Research Article
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ALVARDO SCORE AND COMPUTED TOMOGRAPHY FOR PREVENT FROM NEGATIVE APPENDECTOMY

Year 2023, Volume: 30 Issue: 1, 107 - 110, 14.03.2023
https://doi.org/10.17343/sdutfd.1184859

Abstract

Objective
The functionality of computed tomography and
Alvarado score were investigated to prevent negative
appendectomy.
Material and Method
Patients who had appendectomy surgery at Niğde
Ömer Halisdemir University Training and Research
Hospital between June 2020 and March 2021 were
retrospectively scanned. Correlations with pathology
results were made.
Results
A positive correlation was found between the high
Alvarado score and the diagnosis of appendicitis in
computed tomography. The lower alvarado score
of those without appendicitis than those with acute
appendicitis; It was found statistically significant that
those with acute appendicitis were lower than those
with perforated-gangrene-plastrone appendicitis.
Conclusion
Alvarado scoring system is less specific than computed
tomography and it is possible to reduce the negative
appendectomy rate with radiological examinations.

References

  • 1. Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. American journal of epidemiology. 1990;132(5):910-25.
  • 2. Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet. 2015;386(10000):1278-87.
  • 3. Di Saverio S, Podda M, De Simone B, Ceresoli M, Augustin G, Gori A, et al. Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World journal of emergency surgery. 2020;15(1):27.
  • 4. Loye A, Zhang XC. Calculated decisions: Alvarado score for acute appendicitis. Emergency medicine practice. 2019;21(6):Cd1-2.
  • 5. Jose T, Rajesh PS. Appendicitis Inflammatory Response Score in Comparison to Alvarado Score in Acute Appendicitis. Surgery journal. 2021;7(3):e127-e31.
  • 6. Martli Hf, Bolat H. Comparison of the Laparoscopic Appendicitis (LAPP) score with the Alvarado and Appendicitis Inflammatory Response (AIR) scores and computed tomography and pathology results. Archives of Current Medical Research 2022;3(2):147-53.
  • 7. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Annals of emergency medicine. 1986;15(5):557-64.
  • 8. Ohle R, O'Reilly F, O'Brien KK, Fahey T, Dimitrov BD. The Alvarado score for predicting acute appendicitis: a systematic review. BMC medicine. 2011;9:139.
  • 9. Rud B, Vejborg TS, Rappeport ED, Reitsma JB, Wille-Jørgensen P. Computed tomography for diagnosis of acute appendicitis in adults. The Cochrane database of systematic reviews. 2019;2019(11).
  • 10. Slotboom T, Hamminga JT, Hofker HS, Heineman E, Haveman JW. Intraoperative motive for performing a laparoscopic appendectomy on a postoperative histological proven normal appendix. Scandinavian journal of surgery. 2014;103(4):245-8.
  • 11. Jeon BG. Predictive factors and outcomes of negative appendectomy. American journal of surgery. 2017;213(4):731-8.
  • 12. Mostbeck G, Adam EJ, Nielsen MB, Claudon M, Clevert D, Nicolau C, et al. How to diagnose acute appendicitis: ultrasound first. Insights into imaging. 2016;7(2):255-63.
  • 13. Shah SWA, Khan CA, Malik SA, Waqas A, Tarrar Am, Bhutta Ia. Modified Alvarado score: Accuracy in diagnosis of acute appendicitis in adults. The Professional Medical Journal. 2010;17(04):546-50.
  • 14. Gelpke K, Hamminga JTH, van Bastelaar JJ, de Vos B, Bodegom ME, Heineman E, et al. Reducing the negative appendectomy rate with the laparoscopic appendicitis score; a multicenter prospective cohort and validation study. International journal of surgery. 2020;79:257-64.
  • 15. Westfall KM, Purcell LN, Charles AG. Computed Tomography for Acute Appendicitis Diagnosis and Confirmation in Men: Trends and Cost Implications. The American surgeon. 2021;87(3):364-9.
  • 16. Drake FT, Mottey NE, Castelli AA, Florence MG, Johnson MG, Steele SR, et al. Time-of-day and appendicitis: Impact on management and outcomes. Surgery. 2017;161(2):405-14.
  • 17. Florence M, Flum DR, Jurkovich GJ, Lin P, Steele SR, Symons RG, et al. Negative appendectomy and imaging accuracy in the Washington state surgical care and outcomes assessment program. Annals of surgery. 2008;248(4):557-63.
  • 18. Boonstra P, Van Veen R, Stockmann H. Less negative appendectomies due to imaging in patients with suspected appendicitis. Surgical Endoscopy. 2015;29(8):2365-70.

NEGATİF APPENDEKTOMİYİ ÖNLEMEDE ALVARADO SKORU VE BİLGİSAYARLI TOMOGRAFİ

Year 2023, Volume: 30 Issue: 1, 107 - 110, 14.03.2023
https://doi.org/10.17343/sdutfd.1184859

Abstract

Amaç
Negatif apepndektomiyi engellemk için bilgisayarlı tomografi
ve Alvarado skorunun işlevselliği araştırıldı.
Gereç ve Yöntem
Niğde Ömer Halisdemir Üniversitesi E.A.H.’de Haziran
2020 ve Mart 2021 tarihleri arasında appendektomi
operasyonu olan hastalar retrospektif olarak tarandı.
Patoloji sonuçları ile korelasyonları yapıldı.
Bulgular
Alvarado skoru yüksekliği ile bilgisayarlı tomografide
apandisit tanısı arasında pozitif yönde korelasyon
bulunmuştur. Apandisiti olmayanların alvarado skorunun
akut apandisiti olanlara göre düşük olması; akut
apandisiti olanların perfore-gangrene-plastrone apandisiti
olanlara göre düşük olması istatistiksel olarak
anlamlı bulunmuştur.
Sonuç
Alvarao Skorlama sistemi bilgisayarlı tomografiye
göre daha düşük oranda spesifiktir ve negative appendektomi
oranını radyolojik tetkikler ile azaltmak
mümkündür.

References

  • 1. Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. American journal of epidemiology. 1990;132(5):910-25.
  • 2. Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet. 2015;386(10000):1278-87.
  • 3. Di Saverio S, Podda M, De Simone B, Ceresoli M, Augustin G, Gori A, et al. Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World journal of emergency surgery. 2020;15(1):27.
  • 4. Loye A, Zhang XC. Calculated decisions: Alvarado score for acute appendicitis. Emergency medicine practice. 2019;21(6):Cd1-2.
  • 5. Jose T, Rajesh PS. Appendicitis Inflammatory Response Score in Comparison to Alvarado Score in Acute Appendicitis. Surgery journal. 2021;7(3):e127-e31.
  • 6. Martli Hf, Bolat H. Comparison of the Laparoscopic Appendicitis (LAPP) score with the Alvarado and Appendicitis Inflammatory Response (AIR) scores and computed tomography and pathology results. Archives of Current Medical Research 2022;3(2):147-53.
  • 7. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Annals of emergency medicine. 1986;15(5):557-64.
  • 8. Ohle R, O'Reilly F, O'Brien KK, Fahey T, Dimitrov BD. The Alvarado score for predicting acute appendicitis: a systematic review. BMC medicine. 2011;9:139.
  • 9. Rud B, Vejborg TS, Rappeport ED, Reitsma JB, Wille-Jørgensen P. Computed tomography for diagnosis of acute appendicitis in adults. The Cochrane database of systematic reviews. 2019;2019(11).
  • 10. Slotboom T, Hamminga JT, Hofker HS, Heineman E, Haveman JW. Intraoperative motive for performing a laparoscopic appendectomy on a postoperative histological proven normal appendix. Scandinavian journal of surgery. 2014;103(4):245-8.
  • 11. Jeon BG. Predictive factors and outcomes of negative appendectomy. American journal of surgery. 2017;213(4):731-8.
  • 12. Mostbeck G, Adam EJ, Nielsen MB, Claudon M, Clevert D, Nicolau C, et al. How to diagnose acute appendicitis: ultrasound first. Insights into imaging. 2016;7(2):255-63.
  • 13. Shah SWA, Khan CA, Malik SA, Waqas A, Tarrar Am, Bhutta Ia. Modified Alvarado score: Accuracy in diagnosis of acute appendicitis in adults. The Professional Medical Journal. 2010;17(04):546-50.
  • 14. Gelpke K, Hamminga JTH, van Bastelaar JJ, de Vos B, Bodegom ME, Heineman E, et al. Reducing the negative appendectomy rate with the laparoscopic appendicitis score; a multicenter prospective cohort and validation study. International journal of surgery. 2020;79:257-64.
  • 15. Westfall KM, Purcell LN, Charles AG. Computed Tomography for Acute Appendicitis Diagnosis and Confirmation in Men: Trends and Cost Implications. The American surgeon. 2021;87(3):364-9.
  • 16. Drake FT, Mottey NE, Castelli AA, Florence MG, Johnson MG, Steele SR, et al. Time-of-day and appendicitis: Impact on management and outcomes. Surgery. 2017;161(2):405-14.
  • 17. Florence M, Flum DR, Jurkovich GJ, Lin P, Steele SR, Symons RG, et al. Negative appendectomy and imaging accuracy in the Washington state surgical care and outcomes assessment program. Annals of surgery. 2008;248(4):557-63.
  • 18. Boonstra P, Van Veen R, Stockmann H. Less negative appendectomies due to imaging in patients with suspected appendicitis. Surgical Endoscopy. 2015;29(8):2365-70.
There are 18 citations in total.

Details

Primary Language Turkish
Subjects Surgery
Journal Section Research Articles
Authors

Hüseyin Fahri Martlı 0000-0002-2933-3170

Yasir Keçelioğlu This is me 0000-0002-7561-1741

Publication Date March 14, 2023
Submission Date October 5, 2022
Acceptance Date December 1, 2022
Published in Issue Year 2023 Volume: 30 Issue: 1

Cite

Vancouver Martlı HF, Keçelioğlu Y. NEGATİF APPENDEKTOMİYİ ÖNLEMEDE ALVARADO SKORU VE BİLGİSAYARLI TOMOGRAFİ. Med J SDU. 2023;30(1):107-10.

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