Puntuación diagnóstica para apendicitis: estudio prospectivo de su aplicación por profesionales de salud no-médicos / Application of a diagnostic score for appendicitis by health-related non-physician professionals
Rev. méd. Chile
;
134(1): 39-47, ene. 2006. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-426116
RESUMO
Background:
Diagnostic scores have been developed as simple, user-friendly, cost-effective instruments to improve the early diagnosis of acute appendicitis.Aim:
To assess the yield of a diagnostic score for acute appendicitis, measured by trained health-related non-physician professional. Patients andmethods:
A prospective, double blind, non-randomized trial. Emergency room nurses applied a previously validated diagnostic score for appendicitis to patients aged more than 15 years with abdominal pain and tachycardia or fever. The main outcome was the percentage of patients operated for acute appendicitis that had a positive score for appendicitis and a pathologically demonstrated appendicitis.Results:
The mean scores for patients operated or not operated for appendicitis were 8.64 and 3.31, respectively. The figures for sensitivity, specificity and diagnostic accuracy of the score were 0.83, 0.98 and 0.94, respectively.Conclusions:
An appendicitis score measured by health-related non-physician professionals has a similar diagnostic yield than clinical judgment.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Appendicitis
/
Health Personnel
Type of study:
Controlled clinical trial
/
Diagnostic study
/
Observational study
/
Screening study
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2006
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital de Ovalle/CL
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