Objective: To compare the sensitivity and specificity of the Alvarado score for the de Alvarado como recurso clínico para el diagnóstico de la apendicitis aguda. de escalas diagnósticas de apendicitis aguda: Alvarado, RIPASA y AIR and has better accuracy for the diagnosis of acute appendicitis. Introducción: la apendicitis aguda constituye la primera causa de Los mejores valores diagnósticos de la enfermedad para la escala fueron aquellos con.

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Alvsrado Gen, 34pp. The further away from 1, the better the test is to differentiate between sick and healthy subjects. Int J Surg, 10pp. Acute appendicitis is one of the most common surgical emergencies.

The mean body mass index was Vera aPedro M. Acute appendicitis NOS disorder Search for additional papers on this topic. Chalya BMC surgery Guardiola aEnrique A. En el surge la escala RIPASA mostrando alta sensibilidad y especificidad para poblaciones orientales, muy pocos son los estudios en poblaciones occidentales. The intraoperative findings for each of the patients were recorded, and the diagnosis of AA was confirmed with the pathology study of the excised appendix.

Arch Surg,pp. More than one patient presented more than one comorbidity. There were no deaths during the present study. One of the researchers was responsible for coding patient data, using numbers instead of names. Emerg Med J, 33pp. Several scoring systems have been developed for the early and equivocal diagnosis of this entity, one of these scales is the modified Alvarado, most used in the Western population; however, the RIPASA scale emerges in showing high sensitivity and specificity for Asian and Eastern populations, there are few studies in Western populations of this new scale.


APENDICITIS by Gustavo Rondon on Prezi

The higher the score obtained, the greater the probability that the patient has AA. Rawal Med J, 38pp.

Some features of this site may not work without it. Evaluation of the Alvarado score in the diagnosis of acute appendicitis. The average positive LR of all the studies included in Table 4 for the Alvarado score was calculated at 3.

By clicking accept or continuing to use the site, you agree to the terms outlined in our Privacy PolicyTerms of Serviceand Dataset License. In conclusion, the RIPASA score presents greater accuracy and reliability as a diagnostic test compared to the Alvarado score and is helpful in making appropriate therapeutic decisions.

In contrast, Nanjundaiah et al. In the case of our study, the positive LR was 3. One hundred patients were included.

Excess weight and obesity. The RIPASA system has 18 variables divided into 4 groups data, signs, symptoms and laboratory studies giving them a value of 0.

The pathology report was obtained and the efficacy of both scores for the diagnosis of acute appendicitis was compared. JavaScript is disabled for your browser.

Out of the total, 70 patients received prior medical management, 65 A practical score for the early diagnosis of acute appendicitis.

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Am J Surg,pp. Prospective evaluation of the ability of clinical scoring systems and physician-determined likelihood of appendicitis to obviate the need for CT. Dig Surg, 20pp.


The variability of figures observed albarado the studies may also be secondary to an effect of the population from which the sample was extracted. ROC curves obtained criteroos calculating the results of both scores. Continuing navigation will be considered as acceptance of this use. The Alvarado system includes 3 symptoms, 3 physical signs and 2 laboratory parameters; each variable is criiterios a value of 1 or 2 points.

Within the studies comparing both systems Table 4Chong et al. The sensitivity and specificity of Modified Alvarado scale were The Alvarado score suggests, with a higher score, the probability that the patient has AA symptoms. Comparison of appendicitis clinical scoring systems with physician-determined likelihood pada appendicitis Research Forum Abstract We compared the sensitivity results of both classifications between patients with appendicitis; likewise, among patients without appendicitis we compared the results in terms of specificity McNemar’s test for paired data.

General practitioners should be trained in the use of these scales to avoid delay in diagnosis. Ann Emerg Med, 15pp.

We defined residual abscess as the presence of intra-abdominal purulent collections after the surgical treatment of AA.