Original Alvarado scoring system in the diagnosis of acute appendicitis: A cohort study.

Abstract

Aims: Although acute appendicitis is the most common cause of acutenabdomen, there is still no definitive diagnostic method. Various scores werendefined in the literature. In this study, we investigated the effectiveness ofnthe Alvarado score, a clinical scoring system aimed at supporting thendiagnosis.nnMethods: Patients who were to be operated with acute abdomen and acutenappendicitis pre-diagnosis in our hospital emergency surgery service werencalculated before the Alvarado scores. This score has 8 parameters in thensystem. 1-The right lower quadrant of pain, 2-anorexia, 3-nausea-vomiting,n4-right lower quadrant sensitivity, 5-rebound sensitivity, 6-fever,n7-leukocytosis, 8-left shift (granulocytosis). Numbers 4 and 7 are calculatednwith a total of 10 points, 2 points, 1 point.nnResults: Total 200 patients, (128 males, 82 female, male/female: 1.6)nmean age was 34.3 ± 15.6, and the age range was 15-78. In ROC analysis,nAlvarado scores greater than 6 has demonstrated acute appendicitis diagnosisnwith 76% sensitivity and 91% specificity. Alvarado score of 9-10 showed 100%nsensitivity to detect acute appendicitis.nnConclusions: Clinical scoring systems are frequently used in thendiagnosis of acute appendicitis. In publications covering the Alvarado scoresnof 9-10, the high probability of appendicitis, needs surgical intervention, andnadvanced examination methods were proposed in scores of 7-8. Our study resultednin consistent with the literature.