Original scientific paper
ACCURACY OF MODIFIED ALVARADO SCORE, ESKELINEN SCORE AND OHMANN SCORE IN DIAGNOSING ACUTE APPENDICITIS
Pejana Rastović
; Department of Surgery, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina; Faculty of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina; Faculty of Health Studies, University of Mostar, Mostar, Bosnia and Herzegovina
Zoran Trninić
; Department of Surgery, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina; Faculty of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina; Faculty of Health Studies, University of Mostar, Mostar, Bosnia and HerzegovinaDepartment of Surgery, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina; Faculty of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina; Faculty of Health Studies, University of Mostar, Mostar, Bosnia and Herzegovina
Gordan Galić
; Department of Surgery, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina; Faculty of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina; Faculty of Health Studies, University of Mostar, Mostar, Bosnia and Herzegovina
Zdrinko Brekalo
; Department of Surgery, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina; Faculty of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina; Faculty of Health Studies, University of Mostar, Mostar, Bosnia and Herzegovina
Josip Lesko
; Faculty of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina; Faculty of Health Studies, University of Mostar, Mostar, Bosnia and Herzegovina
Marko Pavlović
; Faculty of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina; Faculty of Health Studies, University of Mostar, Mostar, Bosnia and Herzegovina
Abstract
Introduction: By processing the data of a large number of patients with abdominal pain, diagnostic scores whose
implementation attempts to facilitate acute appendicitis diagnostics were developed. Modified Alvarado score, Ohmann score and Eskelinen score are used as assistance when setting the diagnosis and making a decision to undertake surgery.
Aim: To assess accuracy of Alvarado score, Ohmann score and Eskelinen score in diagnosing acute appendicitis and to establish
connection of total score of these scoring systems with histopathological degree of appendicitis.
Subjects and methods: A cross-sectional study was conducted at the Department of Surgery of University Clinical Hospital
Mostar. The study included 70 patients who underwent appendectomy and were scored before surgery. All tested persons were examined by experienced surgeon who took anamnesis, physical status and ordered laboratory diagnostic tests. Appendicitis was excluded or confirmed by means of histopathological diagnostics, and the degree of appendicitis was determined.
Results: According to accuracy parameters (sensitivity, specificity, negative and positive predictive value), the score which was
of highest value was Ohmann score, followed by Eskelinen score, while the lowest value was the one of modified Alvarado score. Total score in all three scoring systems follows the degree of appendicitis, but statistical significance was proven only for Ohmann and Eskelinen scores.
Conclusion: Ohmann and Eskelinen scores can be useful in diagnosing acute appendicitis, predicting the degree of appendicitis,
as well as assistance when making decision to undertake an operative procedure. Modified Alvarado score in our subjects did not prove sufficient value. Diagnostics of acute appendicitis still must be led by contemporary algorithms in which diagnostic scoring is implemented.
Keywords
appendicitis; diagnosis; sensitivity and specificity; pathology; predictive value of tests
Hrčak ID:
263485
URI
Publication date:
12.4.2017.
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