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Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis
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| Zeitschriftentitel: | World Journal of Pediatric Surgery |
|---|---|
| Personen und Körperschaften: | , , , |
| In: | World Journal of Pediatric Surgery, 2, 2019, 1, S. e000003 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
BMJ
|
| Schlagwörter: |
| author_facet |
Chung, Patrick H Y Dai, Kanglin Yang, Zhen Wong, Kenneth K Y Chung, Patrick H Y Dai, Kanglin Yang, Zhen Wong, Kenneth K Y |
|---|---|
| author |
Chung, Patrick H Y Dai, Kanglin Yang, Zhen Wong, Kenneth K Y |
| spellingShingle |
Chung, Patrick H Y Dai, Kanglin Yang, Zhen Wong, Kenneth K Y World Journal of Pediatric Surgery Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis Pediatrics, Perinatology and Child Health Surgery |
| author_sort |
chung, patrick h y |
| spelling |
Chung, Patrick H Y Dai, Kanglin Yang, Zhen Wong, Kenneth K Y 2516-5410 BMJ Pediatrics, Perinatology and Child Health Surgery http://dx.doi.org/10.1136/wjps-2018-000003 <jats:sec><jats:title>Background</jats:title><jats:p>This study evaluates the validity of Alvarado Score in predicting disease severity and the development of postoperative complications in pediatric appendicitis.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This is a retrospective, bicentered study on pediatric patients with emergency appendicectomy performed from 2006 to 2016. The relationship of Alvarado Score (low: 1–4, medium: 5–6, high: 7–10) and operative findings/complications was analyzed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 316 patients were included and the median age on admission was 10.8 years. The overall median score was 8.0. 13.3%, 20.2%, and 66.5% of patients had low, medium, and high risk scores, respectively. 36.1% of patients had complicated appendicitis and the median score was comparable with that of the uncomplicated cases (7.0 vs 7.4, p=0.21). More complicated cases were found in the medium-risk group (high vs medium vs low=29.7% vs 61.4% vs 31.0%, p=0.01). Rebound tenderness had the highest positive predictive value (65%) for complicated appendicitis. Postoperative complications were found in 16.5% of patients with a higher median score (7.87 vs 5.8, p=0.01).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Alvarado Score does not predict disease severity but postoperative complication. Patients with medium risk score should also be treated promptly for the risk of having complicated disease. Rebound tenderness may be a signal for complicated appendicitis and should be properly examined.</jats:p></jats:sec> Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis World Journal of Pediatric Surgery |
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| title |
Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| title_unstemmed |
Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| title_full |
Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| title_fullStr |
Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| title_full_unstemmed |
Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| title_short |
Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| title_sort |
validity of alvarado score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| topic |
Pediatrics, Perinatology and Child Health Surgery |
| url |
http://dx.doi.org/10.1136/wjps-2018-000003 |
| publishDate |
2019 |
| physical |
e000003 |
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<jats:sec><jats:title>Background</jats:title><jats:p>This study evaluates the validity of Alvarado Score in predicting disease severity and the development of postoperative complications in pediatric appendicitis.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This is a retrospective, bicentered study on pediatric patients with emergency appendicectomy performed from 2006 to 2016. The relationship of Alvarado Score (low: 1–4, medium: 5–6, high: 7–10) and operative findings/complications was analyzed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 316 patients were included and the median age on admission was 10.8 years. The overall median score was 8.0. 13.3%, 20.2%, and 66.5% of patients had low, medium, and high risk scores, respectively. 36.1% of patients had complicated appendicitis and the median score was comparable with that of the uncomplicated cases (7.0 vs 7.4, p=0.21). More complicated cases were found in the medium-risk group (high vs medium vs low=29.7% vs 61.4% vs 31.0%, p=0.01). Rebound tenderness had the highest positive predictive value (65%) for complicated appendicitis. Postoperative complications were found in 16.5% of patients with a higher median score (7.87 vs 5.8, p=0.01).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Alvarado Score does not predict disease severity but postoperative complication. Patients with medium risk score should also be treated promptly for the risk of having complicated disease. Rebound tenderness may be a signal for complicated appendicitis and should be properly examined.</jats:p></jats:sec> |
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| author | Chung, Patrick H Y, Dai, Kanglin, Yang, Zhen, Wong, Kenneth K Y |
| author_facet | Chung, Patrick H Y, Dai, Kanglin, Yang, Zhen, Wong, Kenneth K Y, Chung, Patrick H Y, Dai, Kanglin, Yang, Zhen, Wong, Kenneth K Y |
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| description | <jats:sec><jats:title>Background</jats:title><jats:p>This study evaluates the validity of Alvarado Score in predicting disease severity and the development of postoperative complications in pediatric appendicitis.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This is a retrospective, bicentered study on pediatric patients with emergency appendicectomy performed from 2006 to 2016. The relationship of Alvarado Score (low: 1–4, medium: 5–6, high: 7–10) and operative findings/complications was analyzed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 316 patients were included and the median age on admission was 10.8 years. The overall median score was 8.0. 13.3%, 20.2%, and 66.5% of patients had low, medium, and high risk scores, respectively. 36.1% of patients had complicated appendicitis and the median score was comparable with that of the uncomplicated cases (7.0 vs 7.4, p=0.21). More complicated cases were found in the medium-risk group (high vs medium vs low=29.7% vs 61.4% vs 31.0%, p=0.01). Rebound tenderness had the highest positive predictive value (65%) for complicated appendicitis. Postoperative complications were found in 16.5% of patients with a higher median score (7.87 vs 5.8, p=0.01).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Alvarado Score does not predict disease severity but postoperative complication. Patients with medium risk score should also be treated promptly for the risk of having complicated disease. Rebound tenderness may be a signal for complicated appendicitis and should be properly examined.</jats:p></jats:sec> |
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| spelling | Chung, Patrick H Y Dai, Kanglin Yang, Zhen Wong, Kenneth K Y 2516-5410 BMJ Pediatrics, Perinatology and Child Health Surgery http://dx.doi.org/10.1136/wjps-2018-000003 <jats:sec><jats:title>Background</jats:title><jats:p>This study evaluates the validity of Alvarado Score in predicting disease severity and the development of postoperative complications in pediatric appendicitis.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This is a retrospective, bicentered study on pediatric patients with emergency appendicectomy performed from 2006 to 2016. The relationship of Alvarado Score (low: 1–4, medium: 5–6, high: 7–10) and operative findings/complications was analyzed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 316 patients were included and the median age on admission was 10.8 years. The overall median score was 8.0. 13.3%, 20.2%, and 66.5% of patients had low, medium, and high risk scores, respectively. 36.1% of patients had complicated appendicitis and the median score was comparable with that of the uncomplicated cases (7.0 vs 7.4, p=0.21). More complicated cases were found in the medium-risk group (high vs medium vs low=29.7% vs 61.4% vs 31.0%, p=0.01). Rebound tenderness had the highest positive predictive value (65%) for complicated appendicitis. Postoperative complications were found in 16.5% of patients with a higher median score (7.87 vs 5.8, p=0.01).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Alvarado Score does not predict disease severity but postoperative complication. Patients with medium risk score should also be treated promptly for the risk of having complicated disease. Rebound tenderness may be a signal for complicated appendicitis and should be properly examined.</jats:p></jats:sec> Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis World Journal of Pediatric Surgery |
| spellingShingle | Chung, Patrick H Y, Dai, Kanglin, Yang, Zhen, Wong, Kenneth K Y, World Journal of Pediatric Surgery, Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis, Pediatrics, Perinatology and Child Health, Surgery |
| title | Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| title_full | Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| title_fullStr | Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| title_full_unstemmed | Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| title_short | Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| title_sort | validity of alvarado score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| title_unstemmed | Validity of Alvarado Score in predicting disease severity and postoperative complication in pediatric acute appendicitis |
| topic | Pediatrics, Perinatology and Child Health, Surgery |
| url | http://dx.doi.org/10.1136/wjps-2018-000003 |