Acute appendicitis: accuracy of Alvarado Score in the diagnosis (original) (raw)

2022, North American Academic Research

Acute appendicitis causes acute abdomen in surgical patients. The Alvarado score (AS) is used to diagnose acute appendicitis. This study comprised 180 patients with acute appendicitis. Alvarado scores were determined for patients 12 years and older of both sexes. AS 1-4, 5-6, and 7-10 were the patient groups. AA and non-AA rates were compared using different parameters. We analyzed each patient's signs, symptoms, lab results, surgical procedures, and pathology reports. Histopathology confirmed diagnosis. Diagnostic accuracy, sensitivity, specificity, positive and negative predictive values were calculated. Data analysis utilized SPSS 16. 180 cases were studied, 72 men (40%) and 108 women (60 %). 129 patients (76.6%) were under 30 years of age. 20 percent of patients with Alvarado score 1-4 had acute appendicitis, 35.29 percent with 5-6, and 96% with 7-10. AS increased negative appendicectomy rate. AS was 90% accurate in diagnosing acute appendicitis. This study demonstrated no variation in AS reliability by gender, age, or BMI. Alvarado scoring system helps diagnose acute appendicitis before surgery, especially in resource-limited settings.