2018, Number 4
<< Back Next >>
Acta Med 2018; 16 (4)
Evaluation of pediatric appendicitis score for mexican population
Miranda HA, Camacho GI, Samano PJ, González RG, López VJC
Language: Spanish
References: 28
Page: 283-289
PDF size: 161.50 Kb.
ABSTRACT
Introduction: The “Pediatric Appendicitis Score”, is a tool for the evaluation of abdominal pain in children and defines the probability of appendicitis, using an objective scale that assesses the presence of 8 signs and symptoms.
Aim: To demonstrate the usefulness of Pediatric Appendicitis Score for abdominal pain applied in an emergency.
Material and methods: An observational, prospective and longitudinal study in the Pediatric Appendicitis Score was adopted as a quick tool for the diagnosis of appendicitis was performed acute, was determined to employ a population of 250 patients by convenience. Male and female patients with acute abdominal pain were included, between six months and 17 years old. Those patients whose relatives refused participation in the study were excluded. They were eliminated subjects prior to admission medication, deficiencies in filling the instrument, who requested voluntary discharge without having completed the study protocol, and those who did not attend the reassessment to 48 hours.
Results: The total sample (n = 232), of which 31% (n = 72) had appendicitis; 77% (n = 55) were men, 23% (n = 17) women. The grade obtained in the score, average was 7.59 ± 2.052, with an average of 9.02 ± 5.32 hours of evolution.
REFERENCES
Hernández A, Fermín E, Rebolledo R, Velásquez B. Score de Alvarado: utilidad diagnóstica en el paciente pediátrico. Alvarado score: diagnostic use in the pediatric patient. Arch Venez Pueric Pediatr. 2005; 68 (1): 15-19.
Torres-Bravo A, Neri-Moreno MC, San Germán-Trejo LMC. Apendicitis aguda en la infancia. La importancia de su diagnóstico temprano. Rev Fac Med UNAM. 2009; 52 (1): 5-7.
Khanafer I, Martin D, Mitra TP, Eccles R, Brindle ME, Nettel-Aguirre A et al. Test characteristics of common appendicitis scores with and without laboratory investigations: a prospective observational study. BMC Pediatrics. 2016; 16 (147): 1-8.
Wilasrusmee C, Anothaisintawee T, Poprom N, McEvoy M, Attia J, Thakkinstian A. Diagnostic scores for appendicitis: a systematic review of scores’ performance. Br J Med Med Res. 2014; 4 (2): 711-730.
Marzuillo P, Germani C, Krauss BS, Barbi E. Appendicitis in children less than five years old: a challenge for the general practitioner. World J Clin Pediatr. 2015; 4(2): 19-24
Goulder F, Simpson T. Pediatric appendicitis score: a retrospective analysis. J Indian Assoc Pediatr. 2008; 13 (4): 125-127.
Andersson M, Andersson RE. The appendicitis inflammatory response score: a tool for the diagnosis of acute appendicitis that outperforms the Alvarado score. World J Surg. 2008; 32: 1843-1849.
Nina A, Arthur Jr, Mary R et al. How time affects the risk of rupture in appendicitis. American College of Surgeons. 2006; 202: 401-406.
Bansal S, Banever GT, Karrer FM, Partrick DA. Appendicitis in children less than 5 years old: influence of age on presentation and outcome. Am J Surg. 2012; 204: 1031-1035.
Mallick MS. Appendicitis in pre-school children: A continuing clinical challenge. A retrospective study. Int J Surg. 2008; 6: 371-373.
Lintula H, Pesonen E, Kokki H, Vanamo K, Eskelinen M. A diagnostic score for children with suspected appendicitis. Langenbeck’s Arch Surg. 2005; 390 (2): 164-170.
Salö M. Appendicitis in Children. Clinical, diagnostic and pathogenic factors [Tesis doctoral] Lund: Lund University, Faculty of Medicine; 2016.
Lintula H, Kokki H, Pulkkinen J, Kettunen R, Gröhn O, Eskelinen M. Diagnostic score in acute appendicitis. Validation of a diagnostic score (Lintula score) for adults with suspected appendicitis. Langenbecks Arch Surg. 2010; 395: 495-500.
Andersson RE. The magic of an appendicitis score. World J Surg. 2015; 39: 110-111.
Yoldas O, Karaca T, Tez M. External validation of Lintula score in Turkish acute appendicitis patients. International Journal of Surgery. 2012; 10: 25-27.
Samuel M. Pediatric appendicitis score. J Pediat Surg. 2002; 37: 877-881.
Schneider C, Kharbanda A, Bachur R. Evaluating appendicitis scoring systems using a prospective pediatric cohort. Ann Emerg Med. 2007; 49 (6): 778-784.
Kulik DM, Uleryk EM, Maguire JL. Does this child have appendicitis? A systematic review of clinical prediction rules for children with acute abdominal pain. J Clin Epidemiol. 2013; 66 (1): 95-104.
Schuh S, Chan K, Langer JC, Kulik D, Preto-Zamperlini M, Al Aswad N et al. Properties of serial ultrasound clinical diagnostic pathway in suspected appendicitis and related computed tomography use. Acad Emerg Med. 2015; 22 (4): 406-414.
Bhatt M, Joseph L, Ducharme FM, Dougherty G, McGillivray D. Prospective validation of the pediatric appendicitis score in a canadian pediatric emergency department. Acad Emerg Med. 2009; 16: 591-596.
Bhatt M, Joseph L, Ducharme FM, Dougherty G, McGillivray D. Appendicitis score for children with suspected appendicitis. A randomized clinical trial. Arch Surg. 2009; 394: 999-1004.
Kim DY, Shim DH, Cho DY. Use of the pediatric appendicitis score in a community hospital. Indian Pediatrics. 2016; 53 (15): 217-220.
Saucier A, Huang EY, Emeremni CA, Pershad J. Prospective evaluation of a clinical pathway for suspected appendicitis. Pediatrics. 2014; 133: e88-e95.
Chung K, Wong S, Liu C, Tang P, Chao N, Liu K et al. Validity of paediatric appendicitis score in chinese population: a prospective study. Abstract; Available in: http://onlinelibrary.wiley.com/doi/10.1111/1744-1633.12195
Zúñiga RV, Arribas JLF, Montes SP, Fernandez MNC, Abad CG, Martin LG et al. Application of pediatric appendicitis score on the emergency department of a secondary level hospital. Pediatr Emerg Care. 2012; 28 (6): 489-492.
Beltrán AM, Almonacid FJ, Gutiérrez CJ, Cruces BK. Puntuación diagnóstica de apendicitis aguda en niños realizada por pediatras de las unidades de emergencia. Rev Chil Pediatr. 2007; 78 (6): 584-591.
Salö M, Friman G, Stenström P, Ohlsson B, Arnbjörnsson E. Appendicitis in children: evaluation of the pediatric appendicitis score in younger and older children. Surgery Research and Practice. 2014; ID 438076: 6. doi: 10.1155/2014/438076. Available in: http://www.hindawi.com/journals/srp/2014/438076/cta
Goldman RD, Carter S, Stephens D, Antoon R, Mounstephen W, Langer JC. Prospective validation of the pediatric appendicitis score. J Pediatr. 2008; 153 (2): 278-282.