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New Indian Journal of Surgery

Volume  11, Issue 2, April-June 2020, Pages 155-157
 

Original Article

Application of Modified Alvarado Scores in Acute Appendicitis

Jignesh Joshi1, Firdaus Afzalhusein Dekhaiya2

1Resident, 2Associate Professor, Department of Surgery, Government Medical College, Bhavnagar, Gujarat 364001, India.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11220.12

Abstract

 

Context: Acute Appendicitis is a commonest surgical emergency. Manytimes, the diagnosis is made by clinical examination only. There is no definitive diagnosis preoperatively. The definitive diagnosis of acute appendicitis confirmed at time of surgery and after histopathologic examination of the appendix specimen. However, Investigations like
USG, CT scan are used in diagnosis. Despite this, negative appendectomy rates are high. Hence better diagnostic tool, a scoring system was explored to diagnose appendicitis. Present study was conducted for evaluation of Modified Alvarado Scoring System
for diagnosis of acute appendicitis. Alvarado scoring systemis based on history, clinical examination of patient and certain laboratory findings.
Aims: To evaluate the diagnostic value of Modified Alvarado Scoring System in patients with acute appendicitis. Settings and Design: Prospective study Methods and Material: A prospective study
was conducted on 100 patients with sign and symptom suggestive of acute appendicitis and were subsequently underwent operative management from November 2018 to November 2019 over a
period of one years at Sir T. Hospital Bhavnagar. All patients underwent surgery and grouped according to the variables of Alvarado scoring system and then divided into two groups. Group I patients (score 7
or more), group II patients (score ≤6). Diagnosis was confirmed by histopathological examination. Results: Pre-operatively Modified Alvarado Score was assigned to all patients and the results were
compared with operative and histopathological diagnosis reports. The sensitivity and specificity of MASS in this study counted accordingly.
Conclusions: This scoring system is Reliable and more accurate diagnostic modality in the diagnosis of acute appendicitis, thus avoiding unnecessary surgery.
Keywords: Acute Appendicitis; Alvarado score.


Corresponding Author : Firdaus Afzalhusein Dekhaiya