Background: Aim of the study was to evaluate  Alvarado scoring system  in preoperative diagnosis of Acute Appendicitis and to compare clinical diagnosis and Alvarado scoring for early diagnosis and correlate them with histopathological findings in case of acute appendicitis.

Material and Method: The present study is carried out in 100 cases of appendicitis admitted in of Index Medical College, Hospital and Research Centre, Indore during the period from January 2015 to June 2016 (18 months) . Calculation of Alvarado score done on the basis of signs symptoms and Laboratory findings of patients admitted in IMCHRC during the course of the study. Confirmation of diagnosis by histopathological correlation.

Result: We concluded our study in 100 consecutive patients with clinical features of acute appendicitis among them 32were  females and 68 were males. Male to female ratio 2.12:1. Most of the patients belong to younger age group (43% in age group of 21-30 years). Mean scores for the emergency surgery group, and observation group were 7-10  and 5-6 respectively .Negative appendectomy rate in our study was 32.9%  out of which among males it is lesser (31.57%) as compared to females who had a higher Negative appendectomy rate of 35.7%. Sensitivity of Alvarado score ≥7 was 92.9% and specificity was 78.5%. Positive and Negative value of Alvarado score  ≥7 was 89.8% and84.6% respectively.

Conclusion: Acute Appendicitis was definitely absent among 28 operated cases. This rate of 32.9%  was by no means high when compared to the reported range of  8- 33% in the  literature but certainly not enough to make its adoption recommendable.

 Keywords: Acute Appendicitis, Alvarado scoring.

References

Corresponding Author

Ashish Agrawal

Department of Surgery, IMCHRC, Indore

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