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Application of a Scoring System to the Diagnosis of Acute Appendicitis
Journal of the Korean Society of Coloproctology ; : 34-38, 2010.
Article Dans Coréen | WPRIM | ID: wpr-8548
ABSTRACT

PURPOSE:

Acute appendicitis is one of the most common diseases requiring surgical treatment. Delayed diagnosis, which causes complications like perforation of the appendix, abscess formation, or misdiagnosis, leads to unnecessary surgery. Many scoring systems have been suggested for the diagnosis of acute appendicitis. This study aims to evaluate the clinical value of previous scoring systems.

METHODS:

This study was conducted with a total of 270 patients who had visited the National Police Hospital (NPH) Emergency Room for acute abdominal symptoms from January to June 2008. The Alvarado and the Ohmann scores were applied retrospectively based on the patients' records. We found 3 criteria which were relatively objective and clinically meaningful; then, we designed a new 10 points scoring system.

RESULTS:

The sensitivity and the specificity of the Alvarado scoring system were 83.23% and 64.42%, respectively, whereas those of the Ohmann scoring system were 74.85% and 66.35%, respectively. The sensitivity and the specificity of the NPH scoring system were found to be 78.4% and 68.9%, respectively. The Ohmann scoring system showed a little lower sensitivity, and the NPH scoring system showed a little higher specificity, but the differences were not statistically significant.

CONCLUSION:

Our study indicates that the scoring systems considered are not useful diagnostic methods for primary screening and diagnosis of acute appendicitis.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Appendicite / Appendice vermiforme / Dépistage de masse / Études rétrospectives / Sensibilité et spécificité / Police / Procédures superflues / Erreurs de diagnostic / Abcès / Urgences Type d'étude: Etude diagnostique / Étude observationnelle / Étude pronostique / Étude de dépistage Limites du sujet: Humains langue: Coréen Texte intégral: Journal of the Korean Society of Coloproctology Année: 2010 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Appendicite / Appendice vermiforme / Dépistage de masse / Études rétrospectives / Sensibilité et spécificité / Police / Procédures superflues / Erreurs de diagnostic / Abcès / Urgences Type d'étude: Etude diagnostique / Étude observationnelle / Étude pronostique / Étude de dépistage Limites du sujet: Humains langue: Coréen Texte intégral: Journal of the Korean Society of Coloproctology Année: 2010 Type: Article