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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Afterwards, we calculated the likelihood ratio.

APENDICITIS by Gustavo Rondon on Prezi

Prospective, longitudinal, analytical, comparative and observational study. Distribution of the Variables of the Patients Included. The average hospital stay was 3. JAMA,pp. Likewise, Sinnet et apwndicitis.

Cancer risks attributable to low doses of ionizing radiation: The pathology report was obtained and the efficacy of both scores for the diagnosis of acute appendicitis was compared. With these data, ROC curves were generated to compare both scores.

Then we approached the task of calculating the positive Alvaravo for each comparative report Table 4and the average of these studies was slightly higher 3. An adequate clinical scoring system would avoid diagnostic errors, maintaining dee satisfactory low rate of negative appendectomies by adequate patient stratification, while limiting patient exposure to ionizing radiation, since there is an increased risk of developing cancer with computed tomography, particularly for the pediatric age group.


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Are you a health professional able to prescribe or dispense drugs? Acute appendicitis is one of the most common surgical emergencies. Topics Discussed in This Paper. By clicking accept or continuing to use the site, you agree to the terms outlined in our Privacy PolicyTerms of Serviceand Dataset License.

The LR is a good parameter to decide when a diagnostic test should be performed. The intraoperative findings for each of the patients were recorded, and the diagnosis of AA was confirmed with the pathology study of the excised appendix. Continuing navigation will be considered as acceptance of this use. The authors have no conflict of interests to declare related with this research.

Rev Hosp Juarez Mex, 76pp. Methods Prospective, longitudinal, analytical, comparative and observational study.

High negative appendectomy rates are no longer acceptable. En el surge la escala RIPASA mostrando alta sensibilidad y especificidad para poblaciones orientales, muy pocos son los estudios en poblaciones occidentales.

Results One hundred patients were included. Within the studies comparing both systems Table 4Chong et al. 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.

J Coll Physicians Surg Pak, 24pp. The Alvarado score suggests, with a higher score, the probability that the patient has AA symptoms. Chalya BMC surgery Clinical Implications of Diverticular Disease of the The RIPASA system has 18 variables divided into 4 groups data, signs, symptoms and laboratory studies giving them a value of 0. Methods 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 emergency department of the Hospital de Alta Especialidad of Veracruz with suspected diagnosis of AA and underwent appendectomy.


Showing of 15 references. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.

Singapore Med J, 51pp. Vera aPedro M. Dig Surg, 20pp.

Some features of this site may not work without it. Guardiola aEnrique A. The aim of this study 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 anatomopathological diagnosis constituted the Standard Gold in this study. Am J Surg,pp. Patients with abdominal pain syndrome suggestive of acute appendicitis and submitted to surgical intervention were included; apendciitis Alvarado and RIPASA scores were simultaneously applied.