Alvarado score and computerized tomography scan as impact indicator in intervening negative appendectomy rate

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dc.contributor.authorMishra, Braja Mohanen_US
dc.contributor.authorPanigrahi, Pramit Ballaven_US
dc.contributor.authorMishra, Sandeepen_US
dc.contributor.authorMohapatra, Abinashaen_US
dc.date.accessioned2020-11-18T10:04:11Z
dc.date.available2020-11-18T10:04:11Z
dc.date.issued2020-04
dc.description.abstractBackground: The objective of this study is to study the impact of combined use of Alvarado score and computed tomography (CT) scan on negative appendectomy rate.Methods: This prospective observational study comprising of patients presenting with clinical features of appendicitis admitted to department of general surgery, VIMSAR, Burla from November 2017 to October 2019, where Alvarado score and ultrasonography (USG) findings are mismatching each other. Alvarado scores calculated and categorized in 2 groups as negative (score <4) and positive (score ≥4). These patients were also subjected to USG and categorized as negative (USG -ve) and positive (USG +ve). Those patients having discrepancy in both the findings were subjected to CT scan. On histopathological examination, inflamed appendix in 63 (97%) patients and non-inflamed in 2 (3%). Rest patients were either discharged (both -ve) or operated (both +ve). Results: Total 84 patients showed discrepancy between Alvarado score and USG findings and are subjected to CT scan abdomen and pelvis. CT scan was positive for appendicitis in 65 cases (where appendectomy done) and negative for appendicitis in 19 cases (where the diagnosis is different). patient. Thus, negative appendectomy (NAR) is 3% in this study.Conclusions: Alvarado score and ultrasonography could not be used as absolute tool in doubtful and equivocal cases, where combined use of CT scan with Alvarado score and USG has definitely has an edge by diagnosing the differentials and reducing NAR followed by reduction in cost and length of hospital stay.en_US
dc.identifier.affiliationsDepartment of General Surgery, Veer Surendra Sai Institute of Medical Science and Research, Burla, Odisha, Indiaen_US
dc.identifier.citationMishra Braja Mohan, Panigrahi Pramit Ballav, Mishra Sandeep, Mohapatra Abinasha. Alvarado score and computerized tomography scan as impact indicator in intervening negative appendectomy rate. International Surgery Journal. 2020 Apr; 7(4): 1223-1228en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/212812
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber4en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-2902.isj20201401en_US
dc.subjectAlvarado scoreen_US
dc.subjectComputerized tomography scanen_US
dc.subjectImpact indicatoren_US
dc.subjectNegative appendectomy rateen_US
dc.subjectUltrasound sonographyen_US
dc.titleAlvarado score and computerized tomography scan as impact indicator in intervening negative appendectomy rateen_US
dc.typeJournal Articleen_US
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