Aim: Acute appendicitis is among the most frequently observed reasons of abdominal pain and is the disease to which abdominal urgent surgery is most frequently applied. The high rate of dubiousness in diagnosis, high rate of negative appendectomy led to the introduction of scoring systems.
Despite todays advanced imaging methods and various scoring methods like Alvarado, making the diagnosis may not always be easy. Due to late diagnosis, gangrenous appendicitis, perforation, phlegmonous appendicitis and abscess, and also plastron can emerge. On the other hand, negative appendectomy rate is reported to be 15-30%. Therefore accurate and rapid diagnosis is fundamental in acute appendicitis.
In our study we aimed to determine the place of scoring systems defined by Alvarado, Ohmann and Eskelinen for the diagnosis of acute appendicitis and their efficacy in lowering negative appendectomy rates.
Material and Methods: In our study, 120 patients who applied to our emergency service (WHERE?) between May-2011 and July-2011 with complaints of abdominal pain and who were operated as a result of diagnosis of acute appendicitis were retrospectively evaluated. Patients Alvarado, Ohmann and Eskelinen scores were calculated and compared. Socio-demographic characteristics of the patients, their points in scoring systems, the imaging methods applied, surgical and pathological results were taken under consideration for evaluation.
Result: It was seen that there was a statistically significant between high Alvarado and Ohmann scores and pathological acute appendicitis. Considering Eskelinen score, significant difference could not be determined.
Discussion: In conclusion, Alvarado, Ohmann and Eskelinen scoring systems were evaluated with regard to acute appendicitis and found a meaningful relationship between Alvarado and Ohmann scoring systems and the acute appendicitisit is thought that the use of the scoring system especially for children and the elder would decrease negative appendectomy and perforations. In addition, its coefficients which create a calculation difficulty in practical use limit the use of this scoring system in emergencies which work intensively.
Key words: Acut Appendicitis; Predictive Value; Scoring Systems; Alvarado-Ohmann- Eskelinen.
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