Open AccessPossibilities of diagnostic scales in patients with acute appendicitis in the conditions of an infectious hospital
Author(s) -
V. P. Zemlyanoy,
Земляной Вячеслав Петрович,
Vyacheslav A. Melnikov,
Мельников Вячеслав Александрович,
Mikhail M. Nahumov,
Нахумов Михаил Михайлович,
Yuliya Vladimirovna Letina,
Летина Юлия Владимировна,
Agata Yu. Zemlyanskaya,
Землянская Агата Юрьевна
Publication year - 2021
Publication title -
vestnik severo-zapadnogo gosudarstvennogo medicinskogo universiteta im. i.i. mečnikova
Language(s) - English
Resource type - Journals
eISSN - 2618-9704
pISSN - 2618-7116
DOI - 10.17816/mechnikov54620
Subject(s) - acute appendicitis , medicine , appendicitis , intensive care medicine , diagnostic test , clinical diagnosis , general surgery , pediatrics
Currently, diagnostic scales are being actively developed to help doctors diagnose and make decisions regarding the treatment tactics of certain diseases. In particular, there are diagnostic scales for acute appendicitis. However, we found no publications describing the results of assessing the sensitivity of diagnostic scales for acute appendicitis in relation to patients admitted to infectious diseases hospitals, as well as the results of comparing the sensitivity of these scales in patients in general surgery and infectious diseases hospitals. Thus, based on the sufficient clinical material, we have analyzed the results of comparing the sensitivity of some diagnostic scales of acute appendicitis in relation to patients in general surgical hospitals and patients being treated in hospitals with an infectious profile. The results of the study show that the sensitivity of diagnostic scales in relation to acute appendicitis in patients treated in infectious diseases wards is lower than in patients in surgical departments of the general profile. The following result may be explained by masked course of acute appendicitis (when simulating the symptoms of acute intestinal infection), as well as the blurred clinical picture of acute appendicitis in patients with acute and chronic infectious diseases.