Pediatric appendicitis score: A retrospective analysis
<b>Aims:</b> Evaluation of the pediatric appendicitis score (PAS), in all patients who had an appendicectomy over a one-year period. <b> Methods:</b> Retrospective study of 56 patients aged 4-15 years, who underwent an emergency appendicectomy. PAS was applied and patients...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2008-01-01
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| Series: | Journal of Indian Association of Pediatric Surgeons |
| Subjects: | |
| Online Access: | http://www.jiaps.com/article.asp?issn=0971-9261;year=2008;volume=13;issue=4;spage=125;epage=127;aulast=Goulder |
| _version_ | 1818988251731460096 |
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| author | Goulder F Simpson T |
| author_facet | Goulder F Simpson T |
| author_sort | Goulder F |
| collection | DOAJ |
| description | <b>Aims:</b> Evaluation of the pediatric appendicitis score (PAS), in all patients who had an appendicectomy over a one-year period. <b> Methods:</b> Retrospective study of 56 patients aged 4-15 years, who underwent an emergency appendicectomy. PAS was applied and patients were divided according to the PAS protocol into high probability and low probability groups. These results were then correlated with histology. <b> Results:</b> The PAS had sensitivity 0.87, specificity 0.59, positive predictive value 0.83, and negative predictive value 0.67. The negative appendicectomy rate would have been reduced to 17%, but five patients with appendicitis would have been denied early surgical treatment and may have been discharged. <b> Conclusions:</b> The PAS cannot be recommended as it would lead to an unacceptable risk of wrongly discharging or delaying necessary surgery in 13% of patients with appendicitis. |
| first_indexed | 2024-12-20T19:19:37Z |
| format | Article |
| id | doaj.art-8438693d35c14a8c93759244e39426e2 |
| institution | Directory Open Access Journal |
| issn | 0971-9261 1998-3891 |
| language | English |
| last_indexed | 2024-12-20T19:19:37Z |
| publishDate | 2008-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Association of Pediatric Surgeons |
| spelling | doaj.art-8438693d35c14a8c93759244e39426e22022-12-21T19:29:01ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912008-01-01134125127Pediatric appendicitis score: A retrospective analysisGoulder FSimpson T<b>Aims:</b> Evaluation of the pediatric appendicitis score (PAS), in all patients who had an appendicectomy over a one-year period. <b> Methods:</b> Retrospective study of 56 patients aged 4-15 years, who underwent an emergency appendicectomy. PAS was applied and patients were divided according to the PAS protocol into high probability and low probability groups. These results were then correlated with histology. <b> Results:</b> The PAS had sensitivity 0.87, specificity 0.59, positive predictive value 0.83, and negative predictive value 0.67. The negative appendicectomy rate would have been reduced to 17%, but five patients with appendicitis would have been denied early surgical treatment and may have been discharged. <b> Conclusions:</b> The PAS cannot be recommended as it would lead to an unacceptable risk of wrongly discharging or delaying necessary surgery in 13% of patients with appendicitis.http://www.jiaps.com/article.asp?issn=0971-9261;year=2008;volume=13;issue=4;spage=125;epage=127;aulast=GoulderAppendicectomyappendicitispediatric appendicitis score |
| spellingShingle | Goulder F Simpson T Pediatric appendicitis score: A retrospective analysis Journal of Indian Association of Pediatric Surgeons Appendicectomy appendicitis pediatric appendicitis score |
| title | Pediatric appendicitis score: A retrospective analysis |
| title_full | Pediatric appendicitis score: A retrospective analysis |
| title_fullStr | Pediatric appendicitis score: A retrospective analysis |
| title_full_unstemmed | Pediatric appendicitis score: A retrospective analysis |
| title_short | Pediatric appendicitis score: A retrospective analysis |
| title_sort | pediatric appendicitis score a retrospective analysis |
| topic | Appendicectomy appendicitis pediatric appendicitis score |
| url | http://www.jiaps.com/article.asp?issn=0971-9261;year=2008;volume=13;issue=4;spage=125;epage=127;aulast=Goulder |
| work_keys_str_mv | AT goulderf pediatricappendicitisscorearetrospectiveanalysis AT simpsont pediatricappendicitisscorearetrospectiveanalysis |