A PROSPECTIVE OBSERVATIONAL STUDY TO DETERMINE THE PREDICTIVE VALUE OF MODIFIED ALVARADO SCORE TO DIAGNOSE APPENDICITIS AND SEVERITY OF ACUTE APPENDICITIS avinashdoc93@gmail.com

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A PROSPECTIVE OBSERVATIONAL STUDY TO DETERMINE THE PREDICTIVE VALUE OF MODIFIED ALVARADO SCORE TO DIAGNOSE APPENDICITIS AND SEVERITY OF ACUTE APPENDICITIS

3

India

Oral or Poster

Appendicitis is a prevalent cause of abdominal pain, further requiring surgery, with a lifetime risk of about 7%(1). The symptoms of appendicitis can mimic other abdominal conditions, with variation of pathology in different patients .On the basis of clinical features and laboratory investigations, patients can be categorized into those who may be requiring immediate surgery, and those who do not. The Modified Alvarado Score (MAS) presents as a reliable tool to diagnose appendicitis and categorize such patients based on a set of clinical features and laboratory investigations.

Prospective Observational study conducted at a tertiary care centre with 100 consecutive patients included the study .Exclusion /Inclusion criteria were applied. All the patients suspected to have appendicitis were based on Modified Alvarado score . Accordingly patients were divided into two groups A and B .Group A patients had a MAS of <7 and group B patients had a MAS of 7 and above .All 100 patients were admitted and underwent routine investigations. They were followed up for a period of 6 months – 1 year.

Common age group was 18-30 years. Migratory right iliac fossa pain in 93%, rebound tenderness in 37% , leucocytosis in 47%.When 90% underwent surgery 10% were successfully managed conservatively. Final histopathology proved acute appendicitis in 61.1%.

A MAS of 7 and above 100% correlated to have appendictis on histopathology. Hence appendectomy in them can be undertaken at the earliest while those with MAS score of less than 7 can have a diagnostic laparoscopy.