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Title: :  Comparision of Modified Alvarado score and Teicher score in predicting acute Appendicitis: A Prospective Study
PaperId: :  17559
Published in:   International Journal Of Advance Research And Innovative Ideas In Education
Publisher:   IJARIIE
e-ISSN:   2395-4396
Volume/Issue:    Volume 8 Issue 3 2022
DUI:    16.0415/IJARIIE-17559
Licence: :   IJARIIE is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Author NameAuthor Institute
DR Sandip ShresthaWestern Regional Hospital, Pokhara Academy of Health Sciences
Pramod Kumar UpadhyayDepartment of Surgery, Bir Hospital, National Academy of Medical Sciences, Bagmati Province, Nepal
Niliza ShakyaBir Hospital, National Academy of Medical Sciences, Bagmati Province, Nepal
Susan PradhanWestern Regional Hospital, Pokhara Academy of Health Sciences, Gandkaki Province, Nepal
Sandesh DorangaWestern Regional Hospital, Pokhara Academy of Health Sciences, Gandkaki Province, Nepal
Ajay K.CWestern Regional Hospital, Pokhara Academy of Health Sciences, Gandkaki Province, Nepal

Abstract

medicine
Acute Appendicitis, Modified Alvarado Score, Teicher Score
Introduction: Acute Appendicitis is the most common surgical emergency encountered by the General Surgeon. It continues to be a clinical dilemma, despite the addition of myriad diagnostic modalities to the surgeon’s arsenal. A reliable scoring system would help streamline diagnosis as well as avoid unnecessary surgeries, in a limited resource setting. Materials and Methods: A prospective, observational hospital-based study was conducted in patients presenting in Bir Hospital ER with features suggestive of acute appendicitis. Sample size was 100. History and clinical examination, related laboratory investigations were collected and Modified Alvarado score and Teicher score were calculated. These scores were compared to Histopathology report and with regards to Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value and Diagnostic accuracy using SPSS version 20. Result: 100 patients were enrolled with mean age of 30 years. Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value and Accuracy for Modified Alvarado Score and Teicher Score respectively were 73.91% vs. 69.57%, 75% vs. 75%, 97.14% vs. 96.97%, 20% vs. 17.65% and 74% vs. 70%. Negative Appendectomy Rate was 8%. Area under curve for ROC of MAS was 0.761 with p-value of 0.015 which was significant statistically. Area under curve for ROC of Teicher Score was 0.747 with p-value of 0.021 which was also statistically significant. Conclusions: Both MAS and Teicher scoring systems can be of value in decision making in acute appendicitis and in reducing the number of negative laparotomies. However, MAS is better scoring system compared to Teicher score in diagnosis of acute appendicitis.

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IJARIIE DR Sandip Shrestha, Pramod Kumar Upadhyay, Niliza Shakya, Susan Pradhan, Sandesh Doranga, and Ajay K.C. "Comparision of Modified Alvarado score and Teicher score in predicting acute Appendicitis: A Prospective Study" International Journal Of Advance Research And Innovative Ideas In Education Volume 8 Issue 3 2022 Page 5400-5405
MLA DR Sandip Shrestha, Pramod Kumar Upadhyay, Niliza Shakya, Susan Pradhan, Sandesh Doranga, and Ajay K.C. "Comparision of Modified Alvarado score and Teicher score in predicting acute Appendicitis: A Prospective Study." International Journal Of Advance Research And Innovative Ideas In Education 8.3(2022) : 5400-5405.
APA DR Sandip Shrestha, Pramod Kumar Upadhyay, Niliza Shakya, Susan Pradhan, Sandesh Doranga, & Ajay K.C. (2022). Comparision of Modified Alvarado score and Teicher score in predicting acute Appendicitis: A Prospective Study. International Journal Of Advance Research And Innovative Ideas In Education, 8(3), 5400-5405.
Chicago DR Sandip Shrestha, Pramod Kumar Upadhyay, Niliza Shakya, Susan Pradhan, Sandesh Doranga, and Ajay K.C. "Comparision of Modified Alvarado score and Teicher score in predicting acute Appendicitis: A Prospective Study." International Journal Of Advance Research And Innovative Ideas In Education 8, no. 3 (2022) : 5400-5405.
Oxford DR Sandip Shrestha, Pramod Kumar Upadhyay, Niliza Shakya, Susan Pradhan, Sandesh Doranga, and Ajay K.C. 'Comparision of Modified Alvarado score and Teicher score in predicting acute Appendicitis: A Prospective Study', International Journal Of Advance Research And Innovative Ideas In Education, vol. 8, no. 3, 2022, p. 5400-5405. Available from IJARIIE, https://ijariie.com/AdminUploadPdf/Comparision_of__Modified_Alvarado_score_and_Teicher_score_in_predicting_acute_Appendicitis__A_Prospective_Study_ijariie17559.pdf (Accessed : 31 January 2025).
Harvard DR Sandip Shrestha, Pramod Kumar Upadhyay, Niliza Shakya, Susan Pradhan, Sandesh Doranga, and Ajay K.C. (2022) 'Comparision of Modified Alvarado score and Teicher score in predicting acute Appendicitis: A Prospective Study', International Journal Of Advance Research And Innovative Ideas In Education, 8(3), pp. 5400-5405IJARIIE [Online]. Available at: https://ijariie.com/AdminUploadPdf/Comparision_of__Modified_Alvarado_score_and_Teicher_score_in_predicting_acute_Appendicitis__A_Prospective_Study_ijariie17559.pdf (Accessed : 31 January 2025)
IEEE DR Sandip Shrestha, Pramod Kumar Upadhyay, Niliza Shakya, Susan Pradhan, Sandesh Doranga, and Ajay K.C, "Comparision of Modified Alvarado score and Teicher score in predicting acute Appendicitis: A Prospective Study," International Journal Of Advance Research And Innovative Ideas In Education, vol. 8, no. 3, pp. 5400-5405, May-Jun 2022. [Online]. Available: https://ijariie.com/AdminUploadPdf/Comparision_of__Modified_Alvarado_score_and_Teicher_score_in_predicting_acute_Appendicitis__A_Prospective_Study_ijariie17559.pdf [Accessed : 31 January 2025].
Turabian DR Sandip Shrestha, Pramod Kumar Upadhyay, Niliza Shakya, Susan Pradhan, Sandesh Doranga, and Ajay K.C. "Comparision of Modified Alvarado score and Teicher score in predicting acute Appendicitis: A Prospective Study." International Journal Of Advance Research And Innovative Ideas In Education [Online]. volume 8 number 3 (31 January 2025).
Vancouver DR Sandip Shrestha, Pramod Kumar Upadhyay, Niliza Shakya, Susan Pradhan, Sandesh Doranga, and Ajay K.C. Comparision of Modified Alvarado score and Teicher score in predicting acute Appendicitis: A Prospective Study. International Journal Of Advance Research And Innovative Ideas In Education [Internet]. 2022 [Cited : 31 January 2025]; 8(3) : 5400-5405. Available from: https://ijariie.com/AdminUploadPdf/Comparision_of__Modified_Alvarado_score_and_Teicher_score_in_predicting_acute_Appendicitis__A_Prospective_Study_ijariie17559.pdf
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