Evaluation of scoring systems in predicting acute appendicitis in children
Evaluation of scoring systems in predicting acute appendicitis in children
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DOI：
10.1016/j.surg.2016.06.023
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发表时间：
2016-12-01
期刊：
影响因子：
3.8
通讯作者：
de Castro, Steve M. M.
中科院分区：
文献类型：
--
作者：
Macco, Sven;Vrouenraets, Bart C.;de Castro, Steve M. M.
背景急性阑尾炎很难诊断，尤其是儿童。阑尾炎评分系统已被开发为一种诊断工具，以改善疑似急性阑尾炎患者的决策过程。本研究评估了疑似急性阑尾炎儿童阑尾炎炎症反应评分、阿尔瓦拉多评分和小儿阑尾炎评分。回顾性收集数据。本研究纳入了2006年1月至2014年6月期间所有18岁以下疑似急性阑尾炎的儿童。登记变量以评价3种不同的阑尾炎评分系统。采用受试者-操作曲线下面积和计算不同临界点的诊断性能分析3种评分的诊断性能。本研究包括747名连续儿童。有399名男孩（53%）和348名女孩（47%），平均年龄为11岁（范围，1-17岁）。共有269名儿童（36%）被诊断为急性阑尾炎。阑尾炎炎症反应评分的受试者工作曲线下面积为0.90，阿尔瓦拉多评分为0.87，小儿阑尾炎评分为0.82（P
Background. Acute appendicitis can be difficult to diagnose, especially in children. Appendicitis scoring systems have been developed as a diagnostic tool to improve the decision-making process in patients with suspected acute appendicitis. This study evaluates the Appendicitis Inflammatory Response score, Alvarado score, and Pediatric Appendicitis Score in children suspected of acute appendicitis.Methods. Data were collected retrospectively. All children younger than 18 years suspected of acute appendicitis who presented to the emergency department between January 2006 and June 2014 were included in this study. Variables were registered to evaluate 3 different appendicitis scoring systems. The diagnostic performance of the 3 scores was analyzed using the area under the receiver-operating curve and by calculating the diagnostic performances at different cut-off points.Results. The present study included 747 consecutive children. There were 399 boys (53%) and 348 girls (47%) with a mean age of 11 years (range, 1-17 years). In total, 269 children (36%) were diagnosed with acute appendicitis. The area under the receiver-operating curve of the Appendicitis Inflammatory Response score was 0.90, the Alvarado score was 0.87, and the Pediatric Appendicitis Score was 0.82 (P