Clinical prediction rules in acute appendicitis: which combination of variables is more effective at predicting?

Background: Clinical prediction rules have been designed to reduce variability and improve the diagnostic process. However, there are no unanimous criteria regarding which of them is the most efficient for the diagnosis of acute appendicitis.

Aim: The primary aim of this study was to assess the diagnostic efficacy of the most commonly used clinical prediction rules.

Laparoscopic Appendectomy in the Setting of Clinical Prediction Rules.

Purpose: Acute appendicitis (AA) is the most frequent surgical entity in the emergency department, but its correct diagnosis remains challenging. To improve diagnosis, clinical prediction rules (CPRs) have been created to establish objective scores for the probability of suffering AA. In this study, we establish scores indicating whether laparoscopy would be superior to clinical observation or repeat diagnostic test.

Hartmann's procedure for obstructive carcinoma of the left colon and rectum: a comparative study with one-stage surgery.

Introduction And Objectives: Despite the criticisms from prestigious expert committees, a high percentage of surgeons continue to use, as the technique-of-choice, Hartmann's procedure for acute malignant intestinal obstruction of the distal colon and rectum, without faecal peritonitis. We have reviewed our results with this technique and compared them with other series of patients in the literature undergoing one-stage surgery (resection with primary anastomosis or sub-total colectomy).

Material And Methods: A retrospective and descriptive study using clinical histories and, from which, the variables studied were: median hospitalisation stay, morbido-mortality and reconstruction index.