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Original Article

Online Publishing Date:
31 / 10 / 2023

 


Study on diagnostic efficacy of combined use of alvarado score and ultrasound for preoperative diagnosis of acute appendicitis

Prateek Shakya, Rajeev Singh, Jafeer Ahamad, Sriranjan Kala.


Abstract
Background and Aim: This study set out to determine whether or not the use of Alvarado scoring and Ultrasonography together improved the accuracy of diagnosing acute appendicitis and whether or not it decreased the number of false-positive appendicectomy outcomes without increasing their associated morbidity and mortality. Study design: Cross-sectional study, conducted in the Department of Surgery at Government Medical College Haldwani Nainital. Patients and Methods: The participants were recruited from an emergency department or surgical ward and presented with symptoms suggestive of acute appendicitis, including abdominal pain, rebound tenderness, nausea, vomiting, or elevated temperature. Results: The study found that those between the ages of 21 and 40 had the highest rate of developing acute appendicitis. Evidently, the incidence is highest in the second, third, and fourth decades of life, Males outweigh females by a factor of two to one in this series, on correlating the Alvarado score to appendix histopathology data, and discovered that it had a sensitivity of 96.39 percent. On the correlation between ultrasonography and histopathological examination showed a sensitivity of 100% and a PPV of 86.46 percent. Conclusion: Combined use of the Alvarado score and USG in appendectomy decision-making has high sensitivity and accuracy, allowing patients to be diagnosed in the early acute appendicitis stage, and reducing morbidity and postoperative complications.

Key words: Appendicitis, Alvarado Score, Ultrasonography, Histopathology


 
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How to Cite this Article
Pubmed Style

Shakya P, Singh R, Ahamad J, Kala S. Study on diagnostic efficacy of combined use of alvarado score and ultrasound for preoperative diagnosis of acute appendicitis. Int J Surg Med. 2023; 9(5): 1-6. doi:10.5455/ijsm.136-1678596803

Web Style

Shakya P, Singh R, Ahamad J, Kala S. Study on diagnostic efficacy of combined use of alvarado score and ultrasound for preoperative diagnosis of acute appendicitis. https://www.ejos.org/?mno=146114 [Access: February 19, 2024]. doi:10.5455/ijsm.136-1678596803

AMA (American Medical Association) Style

Shakya P, Singh R, Ahamad J, Kala S. Study on diagnostic efficacy of combined use of alvarado score and ultrasound for preoperative diagnosis of acute appendicitis. Int J Surg Med. 2023; 9(5): 1-6. doi:10.5455/ijsm.136-1678596803


Vancouver/ICMJE Style

Shakya P, Singh R, Ahamad J, Kala S. Study on diagnostic efficacy of combined use of alvarado score and ultrasound for preoperative diagnosis of acute appendicitis. Int J Surg Med. (2023), [cited February 19, 2024]; 9(5): 1-6. doi:10.5455/ijsm.136-1678596803


Harvard Style

Shakya, P., Singh, . R., Ahamad, . J. & Kala, . S. (2023) Study on diagnostic efficacy of combined use of alvarado score and ultrasound for preoperative diagnosis of acute appendicitis. Int J Surg Med, 9 (5), 1-6. doi:10.5455/ijsm.136-1678596803


Turabian Style

Shakya, Prateek, Rajeev Singh, Jafeer Ahamad, and Sriranjan Kala. 2023. Study on diagnostic efficacy of combined use of alvarado score and ultrasound for preoperative diagnosis of acute appendicitis. International Journal of Surgery and Medicine, 9 (5), 1-6. doi:10.5455/ijsm.136-1678596803


Chicago Style

Shakya, Prateek, Rajeev Singh, Jafeer Ahamad, and Sriranjan Kala. "Study on diagnostic efficacy of combined use of alvarado score and ultrasound for preoperative diagnosis of acute appendicitis." International Journal of Surgery and Medicine 9 (2023), 1-6. doi:10.5455/ijsm.136-1678596803


MLA (The Modern Language Association) Style

Shakya, Prateek, Rajeev Singh, Jafeer Ahamad, and Sriranjan Kala. "Study on diagnostic efficacy of combined use of alvarado score and ultrasound for preoperative diagnosis of acute appendicitis." International Journal of Surgery and Medicine 9.5 (2023), 1-6. Print. doi:10.5455/ijsm.136-1678596803


APA (American Psychological Association) Style

Shakya, P., Singh, . R., Ahamad, . J. & Kala, . S. (2023) Study on diagnostic efficacy of combined use of alvarado score and ultrasound for preoperative diagnosis of acute appendicitis. International Journal of Surgery and Medicine, 9 (5), 1-6. doi:10.5455/ijsm.136-1678596803


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