The role of the emergency medicine resident using the Alvarado score in the diagnosis of acute appendicitis compared with the general surgery resident
The role of the emergency medicine resident using the Alvarado score in the diagnosis of acute appendicitis compared with the general surgery resident
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DOI：
10.1097/00063110-200312000-00011
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发表时间：
2003-12-01
影响因子：
4.4
通讯作者：
Unluer, Erol Erden
中科院分区：
文献类型：
--
作者：
Denizbasi, Arzu;Unluer, Erol Erden
目的：比较急诊内科住院医师使用Alvarado评分与普通外科住院医师使用超声诊断阑尾炎的准确性及其临床应用。方法：358例疑似阑尾炎患者（男192例，女166例）急诊就诊。每位患者由急诊住院医师评估，然后由普通外科医生独立评估。测量年龄、性别、手术数据、诊断和Alvarado评分。结果：Alvarado评分的敏感性为95.4%(95%可信区间91 ~ 99%)，特异性为45.7%（95%可信区间37.4 ~ 54%）。阳性检验的预测值与阴性检验的预测值有显著性差异（P = 0.045）。急诊内科住院医师与普外科住院医师的阳性预测值与阴性预测值比较，差异均无统计学意义（P < 0.05）。结论：使用Alvarado评分的急诊科住院医师与普通外科住院医师对阑尾炎诊断的怀疑程度无统计学差异。(c) 2003年Lippincott Williams & Wilkins。
Purpose: To compare the accuracy of diagnosing appendicitis between emergency medicine residents using the Alvarado score and general surgery residents using ultrasonography and their clinical provision.Methods: A total of 358 patients (192 men and 166 women) were admitted to the emergency service with suspected appendicitis. Each patient was evaluated by an emergency medicine resident and then by a general surgeon independently. Age, sex, operational data, diagnosis, and the Alvarado scores were measured.Results: The sensitivity and specificity of the Alvarado score were 95.4% (95% confidence interval 91-99%) and 45.7% (95% confidence interval 37.4-54%), respectively. There was a significant difference between the sexes in the predictive values of a positive test (P = 0.045) and a negative test (P = 0.02). There was no statistical difference between the emergency medicine residents and general surgery residents in terms of positive and negative predicitive values (P>0.05 each).Conclusion: There was no statistical difference between the emergency medicine residents using the Alvarado score and the general surgery residents in terms of suspecting the diagnosis of appendicitis. (c) 2003 Lippincott Williams & Wilkins.