The role of alvarado and pediatric appendicitis score in acute appendicitis in children

Basit Öğe Kaydı
dc.authoridOzan Özkaya / 0000-0002-0198-1221
dc.authorscopusidOzan Özkaya / 7003365098
dc.authorwosidOzan Özkaya / AAO-2136-2020
dc.contributor.authorTürkmenoğlu, Yelda
dc.contributor.authorKaçar, Alper
dc.contributor.authorDuras, Ensar
dc.contributor.authorKök, Sevilay
dc.contributor.authorGözübüyük, Attila Alp
dc.contributor.authorArat, Cem
dc.contributor.authorÖzkaya, Ozan
dc.date.accessioned2020-08-30T20:06:06Z
dc.date.available2020-08-30T20:06:06Z
dc.date.issued2020
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractAim: Acute appendicitis (AA) is the condition that most commonly requires a surgical procedure in children presenting to the emergency department with acute abdominal pain. Alvarado and Pediatric Appendicitis scores (PAS) are the most widely used scoring systems in the diagnosis of AA in children. This study aims to evaluate the effectiveness of Alvarado and PAS scores in the diagnosis of AA in children. Materials and Methods: One hundred and two patients aged 3-17 years, who were admitted to the pediatric emergency department with acute abdominal pain and had a clinical suspicion of AA were included in this retrospective study. The demographic characteristics, laboratory and radiological findings, and Alvarado and PAS scores were obtained from the records of the patients, retrospectively. According to the results of pathology, n=48 patients for the AA group and n=54 patients for the non-AA group were identified. The AA and non-AA groups were compared in terms of PAS and Alvarado scores. Results: The mean age of the 102 patients was 9.38 +/- 3.90 years, and 62 (60.85%) of them were male. The median PAS score was 7.79 +/- 1.2 and 5.52 +/- 1.34, and the median Alvarado score was 7.98 +/- 1.14 and 5.89 +/- 1.53 in the AA and N-AA groups, respectively (p<0.001; p<0.001). For the PAS, the cut-off score was >7 with a sensitivity of 66.7%, a specificity of 94.4%, a positive predictive value (PPV) of 91.4%, and a negative predictive value (NPV) of 76.1% (p<0.001). For the Alvarado score, the cut-off was also >7, with a sensitivity of 77.1%, a specificity of 85.2%, PPV of 82.2%, and NPV of 80.7% (p<0.001). Conclusion: Although both PAS and Alvarado scores provide useful diagnostic information in patients suspected of AA, neither of them is enough to diagnose AA alone.en_US
dc.identifier.citationTurkmenoglu, Y., Kaçar, A., Duras, E., Kok, S., Gozubuyuk, A. A., Arat, C., & Ozkaya, O. (2020). The role of alvarado and pediatric appendicitis score in acute appendicitis in children.en_US
dc.identifier.doi10.4274/jpr.galenos.2019.62582en_US
dc.identifier.endpage198en_US
dc.identifier.issn2147-9445en_US
dc.identifier.issue3en_US
dc.identifier.startpage192en_US
dc.identifier.trdizinid388294en_US
dc.identifier.urihttps://doi.org/10.4274/jpr.galenos.2019.62582
dc.identifier.urihttps://hdl.handle.net/20.500.12713/363
dc.identifier.volume7en_US
dc.identifier.wosWOS:000544838900004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.institutionauthorÖzkaya, Ozanen_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofJournal of Pediatric Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAppendicitisen_US
dc.subjectAlvarado Scoreen_US
dc.subjectChildrenen_US
dc.subjectPasen_US
dc.titleThe role of alvarado and pediatric appendicitis score in acute appendicitis in childrenen_US
dc.typeArticleen_US

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
71a.pdf
Boyut:
341.17 KB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin / Full Text
İndir

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
Dahili Tıp Bilimleri Bölümü Makale Koleksiyonu
TR-Dizin İndeksli Yayınlar Koleksiyonu