Background: Preoperative diagnosis of acute appendicitis is classically a clinical one, but with the increasing use of technology for arriving at a fool proof diagnosis, surgeons rely on radiology to a considerable extent for decision making. Especially, in developing countries where time and resources are limited, a reliable Ultrasonography (USG) based score for diagnosing acute appendicitis improves decision making. This prospective study was carried out to compare Modified Alvarado Score & Tzanakis’s Score for diagnosing acute appendicitis. Methods: 146 patients undergoing emergency appendectomy for suspected acute appendicitis were included in the study. This was a prospective study carried out from July 2014 to March 2016. Patients included in the study were scored according to Modified Alvarado Score (MAS) and Tzanakis Score (TS). The final diagnosis was confirmed by histopathology. Results: The sensitivity, specificity, positive predictive value, negative predictive value and likelihood ratio of MAS were 94.95%, 92.6%, 98.26%, 80.64% and 0.05 respectively, and of TS were 98.32%, 96.29%, 99%, 92.85% and 0.02 respectively. Negative appendectomy rate was 1.74% for MAS (cutoff ≥7) and 0.84% for TS (cutoff ≥8). Overall negative appendectomy rate was 18.5%. Conclusion: Tzanakis score is simple, applicable and effective for diagnosing acute appendicitis.
| Published in | International Journal of Clinical and Experimental Medical Sciences (Volume 2, Issue 5) |
| DOI | 10.11648/j.ijcems.20160205.13 |
| Page(s) | 90-93 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2016. Published by Science Publishing Group |
Modified Alvarado Score, Tzanakis’s Score, Acute Appendicitis
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APA Style
Malik A. A., Mir M. F., Khurshid S. U., Imtiaz Wani, Riyaz Dagga. (2016). Modified Alvarado Score Versus Tzanakis Score for Diagnosing Acute Appendicitis in Changing Clinical Practice. International Journal of Clinical and Experimental Medical Sciences, 2(5), 90-93. https://doi.org/10.11648/j.ijcems.20160205.13
ACS Style
Malik A. A.; Mir M. F.; Khurshid S. U.; Imtiaz Wani; Riyaz Dagga. Modified Alvarado Score Versus Tzanakis Score for Diagnosing Acute Appendicitis in Changing Clinical Practice. Int. J. Clin. Exp. Med. Sci. 2016, 2(5), 90-93. doi: 10.11648/j.ijcems.20160205.13
AMA Style
Malik A. A., Mir M. F., Khurshid S. U., Imtiaz Wani, Riyaz Dagga. Modified Alvarado Score Versus Tzanakis Score for Diagnosing Acute Appendicitis in Changing Clinical Practice. Int J Clin Exp Med Sci. 2016;2(5):90-93. doi: 10.11648/j.ijcems.20160205.13
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Download@article{10.11648/j.ijcems.20160205.13,
author = {Malik A. A. and Mir M. F. and Khurshid S. U. and Imtiaz Wani and Riyaz Dagga},
title = {Modified Alvarado Score Versus Tzanakis Score for Diagnosing Acute Appendicitis in Changing Clinical Practice},
journal = {International Journal of Clinical and Experimental Medical Sciences},
volume = {2},
number = {5},
pages = {90-93},
doi = {10.11648/j.ijcems.20160205.13},
url = {https://doi.org/10.11648/j.ijcems.20160205.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20160205.13},
abstract = {Background: Preoperative diagnosis of acute appendicitis is classically a clinical one, but with the increasing use of technology for arriving at a fool proof diagnosis, surgeons rely on radiology to a considerable extent for decision making. Especially, in developing countries where time and resources are limited, a reliable Ultrasonography (USG) based score for diagnosing acute appendicitis improves decision making. This prospective study was carried out to compare Modified Alvarado Score & Tzanakis’s Score for diagnosing acute appendicitis. Methods: 146 patients undergoing emergency appendectomy for suspected acute appendicitis were included in the study. This was a prospective study carried out from July 2014 to March 2016. Patients included in the study were scored according to Modified Alvarado Score (MAS) and Tzanakis Score (TS). The final diagnosis was confirmed by histopathology. Results: The sensitivity, specificity, positive predictive value, negative predictive value and likelihood ratio of MAS were 94.95%, 92.6%, 98.26%, 80.64% and 0.05 respectively, and of TS were 98.32%, 96.29%, 99%, 92.85% and 0.02 respectively. Negative appendectomy rate was 1.74% for MAS (cutoff ≥7) and 0.84% for TS (cutoff ≥8). Overall negative appendectomy rate was 18.5%. Conclusion: Tzanakis score is simple, applicable and effective for diagnosing acute appendicitis.},
year = {2016}
}
TY - JOUR T1 - Modified Alvarado Score Versus Tzanakis Score for Diagnosing Acute Appendicitis in Changing Clinical Practice AU - Malik A. A. AU - Mir M. F. AU - Khurshid S. U. AU - Imtiaz Wani AU - Riyaz Dagga Y1 - 2016/08/26 PY - 2016 N1 - https://doi.org/10.11648/j.ijcems.20160205.13 DO - 10.11648/j.ijcems.20160205.13 T2 - International Journal of Clinical and Experimental Medical Sciences JF - International Journal of Clinical and Experimental Medical Sciences JO - International Journal of Clinical and Experimental Medical Sciences SP - 90 EP - 93 PB - Science Publishing Group SN - 2469-8032 UR - https://doi.org/10.11648/j.ijcems.20160205.13 AB - Background: Preoperative diagnosis of acute appendicitis is classically a clinical one, but with the increasing use of technology for arriving at a fool proof diagnosis, surgeons rely on radiology to a considerable extent for decision making. Especially, in developing countries where time and resources are limited, a reliable Ultrasonography (USG) based score for diagnosing acute appendicitis improves decision making. This prospective study was carried out to compare Modified Alvarado Score & Tzanakis’s Score for diagnosing acute appendicitis. Methods: 146 patients undergoing emergency appendectomy for suspected acute appendicitis were included in the study. This was a prospective study carried out from July 2014 to March 2016. Patients included in the study were scored according to Modified Alvarado Score (MAS) and Tzanakis Score (TS). The final diagnosis was confirmed by histopathology. Results: The sensitivity, specificity, positive predictive value, negative predictive value and likelihood ratio of MAS were 94.95%, 92.6%, 98.26%, 80.64% and 0.05 respectively, and of TS were 98.32%, 96.29%, 99%, 92.85% and 0.02 respectively. Negative appendectomy rate was 1.74% for MAS (cutoff ≥7) and 0.84% for TS (cutoff ≥8). Overall negative appendectomy rate was 18.5%. Conclusion: Tzanakis score is simple, applicable and effective for diagnosing acute appendicitis. VL - 2 IS - 5 ER -
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