Home > Journals > New Indian Journal of Surgery

New Indian Journal of Surgery

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

Predictive Value of Serum C- Reactive Protein in Diagnosis of Acute Appendicitis and Comparision with Alvarado Score

Nitin Kumar Chavan** , G. Sathish Kumar* , Nitin Kumar Chavan**

Author Information

Licence:



New Indian Journal of Surgery 8(1):p 69-74, January - March 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8117.14

How Cite This Article:

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

 Introduction: The morbidity and mortality rates associated with appendicitis are greatly increased when perforation ensues, wound infection rates increases, intraabdominal abscess formation increases 15 fold and mortality may be 50 times greater. Ruptured retro-cecal appendicitis can present as extremely fulminant form of a common disease such as extensive retroperitoneal and right thigh abscess. Methodology: This study was performed on 114 consecutive patients who were operated on for clinically and/or radiologically suspected acute appendicitis. All these patients are subjected to diagnostic laparoscopy and appendicectomy. The presence of normal appendix, inflamed, perforated etc. are noted. The diagnosis was also confirmed histopathologically. Results: Alvarado score and CRP in showed sensitivity of 85% and 81% respectively. But TLC showed highest specificity of 100%.CRP shows 73% specificity in our study. 62(54.4%) cases of positive Alvarado score patients showed positive c-reactive protein (CRP) in 53 (85.5%) cases, which shows a significant ‘p’ value of 0.0048. CRP showed positive predictive value of 97%, but it has a low negative predictive value of 29%. Conclusion: Acute appendicitis remains a diagnosis based primarily on history and clinical examination. Serum CRP estimation does not undercut the skill of an experienced surgeon, but compliments it.

 

References

No records found.


About this article

Cite this article

Licence:



Received Accepted Published
N/A N/A N/A
DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8117.14

Keywords

C-Reactive Protein; Acute Appendicitis; Alvarado Score

Article Level Metrics

Last Updated

Saturday 28 February 2026, 14:06:20 (IST)

507

Accesses

0
158
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share