Document Detail

Alvarado scores and pain onset in relation to multislice CT findings in acute appendicitis.
MedLine Citation:
PMID:  18306139     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To determine the correlation between clinical and multislice computed tomography (MSCT) findings of early- and late-stage acute appendicitis. MATERIALS AND METHODS: The study was conducted between June 2003 and February 2006 with 143 patients. Patients were divided into 3 groups according to Alvarado scores: group 1 (n = 18; 13%; score: 1-4), group 2 (n = 70; 49%; score: 5-7), and group 3 (n = 55; 38%; score: 8-10). Abdominal MSCT results were compared to histopathological diagnoses. Patients were then divided into 2 other groups according to pain onset (MSCT performed within the first 12 h of pain onset and MSCT performed thereafter). RESULTS: Histopathological findings were normal in 13 of the 143 patients (9%). The positive predictive value of MSCT did not significantly differ between the 3 Alvarado groups (92.8% in group 1, 95.1% in group 2, and 98.0% in group 3). Additionally, the positive predictive value of MSCT did not differ whether the scans were performed within the first 12 h of pain onset or thereafter (88% and 89%, respectively; P = 0.89). CONCLUSION: MSCT should be performed even in patients in whom the clinical suspicion of appendicitis is low. MSCT is effective in patients with early-stage appendicitis.
Erkan Yildirim; Erdal Karagülle; Ismail Kirbaş; Emin Türk; Bariş Hasdoğan; Mehmet Tekşam; Mehmet Coşkun
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Diagnostic and interventional radiology (Ankara, Turkey)     Volume:  14     ISSN:  1305-3825     ISO Abbreviation:  -     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-28     Completed Date:  2008-06-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101241152     Medline TA:  Diagn Interv Radiol     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  14-8     Citation Subset:  IM    
Department of Radiology, Başkent University School of Medicine, Ankara, Turkey.
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MeSH Terms
Abdominal Pain
Acute Disease
Appendicitis / classification,  radiography*
Middle Aged
Pain Measurement*
Predictive Value of Tests
Sensitivity and Specificity
Severity of Illness Index
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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