“ALVARADO SCORING SYSTEM IN PRE OPERATIVE DIAGNOSIS OF ACUTE APPENDICITIS - A CLINICOPATHOLOGICAL CORRELATION – A PROSPECTIVE STUDY OF 100 CONSECUTIVE PATIENTS”

Background: Appendicitis is the most common acute surgical condition of the abdomen. The clinical diagnosis of acute appendicitis is unreliable in spite of numerous attempts to improve diagnostic accuracy. The rate of negative exploration of young females is still in the range of 25−30%. Our study aims to assess the usefulness of the Alvarado score and to evaluate its feasibility and value as an aid in surgical decision-making in cases of possible appendicitis in reducing the number of negative laparotomies. 100 consecutive Methods: patients presenting with acute pain in the abdomen and admitted to the surgery department were included in the study after receiving consent to participate. They were analyzed on the basis of age, sex, clinical examination ndings, blood investigations, radiological ndings, Alvarado score, Operative ndings, and postoperative complications. Our study shows a positive predictive value of 86.9% comparable wit Results: h literature reports of 97% [13]. We had a negative appendicectomy rate of 6%. Similar results were reported in literature; 7% [13], 21% [14], 15.6% [15]. Alvarado scoring is a good Conclusion: diagnostic scoring system used in day-to-day practice by all clinicians. It is a scoring system used for the evaluation of acute appendicitis with a score of less than 4. Those whose scoring system is between 5 to 7, are kept under observation and they are surveyed and re-examined for every 2 hours for the score to be increasing or decrease.