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Aim : To evaluate the usefulness and feasibility of the Alvarado scoring system in acute surgery in reducing the percentage of negative appendicectomy in our institute. Materials and Methods : A prospective study was conducted, comprising 100 patients, admitted to department of Surgery in Maharishi Markendeshwar Institute of Medical sciences & Research (M.M.I.M.S.R), Mullana, Ambala, India during the period October 2012 to July 2014 with a preliminary diagnosis of acute appendicitis. Patients of both sexes and all age groups were included in the study and their Alvarado scores calculated, on the basis of which patients were divided into three groups: group1 (alv. Score >7) , group 2 (alv. score 5-6), group 3 (alv. Score 7, 8 were having score 5-6 and 1 had score 7, 4 were having score 5-6, and 2 females had scoring <4. Negative appendectomy rate in our study was 14% which showed that Alvarado score helped in making diagnosis of acute appendicitis; thus reducing negative appendicectomy. Sensitivity and specificity of the Alvarado scoring system were found to be 83.7% and 71% respectively. Positive and negative predictive values were 94.7% and 83.3% respectively. Conclusion : Alvarado score can be used effectively in acute surgery in our setup to reduce the incidence of negative appendectomies in both male and females. It can be applied easily for acute surgery even by junior surgical colleagues with limited diagnostic facilities available to them. Bangladesh Journal of Medical Science Vol.15(2) 2016 p.166-171

Is diagnostic accuracy of Alvarado scoring feasible in acute surgery for management of acute appendicitis?