The Alvarado Scores for the Diagnosis of Acute Appendicitis at Muhammad Medical College Hospital Mirpurkhas.

Abstract

Objective: To assess the diagnostic accuracy of the Alvarado scoring system in acute appendicitis for the patients with right iliac fossa pain.
Methods: This one year descriptive type of study was carried out from 1st December 2008 to 30th November
2009, in the Department of Surgery Unit-I at Muhammad Medical College Hospital (MMCH) Mirpurkhas, Sindh,
Pakistan. Hundred consecutive patients of all age group and both genders, who were diagnosed as the case
acute appendicitis purely on clinical ground were admitted in surgical unit-I and their Alvarado score was calculated. Irrespective of Alvarado score all the patients underwent surgical intervention and diagnosis was confirmed
by operative and histopathological findings were documented on the preformed Performa after written consent of
patients.
Results: We studied 100 consecutive patients who were operated with impression of acute appendicitis purely
on clinical basis. A preoperative Alvarado score done in all patients and compare with intraoperative and histopathological findings. Alvarado score cut-off value was <7 and >7. Appendicitis was confirmed in 45/47 male and
13/15females having Alvarado score >7. With negative appendectomy rate 6.4%. In contrast to the patient having
Alvarado score <7 having appendectomy rate 29%.The rate of negative appendectomy was higher in females as
compared to males and those have score<7.
Conclusion: concluded that Alvarado score is useful in the diagnostic accuracy of acute appendicitis if score is >7.