Volume : IV, Issue : III, March - 2015

RETROSPECTIVE ANALYSIS OF PEDIATRIC APPENDICITIS SCORE

Dr Prajwal K Rao, Dr Kishan Shetty

Abstract :

Evaluation of the pediatric appendicitis score (PAS), in all patients who had an appendicectomy over a one–year period. Methods: Retrospective study of 50 patients aged 4–16 years, who underwent an emergency appendicectomy. PAS was applied and patients were divided according to the PAS protocol into high probability and low probability groups. These results were then correlated with histology. Results: The PAS had sensitivity of 0.93, specificity of 0.52, positive predictive value of 0.72, and negative predictive value of 84.6. Had we used the PAS in the diagnosis of acute appendicitis in these 50 patients, our negative appendicectomy rate would have been reduced to 27%, but two patients with Acute appendicitis would have been deprived of early surgical treatment and may have been treated conservatively. Conclusions: The diagnosis of acute appendicitis and the need for surgery is still a matter of clinical judgment which can be built with practice, and although the PAS could provide useful diagnostic information in children with suspected acute appendicitis, it cannot be used as sole method for determining the need for surgery, as it would lead to unacceptable risk of wrongly discharging or delaying necessary surgery in significant number of patients with appendicitis.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

DR PRAJWAL K RAO, DR KISHAN SHETTY RETROSPECTIVE ANALYSIS OF PEDIATRIC APPENDICITIS SCORE International Journal of Scientific Research, Vol : 4, Issue : 3 March 2015

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