Alvarado scores and pain onset in relation to multislice CT findings in acute appendicitis.
Diagn Interv Radiol
; 14(1): 14-8, 2008 Mar.
Article
em En
| MEDLINE
| ID: mdl-18306139
ABSTRACT
PURPOSE:
To determine the correlation between clinical and multislice computed tomography (MSCT) findings of early- and late-stage acute appendicitis. MATERIALS ANDMETHODS:
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.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Apendicite
/
Medição da Dor
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Diagn Interv Radiol
Assunto da revista:
DIAGNOSTICO POR IMAGEM
/
RADIOLOGIA
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Turquia