The Assessment of Modified Alvarado Score in the Diagnosis of Acute Appendicitis

Background: Acute appendicitis is the most common surgical emergency. The case fatality rate has fallen to less than 0.1% for uncomplicated appendicitis as a result of early diagnosis and intervention. Objective: To evaluate the accuracy of the modified Alvarado score in the preoperative diagnos...

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Main Author: Baha Al deen A.K. Almujamaee
Format: Article
Language:English
Published: College of medicine/ University of Diyala 2019-11-01
Series:Diyala Journal of Medicine
Subjects:
Online Access:http://djm.uodiyala.edu.iq/index.php/djm/article/view/474
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author Baha Al deen A.K. Almujamaee
author_facet Baha Al deen A.K. Almujamaee
author_sort Baha Al deen A.K. Almujamaee
collection DOAJ
description Background: Acute appendicitis is the most common surgical emergency. The case fatality rate has fallen to less than 0.1% for uncomplicated appendicitis as a result of early diagnosis and intervention. Objective: To evaluate the accuracy of the modified Alvarado score in the preoperative diagnosis of acute appendicitis  and to compare the result of our study with others. Methods: A prospective study was carried on including seventy eight patients with presumptive diagnosis of acute appendicitis in Baquba general hospital for one year period ( first of jan. 2001 through 30 first of Dec. 2001 ) and the data were analyzed using a modified Alvarado score. Result: The presence of high score was found to be an easy stationary aid to early diagnosis of appendicitis. Conclusion: The modified Alvarado score is simple to use easy to apply. Effective particularly in men while diagnosis laparoscopy is advised in woman to minimize the false negative appendectomies. Still its validity has to be assessed in pediatric age group.
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spelling doaj.art-367065c999244ff69006235a5d88308a2023-11-24T23:23:20ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822019-11-0111The Assessment of Modified Alvarado Score in the Diagnosis of Acute AppendicitisBaha Al deen A.K. Almujamaee Background: Acute appendicitis is the most common surgical emergency. The case fatality rate has fallen to less than 0.1% for uncomplicated appendicitis as a result of early diagnosis and intervention. Objective: To evaluate the accuracy of the modified Alvarado score in the preoperative diagnosis of acute appendicitis  and to compare the result of our study with others. Methods: A prospective study was carried on including seventy eight patients with presumptive diagnosis of acute appendicitis in Baquba general hospital for one year period ( first of jan. 2001 through 30 first of Dec. 2001 ) and the data were analyzed using a modified Alvarado score. Result: The presence of high score was found to be an easy stationary aid to early diagnosis of appendicitis. Conclusion: The modified Alvarado score is simple to use easy to apply. Effective particularly in men while diagnosis laparoscopy is advised in woman to minimize the false negative appendectomies. Still its validity has to be assessed in pediatric age group. http://djm.uodiyala.edu.iq/index.php/djm/article/view/474Modified Alvarado score acute appendicitis
spellingShingle Baha Al deen A.K. Almujamaee
The Assessment of Modified Alvarado Score in the Diagnosis of Acute Appendicitis
Diyala Journal of Medicine
Modified Alvarado score acute appendicitis
title The Assessment of Modified Alvarado Score in the Diagnosis of Acute Appendicitis
title_full The Assessment of Modified Alvarado Score in the Diagnosis of Acute Appendicitis
title_fullStr The Assessment of Modified Alvarado Score in the Diagnosis of Acute Appendicitis
title_full_unstemmed The Assessment of Modified Alvarado Score in the Diagnosis of Acute Appendicitis
title_short The Assessment of Modified Alvarado Score in the Diagnosis of Acute Appendicitis
title_sort assessment of modified alvarado score in the diagnosis of acute appendicitis
topic Modified Alvarado score acute appendicitis
url http://djm.uodiyala.edu.iq/index.php/djm/article/view/474
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