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Alvarado, Eskelinen, Ohhmann and Raja isteri Pengiran Anak Saleha Appendicitis scores for diagnosis of acute appendicitis

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World Journal of Gastroenterology 2013年第47期19卷 9057-9062页

作者： Hasan Erdem Süleyman etinkünar Koray Das Enver Reyhan Cumhur Deger Mehmet Aziret Hilmi Bozkurt Seluk Uzun Selim Szen Oktay rkrücü Department of General Surgery Adana Numune Training and Research HospitalAdana 01240Turkey

AIM:To assess the reliability and practical applicability of the widely used Alvarado,Eskelinen,Ohhmann and Raja isteri Pengiran Anak Saleha Appendicitis(RIPASA)scoring systems in patients with suspected acute ***:Patients admitted to our tertiary center due to suspected acute appendicitis constituted the study *** were divided into two *** group(Group A)consisted of patients who underwent appendectomy and were histopathologically diagnosed with acute appendicitis,and non-appendicitis group(Group N-A)consisted of patients who underwent negative appendectomy and were diagnosed with pathologies other than appendicitis and patients that were followed *** operative findings for the patients,the additional analyses from follow up of the patients and the results of those analyses were recorded using the follow-up ***:One hundred and thirteen patients with suspected acute appendicitis were included in the *** the 113 patients(62 males,51 females),the mean age was 30.2±10.1(range 18-67)*** the 113patients,94 patients underwent surgery,while the rest were followed *** the 94 patients,77patients were histopathologically diagnosed with acute *** study showed a sensitivity level of81%for the Alvarado system when a cut-off value of 6.5was used,a sensitivity level of 83.1%for the Ohmann system when a cut-off value of 13.75 was used,a sensitivity level of 80.5%for the Eskelinen system when a cut-off value of 63.72 was used,and a sensitivity level of 83.1%for the RIPASA system when a cut-off value of 10.25 was ***:The Ohmann and RIPASA scoring systems had the highest specificity for the diagnosis of acute appendicitis.

关键词： Acute appendicitis Alvarado Eskelinen Ohhmann Raja isteri Pengiran Anak Saleha Appendicitis

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