Alvarado score: Can it reduce unnecessary CT scans for evaluation of acute appendicitis?

American Journal of Emergency Medicine

Volumn 33, Issue 2, 2015, Pages 266-270

  Apisarnthanarak, Piyaporn ^a   Suvannarerg, Voraparee ^a   Pattaranutaporn, Poompis ^a   Charoensak, Aphinya ^a   Raman, Steven S ^b   Apisarnthanarak, Anucha ^c  

^a MAHIDOL UNIVERSITY   (Thailand)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c THAMMASAT UNIVERSITY HOSPITAL   (Thailand)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIINFECTIVE AGENT;

ABDOMINAL PAIN; ACUTE APPENDICITIS; ACUTE GASTROENTERITIS; ADULT; ALVARADO SCORE; ANTIMICROBIAL THERAPY; APPENDIX TUMOR; ARTICLE; CHOLANGITIS; CLINICAL EVALUATION; COHORT ANALYSIS; COMPUTER ASSISTED TOMOGRAPHY; CONTRAST ENHANCEMENT; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; DIAGNOSTIC VALUE; DIGESTIVE SYSTEM DISEASE ASSESSMENT; FEMALE; HEPATOMEGALY; HISTOPATHOLOGY; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MIDDLE AGED; PREDICTIVE VALIDITY; PREDICTIVE VALUE; PRIORITY JOURNAL; PROBABILITY; RETROSPECTIVE STUDY; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; ACUTE DISEASE; ADOLESCENT; APPENDICITIS; DECISION SUPPORT SYSTEM; RADIOGRAPHY; YOUNG ADULT;

ACUTE DISEASE; ADOLESCENT; ADULT; APPENDICITIS; DECISION SUPPORT TECHNIQUES; FEMALE; HUMANS; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED; YOUNG ADULT;

EID: 84924764662     PISSN: 07356757     EISSN: 15328171     Source Type: Journal    
DOI: 10.1016/j.ajem.2014.11.056     Document Type: Article

References (35)

1. K. Singh, S. Gupta, and P. Pargal Application of Alvarado scoring system in diagnosis of acute appendicitis JK Sci 10 2008 84 86
2. F.C. Chang, H.H. Hogle, and D.R. Welling The fate of the negative appendix Am J Surg 126 1973 752 754
3. J. Antevil, L. Rivera, B. Langenberg, and C.V. Brown The influence of age and gender on the utility of computed tomography to diagnose acute appendicitis Am Surg 70 2004 850 853
4. R. Mckay, and J. Shepherd The use of the clinical scoring system by Alvarado in the decision to perform computed tomography for acute appendicitis in the ED Am J Emerg Med 25 2007 489 493
5. C. Ohmann, Q. Yang, and C. Franke Diagnostic scores for acute appendicitis. Abdominal pain study group Eur J Surg 161 1995 273 281
6. B.A. Birnbaum, and S.R. Wilson Appendicitis at the millennium Radiology 215 2000 337 348
7. S.S. Raman, D.S. Lu, B.M. Kadell, D.J. Vodopich, J. Sayre, and H. Cryer Accuracy of nonfocused helical CT for the diagnosis of acute appendicitis: a 5-year review AJR 178 2002 1319 1325
8. S.S. Raman, F.C. Osuagwu, B. Kadell, H. Cryer, J. Sayre, and D.S. Lu Effect of CT on false positive diagnosis of appendicitis and perforation N Engl J Med 358 2008 972 973
9. P.J. Pickhardt, E.M. Lawrence, B.D. Pooler, and R.J. Bruce Diagnostic performance of multidetector computed tomography for suspected acute appendicitis Ann Intern Med 154 2011 789 796 [W-291]
10. J.T. Rhea, E.F. Halpern, T. Ptak, J.N. Lawrason, R. Sacknoff, and R.A. Novelline The status of appendiceal CT in an urban medical center 5 years after its introduction: experience with 753 patients AJR 184 2005 1802 1808
11. K. Jones, A.A. Pena, E.L. Dunn, L. Nadalo, and A.J. Mangram Are negative appendectomies still acceptable? Am J Surg 188 2004 748 754
12. P.M. Rao, J.T. Rhea, R.A. Novelline, A.A. Mostafavi, and C.J. McCabe Effect of computed tomography of the appendix on treatment of patients and use of hospital resources N Engl J Med 338 1998 141 146
13. C.V. Pritchett, N.C. Levinsky, Y.P. Ha, A.E. Dembe, and S.M. Steinberg Management of acute appendicitis: the impact of CT scanning on the bottom line J Am Coll Surg 210 2010 699 705
14. G.P. McDonald, D.P. Pendarvis, R. Wilmoth, and B.J. Daley Influence of preoperative computed tomography on patients undergoing appendectomy Am Surg 67 2002 1017 1021
15. A. Alvarado A practical score for the early diagnosis of acute appendicitis Ann Emerg Med 15 1986 557 564
16. T.D. Owen, H. Williams, G. Stiff, L.R. Jenkinson, and B.I. Rees Evaluation of the Alvarado score in acute appendicitis J R Soc Med 85 1992 87 88
17. A.M. Ahmed, L.M. Vohra, T. Khaliq, and A.A. Lehri Diagnostic accuracy of Alvarado score in the diagnosis of acute appendicitis Pak J Med Sci 25 2009 118 121
18. S. Nizamuddin, K.A. Samo, M.H. Mangi, and S.U. Rehman Protocol based management of acute right iliac fossa pain to improve diagnostic accuracy Med Channel 15 2009 101 104
19. B.S. Kim, D.H. Ryu, T.H. Kim, I.U. Jeong, J.H. Song, and S.I. Cho et al. Diagnosis of acute appendicitis using scoring system: compared with the Alvarado score J Korean Surg Soc 79 2010 207 214
20. W. Dähnert Radiology review manual 6th ed. 2007 Lippincott Williams & Wilkins Philadelphia, PA
21. M.M. Horrow, D.S. White, and J.C. Horrow Differentiation of perforated from nonperforated appendicitis at CT Radiology 227 2003 46 51
22. N. Pinto Leite, J.M. Pereira, R. Cunha, P. Pinto, and C. Sirlin CT evaluation of appendicitis and its complications: imaging techniques and key diagnostic findings AJR 185 2005 406 417
23. K.P. Aravindan, D. Vijayaraghavan, and M.T. Manipadam Acute eosinophilic appendicitis and the significance of eosinophil-edema lesion Indian J Pathol Microbiol 53 2010 258 261
24. M.J. Lane, D.M. Liu, M.D. Huynh, R.B. Jeffrey Jr., R.E. Mindelzun, and D.S. Katz Suspected acute appendicitis: nonenhanced helical CT in 300 consecutive patients Radiology 213 1999 341 346
25. M.J. Lane, D.S. Katz, B.A. Ross, T.L. Clautice-Engle, R.E. Mindelzun, and R.B. Jeffrey Jr. Unenhanced helical CT for suspected acute appendicitis AJR 168 1997 405 409
26. P.M. Rao, J.T. Rhea, R.A. Novelline, A.A. Mostafavi, J.N. Lawrason, and C.J. McCabe Helical CT combined with contrast material administered only through the colon for imaging of suspected appendicitis AJR 169 1997 1275 1280
27. P.M. Rao, J.T. Rhea, R.A. Novelline, C.J. McCabe, J.N. Lawrason, and D.L. Berger et al. Helical CT technique for the diagnosis of appendicitis: prospective evaluation of a focused appendix CT examination Radiology 202 1997 139 144
28. V. Raptopoulos, G. Katsou, M.P. Rosen, B. Siewert, S.N. Goldberg, and J.B. Kruskal Acute appendicitis: effect of increased use of CT on selecting patients earlier Radiology 226 2003 521 526
29. T.C. See, C.S. Ng, C.J. Watson, and A.K. Dixon Appendicitis: spectrum of appearances on helical CT Br J Radiol 75 2002 775 781
30. L.P. Cobben, A.M. de Van Otterloo, and J.B. Puylaert Spontaneously resolving appendicitis: frequency and natural history in 60 patients Radiology 215 2000 349 352
31. S. Migraine, M. Atri, P.M. Bret, J.O. Lough, and J.E. Hinchey Spontaneously resolving acute appendicitis: clinical and sonographic documentation Radiology 205 1997 55 58
32. P.J. Pickhardt, A.D. Levy, C.A. Rohrmann Jr., and A.I. Kende Primary neoplasms of the appendix manifesting as acute appendicitis: CT findings with pathologic comparison Radiology 224 2002 775 781
33. G.T. Deans, and R.A. Spence Neoplastic lesions of the appendix Br J Surg 82 1995 299 306
34. C.J. Sivit Diagnosis of acute appendicitis in children: spectrum of sonographic findings AJR 161 1993 147 152
35. S. Kaiser, B. Frenckner, and H.K. Jorulf Suspected appendicitis in children: US and CT - a prospective randomized study Radiology 223 2002 633 638