Clinical scores for prediction of acute appendicitis in children in a hospital of Lima, Perú

2.50
Hdl Handle:
http://hdl.handle.net/10757/612234
Title:
Clinical scores for prediction of acute appendicitis in children in a hospital of Lima, Perú
Authors:
Guzmán, Edson; García, Nadia
Citation:
Clinical scores for prediction of acute appendicitis in children in a hospital of Lima, Perú 2014, 10 (2):35 Annals of Pediatric Surgery
Publisher:
Annals of Pediatric Surgery
Journal:
Annals of Pediatric Surgery
Issue Date:
Apr-2014
URI:
http://hdl.handle.net/10757/612234
DOI:
10.1097/01.XPS.0000445129.75228.d8
Additional Links:
http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=01287829-201404000-00002
Abstract:
Objective: To determine the usefulness of the Alvarado score and the Pediatric Appendicitis score (PAS) in the Pediatric Emergency of the National Hospital Daniel A. Carrion. Materials and methods: A prospective observational study was carried out of patients younger than 15 years of age with abdominal pain and suspected acute appendicitis (AA) attending the Pediatric Emergency in a Hospital of Lima, Peru. These patients underwent a survey to assess the parameters of the Alvarado score and PAS. Results: Three hundred and seventeen patients with abdominal pain and suspected of AA were recruited over a study period of 12 months. Of the patients, 232 were considered to have AA clinically and underwent surgery. 85.3% were confirmed by pathology and 14.7% were normal. The mean Alvarado score was 8.27±1.31; the mean Surgical Procedure Assessment (SPA) score was 8.08±1.47. Sensitivity and specificity for both scores are equivalent. The area under the curve for the Alvarado score and SPA were 0.887 and 0.901, respectively. Alvarado score higher than 6 had a sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of 88.9, 75.6, 97.4, 68.1, and 86.4%, respectively. SPA higher than 6 points had sensitivity, specificity, PPV, NPV, and accuracy of 84.3, 80.7, 94.7, 73.1, and 86.7%, respectively. Conclusion: Alvarado score and the PAS are scores with high sensitivity, specificity, PPV, and accuracy for the diagnosis of AA when the score is higher than 6 points. The results found in our study justify their use in emergency services, but they should not be used as the only means of clinically determining the need for surgery.
Type:
info:eu-repo/semantics/article
Rights:
info:eu-repo/semantics/openAccess
Language:
eng
Keywords:
Acute appendicitis; Children; Prediction; Scores
ISSN:
1687-4137
Email:
edson_guzman@hotmail.com

Full metadata record

DC FieldValue Language
dc.contributor.authorGuzmán, Edsones_PE
dc.contributor.authorGarcía, Nadiaes_PE
dc.date.accessioned2016-06-08T15:36:51Zes_PE
dc.date.available2016-06-08T15:36:51Zes_PE
dc.date.issued2014-04es_PE
dc.identifier.citationClinical scores for prediction of acute appendicitis in children in a hospital of Lima, Perú 2014, 10 (2):35 Annals of Pediatric Surgeryes_PE
dc.identifier.issn1687-4137es_PE
dc.identifier.doi10.1097/01.XPS.0000445129.75228.d8es_PE
dc.identifier.urihttp://hdl.handle.net/10757/612234es_PE
dc.description.abstractObjective: To determine the usefulness of the Alvarado score and the Pediatric Appendicitis score (PAS) in the Pediatric Emergency of the National Hospital Daniel A. Carrion. Materials and methods: A prospective observational study was carried out of patients younger than 15 years of age with abdominal pain and suspected acute appendicitis (AA) attending the Pediatric Emergency in a Hospital of Lima, Peru. These patients underwent a survey to assess the parameters of the Alvarado score and PAS. Results: Three hundred and seventeen patients with abdominal pain and suspected of AA were recruited over a study period of 12 months. Of the patients, 232 were considered to have AA clinically and underwent surgery. 85.3% were confirmed by pathology and 14.7% were normal. The mean Alvarado score was 8.27±1.31; the mean Surgical Procedure Assessment (SPA) score was 8.08±1.47. Sensitivity and specificity for both scores are equivalent. The area under the curve for the Alvarado score and SPA were 0.887 and 0.901, respectively. Alvarado score higher than 6 had a sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of 88.9, 75.6, 97.4, 68.1, and 86.4%, respectively. SPA higher than 6 points had sensitivity, specificity, PPV, NPV, and accuracy of 84.3, 80.7, 94.7, 73.1, and 86.7%, respectively. Conclusion: Alvarado score and the PAS are scores with high sensitivity, specificity, PPV, and accuracy for the diagnosis of AA when the score is higher than 6 points. The results found in our study justify their use in emergency services, but they should not be used as the only means of clinically determining the need for surgery.es_PE
dc.formatapplication/pdfes_PE
dc.language.isoenges_PE
dc.publisherAnnals of Pediatric Surgeryes_PE
dc.relation.urlhttp://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=01287829-201404000-00002es_PE
dc.rightsinfo:eu-repo/semantics/openAccesses_PE
dc.sourceUniversidad Peruana de Ciencias Aplicadas (UPC)es_PE
dc.sourceRepositorio Académico - UPCes_PE
dc.subjectAcute appendicitises_PE
dc.subjectChildrenes_PE
dc.subjectPredictiones_PE
dc.subjectScoreses_PE
dc.titleClinical scores for prediction of acute appendicitis in children in a hospital of Lima, Perúes_PE
dc.typeinfo:eu-repo/semantics/articlees_PE
dc.identifier.journalAnnals of Pediatric Surgeryes_PE
dc.description.peer-reviewRevisión por pareses_PE
dc.contributor.emailedson_guzman@hotmail.comes_PE
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