Open AccessTzanakis Score vs Alvarado in Acute Appendicitis
Author(s) -
Ghanshyam Sigdel,
P.J. Lakhey,
PR Misra
Publication year - 2010
Publication title -
journal of nepal medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 19
eISSN - 1815-672X
pISSN - 0028-2715
DOI - 10.31729/jnma.105
Subject(s) - alvarado score , medicine , acute appendicitis , appendicitis , emergency department , diagnostic accuracy , surgical emergency , randomized controlled trial , prospective cohort study , radiology , surgery , psychiatry
Acute appendicitis is a common surgical emergency. Accurate diagnosis and timely intervention reduces mortality and morbidity. This study compared the efficacy of Tzanakis and Alvarado score in diagnosis of acute appendicitis.
METHODS:
A prospective, non randomized study was conducted in 100 consecutive patients who had undergone emergency appendectomy from May 2008 to October 2008. Tzanakis and Alvarado scores were obtained at the time of admission. Final diagnosis of acute appendicitis was based on histological findings.
RESULTS:
The sensitivity, specificity and overall diagnostic accuracy of Tzanakis score was 91.48% and 66.66% and 90% respectively. The sensitivity, specificity and overall diagnostic accuracy of Alvarado score was 81.91% and 66.66% and 81% respectively. Negative appendectomy rate was 6%.
CONCLUSIONS:
Tzanakis score is an effective modality to establish the accurate diagnosis of acute appendicitis.
Keywords: acute appendicities, Tzanakis score, Alvarado Score.