TY - JOUR T1 - Role of Alvarado Scoring System (MANTRELS Scoring) as a Diagnostic Aid in Preoperative Diagnosis of Acute Appendicitis AU - Adalaja, Mehulkumar AU - Bhatiya, Manish AU - Khokhar, Rahul AU - Bhimani, Jaydeep AU - Kaneria, Maulik JO - Research Journal of Medical Sciences VL - 17 IS - 7 SP - 1038 EP - 1042 PY - 2023 DA - 2001/08/19 SN - 1815-9346 DO - 10.59218\makrjms.2023.1038.1042 UR - https://makhillpublications.co/view-article.php?doi=10.59218\makrjms.2023.1038.1042 KW - Acute appendicitis KW - alvarado score KW - abdominal pain KW - negative appendicectomy AB -

Acute appendicitis is a common surgical emergency encountered worldwide in emergency departments. Despite advances in diagnostics and surgery, accurate diagnosis can be challenging, leading to delays in treatment. The Alvarado scoring system, using historical data, clinical examination and lab tests, helps guide clinical decisions and surgical planning and reduces unnecessary surgeries. This study evaluates the Alvarado score’s accuracy in diagnosing acute appendicitis preoperatively and its correlation with postoperative findings. This investigation was conducted among 100 individuals presenting with suspected appendicitis and admitted to the Department of Surgery at C.U. Shah medical college and hospital, Surendra Nagar, Gujarat India, spanning the period of 2 years. The Alvarado scoring system was employed for assessment and the resulting data were subjected to rigorous analysis. Among the 100 patients admitted with suspected acute appendicitis, 100 cases underwent surgical intervention due to suspected appendicitis with 86 ultimately demonstrating the presence of an acutely inflamed appendix. Alvarado scores among the operated patients were distributed as follows, 48 patients fell within the score range of 7-10, while 38 patients scored between 5-6 and scored less than 5 (14 patients). The Alvarado scoring system is a fast, cost-effective, safe and reliable tool for diagnosing acute appendicitis, particularly valuable in resource-limited healthcare settings. When used alongside ultrasonography, it enhances diagnostic accuracy and reduces negative appendectomy rates, thereby decreasing complications.

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