Effect of the Alvarado score on the diagnostic accuracy of right iliac fossa pain in an emergency

Mahato, I. P.; Karn, N. K.; Lewis, O. D.; Agrawal, C. S.; Bhandari, R.
January 2011
Tropical Doctor;Jan2011, Vol. 41 Issue 1, p11
Academic Journal
Acute appendicitis is among the commonest surgical diseases faced byan emergency clinician. A prompt diagnosis ismandatory to reduce morbidity and mortality, whichmay be difficult for junior doctors who first see the patient in the emergency department. This study was conducted to assess the efficacy of Alvarado score as a tool to improve the accuracy of diagnosis of appendicitis. We did a prospective pre- and post-test study in 381patients with right iliac fossa pain in the emergency department of BP Koirala Institute of Health Sciences. Alvarado scoring was used for the post-test study.We found that theAlvarado scoring systemis an effective diagnosticmethod, which decreases overdiagnosis of appendicitis in the emergency department, and at the same time reduces the risk of missing acute appendicitis cases. It is inexpensive and easy to implement by junior doctors with good results.


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