Title: A Comparative Study of Ultrasonography and Different Scoring Systems in Diagnosing Cases of Acute Appendicitis
Authors: Digbijay Kumar Singh, Binit Prasad, Ashwini Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v8i3.41
Abstract
Background: Accurate diagnosis of acute appendicitis is still challenging task in some patient’s despite of wide availability of diagnostic methods. The purpose of this study to identify the accurate diagnostic tool for acute appendicitis.
Research Design and Methods: The study was conducted on 50 patients of age group 14 to 60 years, who had diagnosed as a case of acute appendicitis clinically. Data was collected as RIPASA, Lintula, Alvarado score and ultrasonography findings. Statistical analysis was done and results of all four scoring systems were compared with ultrasonography for diagnostic accuracy. Histopathological finding of resected specimens was considered as a final diagnosis.
Results: RIPASA score we found sensitivity of 86.84%, specificity of 66.60% and diagnostic accuracy of 82%, Alvarado score we found sensitivity of 86.84%, specificity of 58.66%, and diagnostic accuracy of 80%, Lintula score we observed sensitivity of 81.57%, specificity of 58.33% and diagnostic accuracy of 76%. We observed that ultrasonography had sensitivity of 89.47%, specificity of 83.33%, and diagnostic accuracy of 88%.
Conclusions: The present study concluded that ultrasonography is the most accurate diagnostic method among the above scoring systems in diagnosing case of acute appendicitis.
