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• W2103243910 abstract "To develop a reproducible scoring system to identify patients who present with a doubtful diagnosis of appendicitis and who would benefit from diagnostic laparoscopy. Prospective observational study. Regional teaching hospital, The Netherlands. 577 consecutive patients during the period 1994–5, and 343 who presented during the period 1996–7. The variables that seemed to be predictive of acute appendicitis were abstracted from the earlier group, a logistic regression analysis applied, and score created. The score was validated on the 343 patients who presented during 1996–7, and then the groups were combined for further analysis. Reproducibility of the scoring system obtained by comparing odds ratios (OR) of the two groups; its effectiveness judged by comparing the delayed and normal appendicectomy rates. The following variables were significantly correlated with the presence of acute appendicitis: white cell count 10 × 109/L or more (score 3), rebound tenderness and male sex (score 2 each); and symptoms present for <48 hrs and temperature 38°C or more (score 1 each). The OR for the two groups were 1.80 and 1.76, respectively, indicating that score was reproducible. With a sensitivity of 93% and a specificity of 83% it would be at least as accurate as clinical judgment. The normal appendicectomy rate would be 7% instead of 9%, and the negative exploration rates (laparoscopy and primary appendicectomy) would both be 22%. The score would also result in a lower perforation rate (2% compared with 17%). The score can indicate when there is an indication for laparoscopy in patients with suspected appendicitis." @default.
• W2103243910 created "2016-06-24" @default.
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• W2103243910 date "2003-10-16" @default.
• W2103243910 modified "2023-09-27" @default.
• W2103243910 title "Scoring and diagnostic laparoscopy for suspected appendicitis" @default.
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• W2103243910 doi "https://doi.org/10.1080/11024150260284860" @default.
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