Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Exploring the Diagnostic Accuracy of Alvarado Score in Acute Appendicitis: A Prospective Study From Western Maharashtra
Dhammapal Sable, Sagar Jaware, Tejashree Junagade, Bhagwan Aname and Amrut Swami
Page: 75-78 | Received 08 Oct 2023, Published online: 29 Oct 2023
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Abstract
Acute abdominal pain poses a daily challenge for surgeons worldwide, encompassing various potential causes across medical specialties. The alvarado scoring system aids clinical diagnosis but leads to high negative appendectomy rates. This study evaluates its utility compared to histopathology in enhancing early diagnosis and reducing unnecessary surgeries, especially in settings with limited imaging resources. A prospective observational study at department of general surgery, Dr. Vithalrao Vikhe Patil Foundation’s Medical College, ahmednagar, from February 2022‐2023 involved 100 non‐elective patients aged 1‐70 with suspected acute appendicitis undergoing appendicectomy with histopathological examination. Exclusion criteria included specific conditions and admission details were documented, including medical history, physical examination, clinical indicators and alvarado scores. Clinical indicators included right iliac fossa tenderness, migratory pain, anorexia, nausea, vomiting, fever and laboratory results. Histopathological diagnoses comprised acute appendicitis, gangrenous acute appendicitis, perforated acute appendicitis and normal appendix. The study achieved a 7% negative appendectomy rate with the alvarado score accurately identifying acute appendicitis in 93% of patients. Negative appendectomy rates were higher among females (9.83%) than males (2.56%). The alvarado score demonstrated robust diagnostic performance with sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of 92.47%, 85.71%, 98.85%, 46.15% and 92.00%, respectively. Clinical indicators, including pain migration and anorexia, underscored the alvarado score's effectiveness. Histopathological analysis categorized patients into appendicitis and regular appendix groups. With a threshold of 7 the alvarado score accurately identified acute appendicitis, resulting in a low negative appendectomy rate. Higher negative appendectomy rates were observed in females. Acute appendicitis, diagnostic accuracy, alvarado Score, appendicitis diagnosis, clinical scoring system. Exploring the diagnostic accuracy of alvarado acore in acute appendicitis.
How to cite this article:
Dhammapal Sable, Sagar Jaware, Tejashree Junagade, Bhagwan Aname and Amrut Swami. Exploring the Diagnostic Accuracy of Alvarado Score in Acute Appendicitis: A Prospective Study
From Western Maharashtra.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.75.78
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.75.78