STUDY OBJECTIVE This article evaluates the performance of the previously published Alvarado and Samuel appendicitis scoring systems in a prospectively identified pediatric cohort. METHODS A prospective cohort of patients, aged 3 to 21 years, being evaluated for appendicitis was enrolled during 20 consecutive months at a large, urban, pediatric hospital. Study forms were completed by pediatric...

BACKGROUND In conditions like acute appendicitis it is impractical to have definitive diagnosis by gold standard test (histopathology) before surgery, we would like a simple test like Alvarado scoring system which depends on the presence and absence of certain variables and which provides an accurate guide to whether or not the patient has the condition. This study was conducted to evaluate Alv...

BACKGROUND Acute appendicitis is the most common surgical emergency in children, but its diagnosis is sometimes difficult. The aim of this study is to evaluate retrospectively the Alvarado score in relation to the surgical management based on clinical judgment. METHODS Medical files of 232 children who underwent appendectomy at Makassed General Hospital from January 1997 till December 2006 we...

Purpose To determine the incremental value of clinical data in patients with ultrasonographic (US) examinations that were interpreted as being equivocal for acute appendicitis. Materials and Methods Institutional review board approval, with a waiver of informed consent, was obtained for this analysis of clinical and imaging data in patients younger than 18 years old who were evaluated for acute...

OBJECTIVE In this study, we aim to compare the relationship between the Alvarado score, ultrasonography, and multislice computerized tomography (CT) findings used for the diagnosis of the patients who presented to our emergency unit with clinical features suggestive of acute appendicitis. MATERIALS AND METHODS Seventy-four patients operated with the diagnosis of acute appendicitis were includ...

OBJECTIVES To evaluate the accuracy of sonography in diagnosing acute appendicitis in patients with Alvarado score 4-7. METHODS This is a retrospective cross-sectional study being performed in Namazee hospital affiliated with Shiraz University of Medical sciences during a one year period from 9/2007 to 9/2008. We evaluated all patients with Alvarado score 4-7 and divided them in two groups: t...

OBJECTIVES To systematically identify clinical prediction rules (CPRs) for children with suspected appendicitis and compare their methodological quality and performance. STUDY DESIGN AND SETTING Included studies involved children aged 0-18 years with suspected appendicitis identified through MEDLINE and EMBASE from 1950 to 2012. The quality was assessed using 17 previously published items. Th...

OBJECTIVES To assess the safety and efficacy of antibiotics treatment for suspected acute uncomplicated appendicitis and to monitor the long term follow-up of non-operated patients. BACKGROUND Right lower quadrant abdominal pain is a common cause of emergency department admission. The natural history of acute appendicitis nonoperatively treated with antibiotics remains unclear. METHODS In 2...

Acute appendicitis is perhaps the most common surgically correctable cause ofacute abdominal pain and its diagnosis remains difficult in many instances. Some ofthe signs and symptoms can be subtle to both the clinician and the patient and may notbe present in all the instances. Arriving at the correct diagnosis and decreasing therate of negative appendicectomy is essential. However a delay in d...