Evaluation of the Pediatric Appendicitis Score in Younger Children: A Retrospective Study

Dr. Gyaneshwar Rao; Dr. Prakash Galani

Volume : V, Issue : XII, December - 2015

Evaluation of the Pediatric Appendicitis Score in Younger Children: A Retrospective Study

Dr. Gyaneshwar Rao, Dr. Prakash Galani

Abstract :

Introduction: Acute appendicitis is acute inflammation and infection of the vermiform appendix, which is most commonly referred to simply as the appendix. The appendix is a blind–ending structure arising from the cecum. Acute appendicitis is one of the most common causes of abdominal pain and is the most frequent condition leading to emergent abdominal surgery in children. Materials & Methods: 150 children, between 1 and 18 years, operated on with appendectomy for suspected appendicitis, were retrospectively analyzed. The cohort was divided into two age groups: ≥8 years (???? = 110) and < 8 years (???? = 40). Results: The mean PAS was lower among the younger compared with the older patients despite the fact that younger children had more severe appendicitis. PAS had low sensitivity in both groups, with a significantly lower sensitivity among the younger patients. Parent and doctor delay were confirmed in children < 8 years of age with appendicitis. PAS did not aid in patients with doctor delay. Parameters in patient history, symptoms, and abdominal examination were more diffuse in younger children. Conclusion PAS should be used with caution when examining children younger than 8 years of age. Diffuse symptoms in younger children with acute appendicitis lead to delay and to later diagnosis and more complicated appendicitis