Pregled bibliografske jedinice broj: 213616
Analysis of scores in diagnosis of acute appendicitis in women
Analysis of scores in diagnosis of acute appendicitis in women // United by the sea International Congress of Surgery
Pescara, Italija, 2005. (predavanje, međunarodna recenzija, sažetak, znanstveni)
CROSBI ID: 213616 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Analysis of scores in diagnosis of acute appendicitis in women
Autori
Horžić, Matija ; Šalamon, Antun ; Kopljar, Mario ; Skupnjak, Maja ; Ćupurdija, Kristijan ; Vanjak-Bielen, Đana
Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni
Skup
United by the sea International Congress of Surgery
Mjesto i datum
Pescara, Italija, 18.05.2005. - 21.05.2005
Vrsta sudjelovanja
Predavanje
Vrsta recenzije
Međunarodna recenzija
Ključne riječi
acute appendicitis; score; diagnosis; appendectomy
Sažetak
Acute appendicitis is a common surgical condition that requires prompt diagnosis. Besides modern imaging techniques, scoring systems, based on clinical signs and symptoms and routine laboratory assessments, have been used as a diagnostic aid. However, differences in sensitivities and specificities were observed if the scores were applied to various populations and clinical settings. The purpose of this paper is to assess validity of three scores (modified Alvarado score, Ohmann score and Eskelinen score) for diagnosis of acute appendicitis in women. 126 female patients admitted for suspicion of acute appendicitis in a tertiary hospital emergency department were analyzed prospectively. Modified Alvarado score, Ohmann score and Eskelinen score were calculated at admission and compared to final diagnosis. All patients with modified Alvarado score 7 or more had acute appendicitis (100% specificity) and it can be used to determine the need for immediate appendectomy. Values of Ohmann score greater than 6 resulted in 0.9% rate of overlooked appendicitis. Besides obvious educational role, scores may help to determine the group of patients who require immediate appendectomy, therefore expediting treatment and avoid unnecessary observation or more lengthy diagnostic procedures that require highly educated and skilled senior staff. No single score may be used alone to dictate or decline surgery. Different cut-off points may also be considered for different subpopulations.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
