of this study was to assess the diagnostic accuracy performance of Alvarado score in patients with suspected appendicitis with respect to histological examination .
Methods: In this retrospective study we examined the files of 84 patients who underwent appendecictomies at Prince Hashem Bin Abdullah II Hospital in Aqaba and king Hussien Hospital in Amman from August 2013 to December 2015 . Alvaradao score was calculated from preoperative notes . All cases had subsequent histological examination which was also obtained from the patients’ files .
Results: out of 84 patients who underwent appendiectomy , diagnosis was confirmed by histopathological findings in 68 patients . 63 of them with alvarado score of 7 or more ( 92,6 % ) , the normal appendiectomy rate was 19 % . the number of patients with score less 5 , 5 - 7 , 7 - 9 were 7 , 24 , 53 respectively , while the number of appendicitis in each group were ( 4,7 % ) , 8 ( 33,3 % ) , 49 ( 92,4 % ) .
Conclusion: Alvarado scoring system is a simple and reliable test in the pre-operative diagnosis of acute appendicitis and should be encouraged in day to day practice to ensure best patient care and management .

Keywords: appendicitis, alvarado score, histopathology
Full-Text [PDF 246 kb]   (3052 Downloads)    
Type of Study: Research | Subject: General
References
1. 1. Hamid Kariman , M.D. , Majid Shojaee , M.D. : Evaluation of the Alvarado score in acute abdominal pain . Ulus Travma Acil Cerr Derg , March 2014 , Vol. 20, No. 2 . 2. Marx JA . Rosen’s emergency medicine : concepts and clinical practice . In : Hockberger RS , et al . 7th ed. , Philadelphia : Mosby – Elsevier ; 2010 . 3. Kanumba ES , Mabula JB , Rambau P , Chalya PL : Modified Alvarado Scoring System as a diagnostic tool for Acute Appendicitis at Bugando Medical Centre .Mwanza . Tanzania . BMC Surg 2011 , 11: 4 . 4. Ali Konan , Mutlu Hayran : Scoring systems in the diagnosis of acute appendicitis in the elderly . Ulus Travma Acil Cerrahi Derg 2011;17 (5):396-400 . 5. Thabit MF, Al An sari HM , Kamoona BR . Evaluation of modified Alvarado score in the diagnosis of acute appendicitis at Baghdad Teaching Hospital . The Iraqi Postgraduate Medical Journal 2012 : 11: 675 – 83 . 6. Pogorelić Z, Rak S, Mrklić I, Jurić I Prospective validation of Alvarado score and Pediatric Appendicitis Score for the diagnosis of acute appendicitis in children. Pediatr Emerg Care. 2015 Mar;31(3):164-8 7. F.Charles Brunicardi : Shwartz principles of surgery 9th edition - part II . specific considerations - chapter 30 . – the appendix . 8. Gökçe AH, Aren A, Gökçe FS, Dursun N, Barut AY: Reliability of ultrasonography for diagnosing acute appendicitis. Ulus Travma Acil Cerrahi Derg 2011, 17(1):19-22 . 9. Rezak A , Abbas HM , Ajemian MS , Dudrick SJ , Kwasnik EM : Decreased use of computed tomography with a modified clinical scoring system in diagnosis of pediatric acute appendicitis .Arch Surg 2011 , 146 : 64 – 67 . 10. P. D . Gurav , N . N . Hombalkar , Priya Dhandore , Mohd. Hamid . Evaluation of Right Iliac Fossa Pain with Reference to Alvarado Score - Can We Prevent Unnecessary Appendicectomies . JKIMSU 2013: 2 : 24 - 9 . 11. Cağlayan K , Günerhan Y, Koç A , Uzun MA , Altınlı E , Köksal N . The role of computerized tomography in the diagnosis of acute appendicitis in patients with negative ultrasonography findings and a low Alvarado score . Ulus Travma Acil Cerrahi Derg 2010 ; 16 : 445 - 8 . 12. Tan WJ , Acharyya S , Goh YC , Chan WH , Prospective comparison of the Alvarado score and CT scan in the evaluation of suspected appendicitis: a proposed algorithm to guide CT use . J Am Coll Surg. 2015 Feb;220( 2 ) : 218 – 24 . 13. Escriba A , Gamell AM , Fernandez Y , Quintilla JM , Cubells CL : Prospective validation of two systems of classification for the diagnosis of acute appendicitis .Pediatr Emerg Care 2011 , 27 : 165 – 169 . 14. Ohle R , Oreilly F , Kobrien K : The Alvarado score for predicting acute appendicitis , a systemic review . BMC Medicine 2011 , 9:139 . 15. Dey S , Mohanta P, Baruah A , Kharga B : Alvarado scoring in acute appendicitis - a clinicopathological correlation . Indian J Surg . Aug 2010 , 72 ( 4 ) : 290 – 293 . 16. Kollár D, McCartan DP, Bourke M, Cross KS Predicting acute appendicitis? A comparison of the Alvarado score, the Appendicitis Inflammatory Response Score and clinical assessment. World J Surg. 2015 Jan;39(1):104-9. 17. Memon Z , Irfan S : Acute appendicitis : Diagnostic accuracy of Alvarado scoring system . puplished 2013 . 18. John J. Hong , Stephen M : A Prospective Randomized Study of Clinical Assessment versus Computed Tomography for the Diagnosis of Acute Appendicitis . 19. Lintula H , Kokki H , Pulkkinen J , Kettunen R , Gröhn O , Eskelinen M . Diagnostic score in acute appendicitis . Validation of a diagnostic score ( Lintula score ) for adults with suspected appendicitis . Langenbecks Arch Surg 2010 ; 395 : 495 – 500 . 20. Nasiri S , Mohebbi F , Sodagari N : Diagnostic values of ultrasound and the modified Alvarado scoring system in acute appendicitis . International journal of emergency medicine 2012 , 5:26 . 21. P. D. Gurav , N. N. Hombalkar : Evaluation of Right Iliac Fossa Pain with Reference to Alvarado Score Can We Prevent Unnecessary Appendicectomies ? . JKIMSU , Vol. 2 , No. 2 , July – Dec. 2013 .
Add your comments about this article : Your username or Email:
CAPTCHA
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.