SCORING SYSTEM FOR PREDICTIVE FACTORS OF COMPLICATED APPENDICITIS
EAES Academy. Elkeleny M. 07/05/22; 362981; P024
Dr. Mostafa Refaie Abdelatty Elkeleny
Contributions
Contributions
Abstract
Background:
Acute appendicitis is the most common surgical emergency and for decades the surgical intervention was considered the standard treatment; but recently the conservative approach appeared as effective as surgical intervention in the treatment of non-complicated appendicitis. however, the application of this conservative approach needs the differentiation between complicated and non-complicated appendicitis which still challenging as no single parameter either clinical, laboratory or radiological can do this differentiation alone; but augmentation of these parameters together in a score can do.so in this study we formulate a scoring system from these parameters that can be used to predict complicated appendicitis.
Aim of the work: formulate a scoring system for prediction of complicated appendicitis.
Patients and Methods: 50 patients diagnosed as acute appendicitis clinically and by ultrasound and each patient get a score before being submitted to surgery then matching the intraoperative finding for each patient with the preoperative score to test the validity of this score for prediction of complicated appendicitis.
Results:
the number of patients in the complicated group versus the non-complicated group was 18(36%) and 32(64%) respectively; with the mean score for the complicated group (gangrenous or perforated) 6 while for the non-complicated group (catarrhal or suppurative) 3.5.
Conclusion:
this scoring system considered valid for prediction of complicated appendicitis with cut off point > 4
Acute appendicitis is the most common surgical emergency and for decades the surgical intervention was considered the standard treatment; but recently the conservative approach appeared as effective as surgical intervention in the treatment of non-complicated appendicitis. however, the application of this conservative approach needs the differentiation between complicated and non-complicated appendicitis which still challenging as no single parameter either clinical, laboratory or radiological can do this differentiation alone; but augmentation of these parameters together in a score can do.so in this study we formulate a scoring system from these parameters that can be used to predict complicated appendicitis.
Aim of the work: formulate a scoring system for prediction of complicated appendicitis.
Patients and Methods: 50 patients diagnosed as acute appendicitis clinically and by ultrasound and each patient get a score before being submitted to surgery then matching the intraoperative finding for each patient with the preoperative score to test the validity of this score for prediction of complicated appendicitis.
Results:
the number of patients in the complicated group versus the non-complicated group was 18(36%) and 32(64%) respectively; with the mean score for the complicated group (gangrenous or perforated) 6 while for the non-complicated group (catarrhal or suppurative) 3.5.
Conclusion:
this scoring system considered valid for prediction of complicated appendicitis with cut off point > 4
Background:
Acute appendicitis is the most common surgical emergency and for decades the surgical intervention was considered the standard treatment; but recently the conservative approach appeared as effective as surgical intervention in the treatment of non-complicated appendicitis. however, the application of this conservative approach needs the differentiation between complicated and non-complicated appendicitis which still challenging as no single parameter either clinical, laboratory or radiological can do this differentiation alone; but augmentation of these parameters together in a score can do.so in this study we formulate a scoring system from these parameters that can be used to predict complicated appendicitis.
Aim of the work: formulate a scoring system for prediction of complicated appendicitis.
Patients and Methods: 50 patients diagnosed as acute appendicitis clinically and by ultrasound and each patient get a score before being submitted to surgery then matching the intraoperative finding for each patient with the preoperative score to test the validity of this score for prediction of complicated appendicitis.
Results:
the number of patients in the complicated group versus the non-complicated group was 18(36%) and 32(64%) respectively; with the mean score for the complicated group (gangrenous or perforated) 6 while for the non-complicated group (catarrhal or suppurative) 3.5.
Conclusion:
this scoring system considered valid for prediction of complicated appendicitis with cut off point > 4
Acute appendicitis is the most common surgical emergency and for decades the surgical intervention was considered the standard treatment; but recently the conservative approach appeared as effective as surgical intervention in the treatment of non-complicated appendicitis. however, the application of this conservative approach needs the differentiation between complicated and non-complicated appendicitis which still challenging as no single parameter either clinical, laboratory or radiological can do this differentiation alone; but augmentation of these parameters together in a score can do.so in this study we formulate a scoring system from these parameters that can be used to predict complicated appendicitis.
Aim of the work: formulate a scoring system for prediction of complicated appendicitis.
Patients and Methods: 50 patients diagnosed as acute appendicitis clinically and by ultrasound and each patient get a score before being submitted to surgery then matching the intraoperative finding for each patient with the preoperative score to test the validity of this score for prediction of complicated appendicitis.
Results:
the number of patients in the complicated group versus the non-complicated group was 18(36%) and 32(64%) respectively; with the mean score for the complicated group (gangrenous or perforated) 6 while for the non-complicated group (catarrhal or suppurative) 3.5.
Conclusion:
this scoring system considered valid for prediction of complicated appendicitis with cut off point > 4
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