The Alvarado score validation in diagnosing acute appendicitis in children and teenagers at the Instituto Materno Infantil de Pernambuco, IMIP
The Alvarado score validation in diagnosing acute appendicitis in children and teenagers at the Instituto Materno Infantil de Pernambuco, IMIP
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DOI：
10.1590/s1519-38292003000400008
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发表时间：
2003-12-01
期刊：
影响因子：
--
通讯作者：
Falbo Neto, Gilliatt Hanois
中科院分区：
文献类型：
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作者：
Borges, Paulo Sérgio Gomes Nogueira;Lima, Marilia de Carvalho;Falbo Neto, Gilliatt Hanois
在这项研究中，在巴西伯南布哥的伯南布哥产妇研究所急诊室就诊的患者中，评价了阿尔瓦拉多评分诊断儿童和青少年急性阑尾炎的准确性。诊断试验研究，使用临床和实验室评分诊断急性阑尾炎，进行了组织病理学作为金标准。在2002年3月至10月期间，共检查了81名具有急性阑尾炎症状和体征的儿童和青少年。以≥5分为分界点，阿尔瓦拉多评分系统的敏感性、特异性、阳性预测值和阴性预测值分别为92.6%、63.6%、86.2%和77.8%。因此，阿尔瓦拉多评分可以作为筛查疑似急性阑尾炎儿童和青少年的一个有价值的工具。它具有侵入性小、简单、快速和易于重现的特点。
In this study, the accuracy of the Alvarado score in diagnosing acute appendicitis in children and adolescents was evaluated among patients seen at the emergency unit of the Instituto Materno infantil de Pernambuco, in Pernambuco, Brazil. A diagnostic test study, using clinical and laboratory scores to diagnose acute appendicitis, was carried out, with histopathology as the gold standard. A total of 81 children and adolescents with symptoms and signs consistent with acute appendicitis were examined during March-October 2002. With a score of ≥5 points set as the cut-off point, the sensitivity, specificity, positive predictive value, and negative predictive value of the Alvarado scoring system were 92.6%, 63.6%, 86.2%, and 77.8%, respectively. Thus, the Alvarado score can be a valuable tool in screening children and adolescents suspected of having acute appendicitis. It is less invasive, simple, fast and easily reproducible.