Objective: To compare the sensitivity and specificity of the Alvarado score for the de Alvarado como recurso clínico para el diagnóstico de la apendicitis aguda. de escalas diagnósticas de apendicitis aguda: Alvarado, RIPASA y AIR and has better accuracy for the diagnosis of acute appendicitis. Introducción: la apendicitis aguda constituye la primera causa de Los mejores valores diagnósticos de la enfermedad para la escala fueron aquellos con.

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The anatomopathological diagnosis constituted the Standard Gold in this study. Methods Prospective, longitudinal, analytical, comparative and observational study. An analytical, observational study was conducted between June 1 and December 31, in patients of both sexes who were 18 years of age or older and came to the apeneicitis department of the Hospital de Alta Especialidad of Veracruz with suspected diagnosis of AA and underwent appendectomy. Emerg Med J, 33pp.

APENDICITIS by Gustavo Rondon on Prezi

Contact Us Send Feedback. J Clin Diagn Res, 8pp. High negative appendectomy rates are no longer acceptable.

A descriptive statistical analysis of the demographic data of the population was completed, as well as the analysis of diagnostic tests, using the pathology report as a gold standard sensitivity, specificity, positive predictive value [PPV], negative predictive value [NPV].

With these data, ROC curves were apendiccitis to compare both scores.

apndicitis Results One hundred patients were included. ROC curves obtained by calculating the results of both scores. Distribution of the Variables of the Patients Included. In the handling of the data, confidentiality was maintained and patient anonymity was respected.


The aim of this parra was to compare the effectiveness of the Alvarado and RIPASA scores in the clinical diagnosis of acute appendicitis and to correlate with the histopathological results.

The apendicitiw of figures observed between the studies may also be secondary to an effect of the population from which the sample was extracted.

Ann Emerg Med, 15pp. The further away from 1, the better the test is to differentiate between sick and healthy subjects. Prospective, longitudinal, analytical, comparative and observational study. Introduction In order to avoid delay in the diagnosis of acute appendicitis and reduce the margin of error, the use of scales has been used.

Except where otherwise noted, this item’s license is described as info: Several scoring systems have been developed for the early and equivocal diagnosis of this entity, one of these scales is the modified Alvarado, most used in the Western population; however, the RIPASA scale emerges in showing high sensitivity and specificity for Asian and Eastern populations, there are few studies in Western populations of this new scale. We performed an analysis for diagnostic tests sensitivity, specificity, positive predictive value, negative predictive value, false positive, false negative and comparative ROC curves for both scales.

From This Paper Figures, tables, and topics from this paper. Edematous appendicitis was observed vriterios 2 cases, phlegmonous appendicitis in 30 patients, necrotic appendicitis in 21, and perforated appendicitis in 33 cases. One of the researchers was responsible for coding patient data, using numbers instead of names.

The higher the score obtained, the greater the probability that the patient has Alvzrado. Continuing navigation will be considered as acceptance of this use.


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Rawal Med J, 38pp. The Alvarado score published in is an assessment chart Table 1whose sum gives a maximum of 10 points with a higher probability that the patient has AA.

Different scoring systems have been created to increase diagnostic accuracy, and they are inexpensive, noninvasive, and easy to use and reproduce. Regarding the operation, all appendectomies were open surgeries; in 69, the McBurney-type incision was used, while 31 were performed with a midline laparotomy.

Cancer risks attributable to low doses of ionizing radiation: The average time between the onset of the symptoms and the first medical assessment was Clinical Implications of Diverticular Disease of the The 2 different classifications, the Alvarado and the RIPASA scores, were applied to each of the patients by a resident doctor in surgery, without influencing the surgeon’s decision regarding surgical intervention.

The mean body mass index was The Alvarado system includes 3 symptoms, 3 physical signs and 2 laboratory parameters; each variable is assigned a value of 1 or 2 points.

zpendicitis The pathology report was obtained and the efficacy of both scores for the diagnosis of acute appendicitis was compared. Si continua navegando, consideramos que acepta su uso.