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
Artigo
em Espanhol
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Apendicite
/
Pessoal de Saúde
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo diagnóstico
/
Estudo observacional
/
Estudo de rastreamento
Limite:
Adolescente
/
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2006
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Hospital de Ovalle/CL
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