The clinical benefit of a diagnostic score for acute appendicitis was tested in a prospective interventional multicenter study on patients with abdominal pain. The study was performed in two consecutive phases: standard diagnostic work-up with no additional diagnostic support (870 patients) and additional diagnostic support with a score (614 patients). The two groups were comparable with respect to signs, symptoms and investigations related to acute appendicitis. Diagnostic performance of the final examiner decreased with the score: specificity from 86% to 78%, positive predictive value from 67% to 50% and accuracy from 88% to 81%. There were no differences in the perforated appendix, negative appendectomy and complication rate, however, the delayed appendectomy rate (2% versus 8%) and the delayed discharge rate (11% versus 22%) were significantly lower with diagnostic support by the score. In summary, the score cannot be recommended as a standard diagnostic tool for diagnostic decision making in acute appendicitis.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Acute Appendicitis Due to Enterobius vermicularis Infestation: A Case Report.
Cureus
December 2024
Department of General Surgery, East Kent Hospitals University NHS Foundation Trust, Queen Elizabeth The Queen Mother Hospital, Margate, GBR.
Acute appendicitis is the most frequent abdominal surgical emergency worldwide. While luminal obstruction due to fecaliths and lymphoid hyperplasia is a common cause, parasitic infections are a rare but significant contributor. , the most common helminthic infection in developed countries, can trigger appendiceal inflammation through a mechanical obstruction or immune response.
View Article and Find Full Text PDFNomogram prediction model for length of hospital stay following laparoscopic appendectomy in pediatric patients: a retrospective study.
Front Pediatr
December 2024
Department of Pediatric Surgery, Suining Central Hospital, Suining, Sichuan Province, China.
Objective: The aim of this research was to develop and internally validate a nomogram for forecasting the length of hospital stay following laparoscopic appendectomy in pediatric patients diagnosed with appendicitis.
Methods: We developed a prediction model based on a training dataset of 415 pediatric patients with appendicitis, and hospitalization data were collected retrospectively from January 2021 and December 2022. The primary outcome measure in this study was hospital length of stay (LOS), with prolonged LOS defined as admission for a duration equal to or exceeding the 75th percentile of LOS, including the discharge day.
Valentino's Syndrome in the Era of Advanced Imaging and Minimally Invasive Surgery.
Cureus
November 2024
General Surgery, Unidade Local de Saúde de São José, Lisbon, PRT.
Valentino's syndrome is a rare but potentially lethal differential diagnosis for acute appendicitis. We herein present the case of a 22-year-old male patient who presented to the emergency department with acute abdominal pain. Clinical suspicion of acute appendicitis was corroborated by analytical and imaging findings.
View Article and Find Full Text PDFDoes the Experience Level of Surgeons and Assistants Influence the Rate of Complications Following Appendicectomy?
Cureus
November 2024
General Surgery, Te Whatu Ora, Whakatāne, NZL.
Background Appendicectomies are the most frequently performed acute general surgery. The risk of complications depends on several factors, including patient age, American Society of Anesthesiologists (ASA), duration of symptoms, serum inflammatory markers, and the grade of inflammation. Prior research failed to demonstrate a relationship between the rate of complications and the surgeon's level of experience.
View Article and Find Full Text PDFIntussusception, a condition in which one part of the intestine telescopes into another, primarily affects children under 18 months of age. This case report details the radiologic findings in a six-year-old child with a long-standing history of recurrent ileocolic intussusception, who presented with abdominal pain and was diagnosed with intussusception-associated appendicitis. Following the fifth recurrence, the patient underwent laparoscopic reduction of the intussusception and appendectomy.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!