EVALUATION OF PRE-OPERATIVE DIAGNOSTIC EFFICACY OF MODIFIED ALVARADO SCORING SYSTEM IN ACUTE APPENDICITIS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 41
Abstract
BACKGROUND Acute Appendicitis is the one of the most common acute surgical condition of abdomen. Acute Appendicitis may occur but is most commonly seen in the second and third decade of life. Acute Appendicitis if not diagnosed early and treated properly, may lead to fatal outcome. MATERIALS AND METHODS A prospective study of 100 patients, with a clinical diagnosis of acute appendicitis, admitted in the department of general surgery, B.R.D. Medical College Gorakhpur during a period of one year. RESULTS The age group in which acute appendicitis occurred commonly was between 18 to 30 years. It is clear that incidence is less in younger and older is group with peak incidence in second and third decade. Female to male ratio was 1.8:1. Pain was the commonest presenting symptom and has been observed in all the cases (100% in present series) followed by nausea/vomiting in 87% cases and anorexia in 49% cases. CONCLUSION In the diagnosis of acute appendicitis the modified Alvarado Scoring System has a diagnostic value of 88.66%. This system is simple, reliable, cheap, non-invasive and safe diagnostic modality. The application of this scoring system improved diagnostic accuracy and consequently reduced negative appendectomy rate.
Authors and Affiliations
Anand Kumar Jaiswal, Sandesh Kumar Srivastava, Vijay Kumar Tiwari
Keywords
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- EP ID EP219511
- DOI 10.18410/jebmh/2017/488
- Views 78
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