Evaluation of modified alvarado scoring system regarding early diagnosis of acute appendicitis and in reduction of negative appendicectomies

Abstract

Aim: To compare and evaluate diagnostic accuracy of Modified Alvarado score in co-relation to histopathology report for diagnosis of acute appendicitis.Materials and methodsStudy Design: A Cross Sectional Study of 100 patients with complaint of Lower Abdominal pain.Place of Study: Trichy SRM medical hospital and research centre period of study – Janaury 2017 to January 2019.Inclusion criteriaPatients hospitalized with abdominal pain suggestive of acute appendicitis.Age range of 15 - 50 yearsBoth males and femalesAbility to understand and give consentExclusion criteriaPatients less than 15 years of age and older than 50 years.Patients who have underwent Appendicectomy previously.Chronic/Subacute/Recurrent AppendicitisResults1.Histopathological diagnosis was accepted as the final confirmation of the diagnosis.2.Though large number of consultants were involved in clinical diagnosis of acute appendicitis, no significance was attached to the inter observer variation.Conclusion: The study concludes that establishing diagnosis in cases of suspected acute appendicitis might require a combination of different diagnostic tools such as modified Alvarado score, investigative modalities such as ultrasonography and the indispensible clinical judgment.