Prospective evaluation of the Sunshine Appendicitis Grading System score

ANZ Journal of Surgery
Fiona ReidSteven Chan

Abstract

Although there is a wealth of information predicting risk of post-operative intra-abdominal collection and guiding antibiotic therapy following appendicectomy, confusion remains because of lack of consensus on the clinical severity and definition of 'complicated' appendicitis. This study aimed to develop a standardized intra-operative grading system: Sunshine Appendicitis Grading System (SAGS) for acute appendicitis that correlates independently with the risk of intra-abdominal collections. Two-hundred and forty-six patients undergoing emergency laparoscopy for suspected appendicitis were prospectively scored according to the severity of appendicitis and followed up for complications including intra-abdominal collection. After termination of the study, the SAGS score was repeated by an independent surgeon based on operation notes and intra-operative photography to determine inter-rater agreement. The primary outcome measure was incidence of intra-abdominal collection, secondary outcome measures were all complications and length of stay. SAGS score demonstrated good inter-rater agreement (kappa Kw0.869; 95% CI 0.796-0.941; P < 0.001). A risk ratio of 2.594 (95% CI 0.655-4.065; P < 0.001) for intra-abdominal collection was found ...Continue Reading

Associated Clinical Trials

References

Aug 26, 1998·The British Journal of Surgery·B O OkoyeD A Lloyd
Jun 3, 1999·The Australian and New Zealand Journal of Surgery·R I ReidF A Frizelle
Feb 22, 2001·American Journal of Surgery·N KatkhoudaE Mavor
Jun 13, 2002·Clinical and Experimental Pharmacology & Physiology·John Ludbrook
Feb 22, 2003·Journal of Pediatric Surgery·Sherif EmilKenneth Shaw
Jun 10, 2005·ANZ Journal of Surgery·Lik Man MuiEnders K W Ng
Mar 20, 2014·ANZ Journal of Surgery·Andrew Teck Kwee TeoNeil Donald Merrett
May 13, 2015·The British Journal of Surgery·J J AtemaM A Boermeester

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