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Title: :  COMPARISON OF MODIFIED ALVARADO SCORE AND ANDERSON SCORE IN PREDICTING ACUTE APPENDICITIS
PaperId: :  25007
Published in:   International Journal Of Advance Research And Innovative Ideas In Education
Publisher:   IJARIIE
e-ISSN:   2395-4396
Volume/Issue:    Volume 10 Issue 5 2024
DUI:    16.0415/IJARIIE-25007
Licence: :   IJARIIE is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Author NameAuthor Institute
Dr. Duryodhan YadavNational Academy of Medical Sciences, Bir Hospital
Dr. Niliza ShakyaNational Academy of Medical Sciences, Bir Hospital
Dr. Sudeep KcPatan Academy of Health Sciences, Patan Hospital
Dr. Suresh MaharjanNational Academy of Medical Sciences, Bir Hospital

Abstract

General Surgery
Acute Appendicitis, Modified Alvarado Score, Anderson Score
Introduction: Acute Appendicitis is one of the most common surgical emergencies encountered by the General Surgeons with wide spectrum of presentation as well as diagnostic modalities. Modified Alvarado Score and Anderson Score are scoring systems used for diagnosis of acute appendicitis. This study aims to compare the diagnostic value of Anderson score with Modified Alvarado Score. Materials and methods: A prospective, analytical, hospital-based study was conducted in 71 patients presenting to Bir Hospital ER with features suggestive of acute appendicitis. History and clinical examination, related laboratory investigations were collected and Modified Alvarado score and Anderson score were calculated. These scores were compared to Histopathology report after appendectomy based on operating surgeon decision with regards to Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value and Diagnostic accuracy to predict acute appendicitis. Result: 71 patients were enrolled with mean age of 29.68 ±10.88 years with Male to female ratio of 1.08:1. Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value and Accuracy for Modified Alvarado Score and Anderson Score respectively were 77 % vs 93.4%; 60% vs 80%; 88.23% vs 96.6%; 30% vs 66.6%; and 53% vs 93.4%. Negative Appendectomy Rate was 14.08%. Conclusion: Anderson scores have better sensitivity, specificity, positive predictive value and accuracy for diagnosis of Acute Appendicitis than Modified Alvarado Score. The negative predictive value compared to Modified Alvarado Score is also higher in Anderson score.

Citations

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IJARIIE Dr. Duryodhan Yadav, Dr. Niliza Shakya, Dr. Sudeep Kc, and Dr. Suresh Maharjan. "COMPARISON OF MODIFIED ALVARADO SCORE AND ANDERSON SCORE IN PREDICTING ACUTE APPENDICITIS" International Journal Of Advance Research And Innovative Ideas In Education Volume 10 Issue 5 2024 Page 686-691
MLA Dr. Duryodhan Yadav, Dr. Niliza Shakya, Dr. Sudeep Kc, and Dr. Suresh Maharjan. "COMPARISON OF MODIFIED ALVARADO SCORE AND ANDERSON SCORE IN PREDICTING ACUTE APPENDICITIS." International Journal Of Advance Research And Innovative Ideas In Education 10.5(2024) : 686-691.
APA Dr. Duryodhan Yadav, Dr. Niliza Shakya, Dr. Sudeep Kc, & Dr. Suresh Maharjan. (2024). COMPARISON OF MODIFIED ALVARADO SCORE AND ANDERSON SCORE IN PREDICTING ACUTE APPENDICITIS. International Journal Of Advance Research And Innovative Ideas In Education, 10(5), 686-691.
Chicago Dr. Duryodhan Yadav, Dr. Niliza Shakya, Dr. Sudeep Kc, and Dr. Suresh Maharjan. "COMPARISON OF MODIFIED ALVARADO SCORE AND ANDERSON SCORE IN PREDICTING ACUTE APPENDICITIS." International Journal Of Advance Research And Innovative Ideas In Education 10, no. 5 (2024) : 686-691.
Oxford Dr. Duryodhan Yadav, Dr. Niliza Shakya, Dr. Sudeep Kc, and Dr. Suresh Maharjan. 'COMPARISON OF MODIFIED ALVARADO SCORE AND ANDERSON SCORE IN PREDICTING ACUTE APPENDICITIS', International Journal Of Advance Research And Innovative Ideas In Education, vol. 10, no. 5, 2024, p. 686-691. Available from IJARIIE, https://ijariie.com/AdminUploadPdf/COMPARISON_OF_MODIFIED_ALVARADO_SCORE_AND_ANDERSON_SCORE_IN_PREDICTING_ACUTE_APPENDICITIS_ijariie25007.pdf (Accessed : 12 October 2024).
Harvard Dr. Duryodhan Yadav, Dr. Niliza Shakya, Dr. Sudeep Kc, and Dr. Suresh Maharjan. (2024) 'COMPARISON OF MODIFIED ALVARADO SCORE AND ANDERSON SCORE IN PREDICTING ACUTE APPENDICITIS', International Journal Of Advance Research And Innovative Ideas In Education, 10(5), pp. 686-691IJARIIE [Online]. Available at: https://ijariie.com/AdminUploadPdf/COMPARISON_OF_MODIFIED_ALVARADO_SCORE_AND_ANDERSON_SCORE_IN_PREDICTING_ACUTE_APPENDICITIS_ijariie25007.pdf (Accessed : 12 October 2024)
IEEE Dr. Duryodhan Yadav, Dr. Niliza Shakya, Dr. Sudeep Kc, and Dr. Suresh Maharjan, "COMPARISON OF MODIFIED ALVARADO SCORE AND ANDERSON SCORE IN PREDICTING ACUTE APPENDICITIS," International Journal Of Advance Research And Innovative Ideas In Education, vol. 10, no. 5, pp. 686-691, Sep-Oct 2024. [Online]. Available: https://ijariie.com/AdminUploadPdf/COMPARISON_OF_MODIFIED_ALVARADO_SCORE_AND_ANDERSON_SCORE_IN_PREDICTING_ACUTE_APPENDICITIS_ijariie25007.pdf [Accessed : 12 October 2024].
Turabian Dr. Duryodhan Yadav, Dr. Niliza Shakya, Dr. Sudeep Kc, and Dr. Suresh Maharjan. "COMPARISON OF MODIFIED ALVARADO SCORE AND ANDERSON SCORE IN PREDICTING ACUTE APPENDICITIS." International Journal Of Advance Research And Innovative Ideas In Education [Online]. volume 10 number 5 (12 October 2024).
Vancouver Dr. Duryodhan Yadav, Dr. Niliza Shakya, Dr. Sudeep Kc, and Dr. Suresh Maharjan. COMPARISON OF MODIFIED ALVARADO SCORE AND ANDERSON SCORE IN PREDICTING ACUTE APPENDICITIS. International Journal Of Advance Research And Innovative Ideas In Education [Internet]. 2024 [Cited : 12 October 2024]; 10(5) : 686-691. Available from: https://ijariie.com/AdminUploadPdf/COMPARISON_OF_MODIFIED_ALVARADO_SCORE_AND_ANDERSON_SCORE_IN_PREDICTING_ACUTE_APPENDICITIS_ijariie25007.pdf
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