Role of Modified Alvarado Score in the Diagnosis of Acute Appendicitis

PURUSHOTTAM KUMAR; SAVITA BALA TUTI; RATHIN SARKAR; NILAY MANDAL

Volume : VIII, Issue : II, February - 2019

Role of Modified Alvarado Score in the Diagnosis of Acute Appendicitis

Purushottam Kumar, Savita Bala Tuti, Rathin Sarkar, Nilay Mandal

Abstract :

Introduction: Acute appendicitis is one of the most common acute surgical illness. Diagnosis of acute appendicitis always remains a challenge. Modified Alvarado Scoring System (MASS) is a cheap and quick diagnostic modality which can be done in the emergency set–up. Aim: To test the efficacy and diagnostic accuracy of MASS in the diagnosis of acute appendicitis. Materials and Methods: Prospective observational study type of study was conducted from January 2015 to December 2016 (12 months) in the Department of General Surgery BANKURA, west bangal. Results: Most of the patients having a MASS of 7 or higher were found to have acute appendicitis in comparison to those having score <7. The sensitivity and specificity of MASS were 96.25%,75% with acceptable Positive and Negative predictive values 93.90%and83.33% respectively. Conclusion: The Modified Alvarado Scoring System is a simple and efficient diagnostic tool for the diagnosis of acute appendicitis