Prospective comparison of the Pediatric Appendicitis Score and Alvarado score for clinical diagnosis of acute appendicitis in children

Authors

  • Pramod Singh Associate Professor, Department of General Surgery, Gouri Devi Institute of Medical Sciences and Hospital, Rajbandh, Durgapur, West Bengal, India
  • Subhakanta Mohapatra Assistant Professor, Department of General Surgery, Gouri Devi Institute of Medical Sciences and Hospital, Rajbandh, Durgapur, West Bengal, India

Keywords:

Pediatric appendicitis, Alvarado score, Pediatric appendicitis score.

Abstract

Background: In the Alvarado score and the pediatric appendicitis scoring systems, there is a reference score above which surgery is recommended while only observation is warranted below the specific score. The present study was conducted among children presented in surgical emergency with right lower abdominal pain having sign and symptoms of acute appendicitis at Gouri Devi institute of medical sciences and hospital, Rajbandh Durgapur-12 From November 2020 to October 2021. Material and methods: The present study was conducted among children presented in surgical emergency with right lower abdominal pain having sign and symptoms of acute appendicitis at Gouri Devi institute of medical sciences and hospital Rajbandh Durgapur-12 From November 2020 to November 2021. Each enrolled patient was awarded clinical scores according to both the Alvarado scoring system and the pediatric appendicitis scoring system. The statistical values were calculated for both scoring systems at cutoff score 7. Results: 100 patients were included in the study. Of the enrolled patients, 70 were males and 30 were females. 47 patients were included in the operated group (seven or more than seven group) and 53 patients were included in the observational group (less than seven group). Out of those 53 patients classified as the observational group, 39(73.58%) patients got settled during observation without any complication while 14 (26.41%) had to be proceeded with surgery because of an increase in their score (PAS/Alvarado) values during their observational period. Out of total 100 patients, 61 got operated i.e. 47 patients were included in the operated group (seven or more than seven group) and 14 patients (less than seven group) were operated. Out of 61 got operated and according to histopathology report 50 were confirmed as acute appendicitis while 11 were declared as negative appendectomies. According to the Alvarado scoring system, 43 patients were in the “seven or more than seven” group while 18 patients were in the “less than seven” group. According to histopathology at cutoff value 7, the Alvarado score resulted in 39 correct diagnoses of appendicitis and 4 innocent appendectomies. According to the pediatric appendicitis scoring system, 47 patients were in the “seven or more than seven” group while 14 patients were in the “less than seven” group. According to histopathology cutoff value 7, the pediatric appendicitis score resulted in 43 correct diagnoses of appendicitis and 4 innocent appendectomies. Conclusion: The pediatric appendicitis score (PAS) was superior in diagnosing acute appendicitis in the pediatric population than the Alvarado score as indicated by the values of diagnostic accuracy.

Downloads

Published

2022-01-16

How to Cite

Pramod Singh, & Subhakanta Mohapatra. (2022). Prospective comparison of the Pediatric Appendicitis Score and Alvarado score for clinical diagnosis of acute appendicitis in children. International Journal of Health and Clinical Research, 5(1), 60–62. Retrieved from https://www.ijhcr.com/index.php/ijhcr/article/view/3922

Similar Articles

You may also start an advanced similarity search for this article.