Comparison of multislice computed tomography and clinical scores for diagnosing acute appendicitis

The Journal of International Medical Research
Wen LiuRong Xun Sun

Abstract

To compare Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) and Alvarado scores with multislice computed tomography (MSCT) for diagnosing acute appendicitis (AA). This retrospective study included patients with abdominal pain who had undergone MSCT, and whose medical notes included RIPASA and Alvarado score parameters. MSCT was compared with RIPASA and Alvarado scores for diagnosing AA. Of 297 patients included, sensitivity, specificity and accuracy for diagnosing AA were 95.2%, 73.6% and 87.2% for RIPASA score (cutoff value 7.5) and 63.1%, 80.9% and 69.7% for Alvarado score (cutoff value 7). Sensitivity, specificity and accuracy of MSCT for diagnosing AA were 98.9%, 96.4% and 98.0%, respectively. In terms of accuracy, statistically significant differences were observed between RIPASA and Alvarado scores, and between MSCT and RIPASA scores. The mean RIPASA score was significantly different in the simple AA group (9.7 ± 2.2) compared with other AA groups (10.5 ± 1.7). No statistically significant difference was observed in RIPASA score between nonperforated and perforated AA. MSCT sensitivity, specificity and accuracy for diagnosing simple AA were 94.1%, 96.4% and 95.8%, respectively; for differentiating perforated and non...Continue Reading

Associated Clinical Trials

References

May 1, 1986·Annals of Emergency Medicine·A Alvarado
May 30, 2002·AJR. American Journal of Roentgenology·Steven S RamanHenry Cryer
Mar 5, 2003·Radiology·Mindy M HorrowJay C Horrow
Mar 25, 2005·AJR. American Journal of Roentgenology·Jinxing YuRobert A Halvorsen
Jul 23, 2005·AJR. American Journal of Roentgenology·Nuno Pinto LeiteClaude Sirlin
Mar 24, 2006·AJR. American Journal of Roentgenology·Adriaan C van Breda Vriesman, Julien B C M Puylaert
Sep 16, 2006·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Christine HoeffelJean-Michel Tubiana
Mar 3, 2011·European Radiology·Adrienne van RandenUNKNOWN OPTIMA Study Group
Jul 20, 2011·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Andrei S PuryskoDouglas J Racy
Sep 23, 2011·The Indian Journal of Surgery·Subhajeet DeyVarun K Singh
Nov 16, 2011·Journal of Computer Assisted Tomography·Takao MotekiHiroyuki Horikoshi
Dec 30, 2011·BMC Medicine·Robert OhleBorislav D Dimitrov
Dec 30, 2011·The American Journal of Emergency Medicine·Shang-Yu WangShang-Ju Yang
Apr 10, 2012·The Journal of Surgical Research·Corey W IqbalShawn D St Peter
Oct 2, 2012·Radiology·B Dustin PoolerPerry J Pickhardt

❮ Previous
Next ❯

Citations

Dec 19, 2015·The Kaohsiung Journal of Medical Sciences·Fatih Mehmet YazarErtan Bülbüloglu
Aug 4, 2015·The American Journal of Emergency Medicine·Erdinç ÇetinkayaMesut Tez
Nov 20, 2019·The Cochrane Database of Systematic Reviews·Bo RudPeer Wille-Jørgensen
Apr 15, 2021·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·W J BomM A Boermeester
May 18, 2021·Surgical Endoscopy·Stavros A AntoniouPer Olav Vandvik

❮ Previous
Next ❯

Software Mentioned

Stata®

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.