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Modified Alvarado Score Versus Tzanakis Score for Diagnosing Acute Appendicitis in Changing Clinical Practice

Received: 24 June 2016     Accepted: 28 June 2016     Published: 26 August 2016
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Abstract

Background: Preoperative diagnosis of acute appendicitis is classically a clinical one, but with the increasing use of technology for arriving at a fool proof diagnosis, surgeons rely on radiology to a considerable extent for decision making. Especially, in developing countries where time and resources are limited, a reliable Ultrasonography (USG) based score for diagnosing acute appendicitis improves decision making. This prospective study was carried out to compare Modified Alvarado Score & Tzanakis’s Score for diagnosing acute appendicitis. Methods: 146 patients undergoing emergency appendectomy for suspected acute appendicitis were included in the study. This was a prospective study carried out from July 2014 to March 2016. Patients included in the study were scored according to Modified Alvarado Score (MAS) and Tzanakis Score (TS). The final diagnosis was confirmed by histopathology. Results: The sensitivity, specificity, positive predictive value, negative predictive value and likelihood ratio of MAS were 94.95%, 92.6%, 98.26%, 80.64% and 0.05 respectively, and of TS were 98.32%, 96.29%, 99%, 92.85% and 0.02 respectively. Negative appendectomy rate was 1.74% for MAS (cutoff ≥7) and 0.84% for TS (cutoff ≥8). Overall negative appendectomy rate was 18.5%. Conclusion: Tzanakis score is simple, applicable and effective for diagnosing acute appendicitis.

Published in International Journal of Clinical and Experimental Medical Sciences (Volume 2, Issue 5)
DOI 10.11648/j.ijcems.20160205.13
Page(s) 90-93
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Modified Alvarado Score, Tzanakis’s Score, Acute Appendicitis

References
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[2] Stephens PL, Mazzucco JJ. Comparison of ultrasound and the Alvarado score for the diagnosis of acute appendicitis. Conn Med. 1999; 11:137–140.
[3] Cuschieri A. In: Essential surgical practice. 3. Cuscheri A, Giles GR, Mossa AR, editor. London: Butter worth Heinman; 1995. The small intestine and vermiform appendix; pp. 1325–8.
[4] Jaffe B&BD. In: The Appendix. Brunicardi FEiC, editor. Schwartz's Principles of Surgery New York: Mc-Graw Hill Companies lnc; 2005.
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[10] Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg. 1986; 11:557–565. doi: 10.1016/S0196-0644(86)80993-3.
[11] Tzanakis NE, Efstathiou SP, Danulidis K, et al. A new Approach to Accurate Diagnosis of Acute Appendicitis. World J Surg. 2005; 29:1151-1156.
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  • APA Style

    Malik A. A., Mir M. F., Khurshid S. U., Imtiaz Wani, Riyaz Dagga. (2016). Modified Alvarado Score Versus Tzanakis Score for Diagnosing Acute Appendicitis in Changing Clinical Practice. International Journal of Clinical and Experimental Medical Sciences, 2(5), 90-93. https://doi.org/10.11648/j.ijcems.20160205.13

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    ACS Style

    Malik A. A.; Mir M. F.; Khurshid S. U.; Imtiaz Wani; Riyaz Dagga. Modified Alvarado Score Versus Tzanakis Score for Diagnosing Acute Appendicitis in Changing Clinical Practice. Int. J. Clin. Exp. Med. Sci. 2016, 2(5), 90-93. doi: 10.11648/j.ijcems.20160205.13

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    AMA Style

    Malik A. A., Mir M. F., Khurshid S. U., Imtiaz Wani, Riyaz Dagga. Modified Alvarado Score Versus Tzanakis Score for Diagnosing Acute Appendicitis in Changing Clinical Practice. Int J Clin Exp Med Sci. 2016;2(5):90-93. doi: 10.11648/j.ijcems.20160205.13

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  • @article{10.11648/j.ijcems.20160205.13,
      author = {Malik A. A. and Mir M. F. and Khurshid S. U. and Imtiaz Wani and Riyaz Dagga},
      title = {Modified Alvarado Score Versus Tzanakis Score for Diagnosing Acute Appendicitis in Changing Clinical Practice},
      journal = {International Journal of Clinical and Experimental Medical Sciences},
      volume = {2},
      number = {5},
      pages = {90-93},
      doi = {10.11648/j.ijcems.20160205.13},
      url = {https://doi.org/10.11648/j.ijcems.20160205.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20160205.13},
      abstract = {Background: Preoperative diagnosis of acute appendicitis is classically a clinical one, but with the increasing use of technology for arriving at a fool proof diagnosis, surgeons rely on radiology to a considerable extent for decision making. Especially, in developing countries where time and resources are limited, a reliable Ultrasonography (USG) based score for diagnosing acute appendicitis improves decision making. This prospective study was carried out to compare Modified Alvarado Score & Tzanakis’s Score for diagnosing acute appendicitis. Methods: 146 patients undergoing emergency appendectomy for suspected acute appendicitis were included in the study. This was a prospective study carried out from July 2014 to March 2016. Patients included in the study were scored according to Modified Alvarado Score (MAS) and Tzanakis Score (TS). The final diagnosis was confirmed by histopathology. Results: The sensitivity, specificity, positive predictive value, negative predictive value and likelihood ratio of MAS were 94.95%, 92.6%, 98.26%, 80.64% and 0.05 respectively, and of TS were 98.32%, 96.29%, 99%, 92.85% and 0.02 respectively. Negative appendectomy rate was 1.74% for MAS (cutoff ≥7) and 0.84% for TS (cutoff ≥8). Overall negative appendectomy rate was 18.5%. Conclusion: Tzanakis score is simple, applicable and effective for diagnosing acute appendicitis.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Modified Alvarado Score Versus Tzanakis Score for Diagnosing Acute Appendicitis in Changing Clinical Practice
    AU  - Malik A. A.
    AU  - Mir M. F.
    AU  - Khurshid S. U.
    AU  - Imtiaz Wani
    AU  - Riyaz Dagga
    Y1  - 2016/08/26
    PY  - 2016
    N1  - https://doi.org/10.11648/j.ijcems.20160205.13
    DO  - 10.11648/j.ijcems.20160205.13
    T2  - International Journal of Clinical and Experimental Medical Sciences
    JF  - International Journal of Clinical and Experimental Medical Sciences
    JO  - International Journal of Clinical and Experimental Medical Sciences
    SP  - 90
    EP  - 93
    PB  - Science Publishing Group
    SN  - 2469-8032
    UR  - https://doi.org/10.11648/j.ijcems.20160205.13
    AB  - Background: Preoperative diagnosis of acute appendicitis is classically a clinical one, but with the increasing use of technology for arriving at a fool proof diagnosis, surgeons rely on radiology to a considerable extent for decision making. Especially, in developing countries where time and resources are limited, a reliable Ultrasonography (USG) based score for diagnosing acute appendicitis improves decision making. This prospective study was carried out to compare Modified Alvarado Score & Tzanakis’s Score for diagnosing acute appendicitis. Methods: 146 patients undergoing emergency appendectomy for suspected acute appendicitis were included in the study. This was a prospective study carried out from July 2014 to March 2016. Patients included in the study were scored according to Modified Alvarado Score (MAS) and Tzanakis Score (TS). The final diagnosis was confirmed by histopathology. Results: The sensitivity, specificity, positive predictive value, negative predictive value and likelihood ratio of MAS were 94.95%, 92.6%, 98.26%, 80.64% and 0.05 respectively, and of TS were 98.32%, 96.29%, 99%, 92.85% and 0.02 respectively. Negative appendectomy rate was 1.74% for MAS (cutoff ≥7) and 0.84% for TS (cutoff ≥8). Overall negative appendectomy rate was 18.5%. Conclusion: Tzanakis score is simple, applicable and effective for diagnosing acute appendicitis.
    VL  - 2
    IS  - 5
    ER  - 

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Author Information
  • Department of Surgery, SKIMS, Srinagar, India

  • Department of Radiology, SKIMS, Srinagar, India

  • Department of Pathology, SKIMS, Srinagar, India

  • Department of Surgery and Medicine, Directorate of Health Services, Srinagar Kashmir, India

  • Department of Surgery and Medicine, Directorate of Health Services, Srinagar Kashmir, India

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