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Journal articles on the topic 'Modified Alvarado Score'

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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1

ALI SHAH, SYED WARIS, CHAUDHRY AHMED KHAN, SIKANDER ALI MALIK, AHMED WAQAS, AJMEL MUNIR TARRAR, and IRTIZA AHMED BHUTTA. "MODIFIED ALVARADO SCORE." Professional Medical Journal 17, no. 04 (2010): 546–50. http://dx.doi.org/10.29309/tpmj/2010.17.04.2956.

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objective: To compare the frequency of inflamed appendix in suspected patients of acute appendicitis having Modified Alvarado Score (MAS) of 7 or more with patients having MAS of 6 or below. Design: Comparative cross sectional study. Place and duration of study: The study was carried out at Surgical Departments of Combined Military Hospital (CMH) and Military Hospital (MH) Rawalpindi from April 2006 to April 2007. Material and Methods: This study involved 100 patients who were operated with provisional diagnosis of acute appendicitis. Preoperatively MAS of each patient was calculated and the p

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Dahal, Isha. "Comparative Study of Modified Alvarado Score and Eskelinen Score in Diagnosing Acute Appendicitis." Nepalese Medical Journal 5, no. 1 (2022): 518–21. http://dx.doi.org/10.3126/nmj.v5i1.42868.

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Introduction: Despite many advances in diagnosis, diagnosing appendicitis remains difficult. Various diagnostic scoring systems have been developed in an attempt to improve the diagnostic accuracy of acute appendicitis. The study aimed to determine the accuracy of the Modified Alvarado and Eskelinen score in diagnosing acute appendicitis and to correlate the histopathological findings with the severity of acute appendicitis. Materials and Methods: A prospective study was conducted in TUTH including 84 patients with a clinical diagnosis of acute appendicitis managed surgically for 10 months. Mo

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Rahul, Sandip Kumar, Meera Kumari, Ajay Kumar Jha, Bipin Kumar Singh, Rupesh Keshri, and Pallavi Suman. "Evaluation of RIPASA versus modified ALVARADO score in the diagnosis of acute appendicitis." Yemen Journal of Medicine 3, no. 3 (2024): 218–24. https://doi.org/10.18231/j.yjom.2024.023.

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The diagnosis of Acute Appendicitis is mostly clinical through different scores; comparative assessment of Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) score against modified ALVARADO score for the diagnosis of Acute Appendicitis would reveal the better score for clinical use.Evaluation of RIPASA score against modified ALVARADO score as a diagnostic score for Acute Appendicitis.A prospective study was conducted on all cases of suspected Appendicitis at a tertiary center from January 2021 to June 2022. Each patient was scored by both RIPASA and modified ALVARADO scores and Histopathol

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Rasheed, Zahid, Sauleha Sayyed, Imran Ali, et al. "Diagnostic Accuracy of Modified Alvarado Score (MAS) and Ohmann Scores (OS) in Diagnosing Acute Appendicitis." Pakistan Journal of Medical and Health Sciences 17, no. 3 (2023): 298–300. http://dx.doi.org/10.53350/pjmhs2023173298.

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In the field of General Surgery AA is the frequent clinical condition for which patients who need emergency surgery present with abdominal pain.1 Diagnosis of this pathology is made with the help of history, patient symptoms, and clinical exam and lab investigations. Ultrasonography (USG) and computed tomography (CT) images for acute appendicitis should be considered.2 Methodology: The purpose of the study is to compare the diagnostic accuracy of Modified Alvarado Score (MAS) and Ohmann Scores (OS) in diagnosing the pathology of Acute Appendicitis, while retaining histopathology as the basis f

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Kumari, Meera, Ajay Kumar Jha, Bipin Kumar Singh, Rupesh Keshri, Pallavi Suman, and Sandip Kumar Rahul. "Evaluation of RIPASA versus modified ALVARADO score in the diagnosis of acute appendicitis." Yemen Journal of Medicine 03, no. 03 (2024): 218–24. https://doi.org/10.63475/j.yjom.2024.023.

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Background: The diagnosis of Acute Appendicitis is mostly clinical through different scores; comparative assessment of Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) score against modified ALVARADO score for the diagnosis of Acute Appendicitis would reveal the better score for clinical use. Aims and Objective: Evaluation of RIPASA score against modified ALVARADO score as a diagnostic score for Acute Appendicitis. Materials and Methods: A prospective study was conducted on all cases of suspected Appendicitis at a tertiary center from January 2021 to June 2022. Each patient was scored by

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Untono, Lesni, Sigit Adi Prasetyo, and Ignatius Riwanto. "Neutrophil-Lymphocyte Ratio Superior to Total Leukocyte and Neutrophil in Diagnosing Acute Appendicitis Using Alvarado Score." International Journal of Innovative Science and Research Technology 5, no. 6 (2020): 1388–93. http://dx.doi.org/10.38124/ijisrt20jun1058.

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Background: The diagnosis of acute appendicitis must be performed quickly and accurately to reduce the risk of negative appendectomy without increasing the risk of perforation. Objective: To analyze whether Neutrophil-Lymphocyte Ratio (NL-R) in the modified Alvarado score is more accurate in diagnosing acute appendicitis in comparison with total leukocyte and neutrophil. Method: This was a cross-sectional study and the data were collected from Telogorejo Hospital Semarang (Indonesia) from November 2018 until October 2019. The best cut-off point of NL-R for predicting acute appendicitis was pro

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Poptani, Manoj, Ankit Soni, Shipra Sharma, and Sanjay Kumar. "Augmentation of modified Alvarado score with abdominal ultrasound in diagnosis of acute appendicitis." International Surgery Journal 7, no. 3 (2020): 853. http://dx.doi.org/10.18203/2349-2902.isj20200833.

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Background: Acute appendicitis is one of the commonest surgical emergencies. But confirming the diagnosis of acute appendicitis is still a subjective issue for clnicians. Modified Alvarado score is based on clinical and laboratory findings which is scored upto. Management of 5 to 7 modified Alvarado score came under equivocal. Either may be conservative or operative.Methods: We augmented the modified alvarado score with abdominal ultrasound in diagnosis of acute appendicitis.Results: Outcomes were evaluated in terms of sensitivity, specificity, positive predictive value (PPV), negative predict

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Sharma, Shipra, Ankit Soni, Sanjay Kumar, and Manoj Poptani. "Augmentation of modified Alvarado score with abdominal ultrasound in diagnosis of acute appendicitis." International Surgery Journal 8, no. 1 (2020): 111. http://dx.doi.org/10.18203/2349-2902.isj20205408.

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Background: Acute appendicitis is one of the commonest surgical emergencies. But confirming the diagnosis of acute appendicitis is still a subjective issue for clinicians. Modified Alvarado score is based on clinical and laboratory findings which is scored upto 9. Management of 5 to 7 modified Alvarado score came under equivocal. Either may be conservative or operative.Methods: We augmented the modified Alvarado score with abdominal ultrasound in diagnosis of acute appendicitis.Results: Outcomes were evaluated in terms of sensitivity, specificity, positive predictive value (PPV), negative pred

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Yadav, Duryodhan, and Archana KC. "Predictive Accuracy of Modified Alvarado Score vs Anderson Score in Acute Appendicitis Diagnosis." Nepal Medical Journal 8, no. 1 (2025): 20–26. https://doi.org/10.37080/nmj.222.

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Introduction: Acute Appendicitis is one of the most common surgicalemergencies encountered by the General Surgeons with wide spectrum ofpresentation as well as diagnostic modalities. Modified Alvarado Score andAnderson Score are scoring systems used for diagnosis of acute appendicitis.This study aims to compare the diagnostic accuracy of Anderson score withModified Alvarado Score. Methods: A prospective, analytical, hospital-based study was conductedin 71 patients presenting to Bir Hospital ER with features suggestive of acuteappendicitis. History and clinical examination, related laboratory i

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PEYVASTEH, Mehran, Shahnam ASKARPOUR, Hazhir JAVAHERIZADEH, and Sepideh BESHARATI. "MODIFIED ALVARADO SCORE IN CHILDREN WITH DIAGNOSIS OF APPENDICITIS." ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 30, no. 1 (2017): 51–52. http://dx.doi.org/10.1590/0102-6720201700010014.

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ABSTRACT Background: Appendicitis is one of the most common abdominal emergency. Some predictive scoring systems are recommended to decrease the rate of negative appendectomy. Aim: To evaluate sensitivity, specificity, positive predictive value, and negative predictive value of modified Alvarado score in children who underwent appendectomy. Methods: Four hundred children with initial diagnosis of appendicitis were randomly selected from patients who underwent appendectomy. Modified Alvarado score was used for evaluation of the appendicitis, that was confirmed using histology. Results: Of modif

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Pun, Ashis, Akin Jung Rayamajhi, and Dipendra Neupane. "Comparison of Lintula Score with Modified Alvarado Score for Diagnosing Acute Appendicitis in Adults." Journal of Nepal Health Research Council 22, no. 02 (2024): 264–68. http://dx.doi.org/10.33314/jnhrc.v22i02.4841.

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Background: Acute inflammation of the appendix or acute appendicitis is one of the most prevalent surgical emergencies seen in day-to-day practice. The delay in the diagnosis and the treatment of the condition can lead to complications and even death. Various scores have been developed over the time for aiding the diagnosis of Acute Appendicitis. Methods: A hospital based cross-sectional study was conducted in Bharatpur hospital of Chitwan district of Nepal from December 30, 2020 to December 29, 2022 .This study identified and enrolled acute appendicitis patients that were treated in a tertiar

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Rodas Andrade, Jorge Roberto, Marco Vinicio Urgilés Rivas, Julio Cesar Ordoñez Cumbe, Karla Marisela Cabrera Abad, and Patricia Piedad Naulaguari Medina. "Evaluación de la Escala de Alvarado versus Score de Respuesta Inflamatoria de la Apendicitis, Hospital José Carrasco Arteaga 2018." Revista Médica del Hospital José Carrasco Arteaga 12, no. 2 (2020): 112. http://dx.doi.org/10.14410/2020.12.2.ao.16.

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BACKGROUND: Acute appendicitis is the main cause of non-traumatic acute abdomen worldwide, it is still a public health issue and the diagnosis can be challenging. When an atypical case is presented, is necessary to use diagnostic scores, like Alvarado Score, Modified Alvarado Score, RIPASA, among others. The aim of this study was to determine the test validity of Inflammatory Response Score versus Alvarado Score, for acute appendicitis diagnosis in 16 year old and older patients. METHODS: This is a descriptive, cross-sectional, validity test study, to compare AIR Score and Alvarado Score, with

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Kittisupamongkol, W. "Modified Alvarado score for acute appendicitis." Colorectal Disease 11, no. 7 (2009): 788. http://dx.doi.org/10.1111/j.1463-1318.2009.01839.x.

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Sulo, SuzanSafar, and HishamAhmad Al-Atrakchi. "The modified alvarado score versus alvarado score in the diagnosis of acute appendicitis." Medical Journal of Babylon 16, no. 3 (2019): 203. http://dx.doi.org/10.4103/mjbl.mjbl_48_19.

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Saumya, Sinha, Ahmed Shakeb, and Arif Ansari M. "Evaluation of RIPASA Score Compared to Modified Alvarado Score in the Diagnosis of Acute Appendicitis." International Journal of Pharmaceutical and Clinical Research 15, no. 6 (2023): 1470–78. https://doi.org/10.5281/zenodo.12510759.

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<strong>Objective:</strong> The diagnosis of acute appendicitis is still a challenge because it is a common yet difficult surgical illness. Since there are numerous clinical mimics and the diagnosis is mostly based on clinical criteria, clinical scoring systems have developed to help identify the correct diagnosis. This study aims to evaluate the diagnosis precision in acute appendicitis with a lower rate of negative appendectomy; by comparing the RIPASA score with the modified Alvarado score on patients undergoing emergency appendectomy. <strong>Material and Methods:</strong> O

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El Sherpiny, Waleed Yusif. "A comparative study of RIPASA score and modified Alvarado score in diagnosis of acute appendicitis." International Surgery Journal 6, no. 11 (2019): 3937. http://dx.doi.org/10.18203/2349-2902.isj20195099.

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Background: Various diagnostic criteria have been described for diagnosing acute appendicitis. Of these, Alvarado score has been the most commonly used. The RIPASA score is a new diagnostic scoring system developed for the diagnosis of acute appendicitis and showed higher sensitivity, specificity and diagnostic accuracy as compared to Alvarado score. we want to compare prospectively Alvarado and RIPASA score by applying them to patients attending emergency department complaining of right iliac fossa pain that could probably be acute appendicitis.Methods: Patients with clinically suspected acut

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Gaikwad, Murhari D., Anand Auti, and Avinash Magare. "A three year prospective study-suspected acute appendicitis: diagnostic accuracy of modified Alvarado score versus ultrasonography in adults." International Surgery Journal 4, no. 12 (2017): 3924. http://dx.doi.org/10.18203/2349-2902.isj20175145.

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Background: To evaluate and compare diagnostic accuracy of modified Alvarado score and ultrasonography in co-relation to histopathology report for diagnosis of acute appendicitis.Methods: A prospective study of the patients who underwent appendectomy for suspected acute appendicitis at IIMS and R Medical College and Noor Hospital Warudi, Badnapur, Dist. Jalna (Maharashtra). The clinical (radiological) and ultrasonography data of 760 patients with suspected appendicitis was collected between March 2014 to Feb. 2017. These patients were evaluated by modified Alvarado score and ultrasonographical

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Rajpura, Ashok Kumar, Dharmendra Choudhary, Bhagchand Khorwal, Shyam Bhutra, Dinesh Kumar Yadav, and Kamal Bansal. "Tzanaki’s Score Vs Modified Alvarado’s Score In Diagnosing Acute Appendicitis: A Comparative Study In A Tertiary Care Hospital." Journal of Society of Surgeons of Nepal 26, no. 2 (2023): 70–73. http://dx.doi.org/10.3126/jssn.v26i2.63627.

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Introduction: Acute appendicitis is commonly diagnosed when a patient presents with pain in right iliac fossa. Various Scoring systems are used to diagnose acute appendicitis and mainly include the presenting signs and symptoms, but are not acceptable for patients. The purpose of this study was to assess effectiveness of modified Alvarado score and Tzanaki’s Score in the diagnosis of acute appendicitis. Methods: A prospective observational study was done in department of General Surgery JLN Medical College Hospital, Ajmer which incorporated 200 patients presenting with the signs and symptoms o

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Rita, Singh, and Shailendra B. "Combined Diagnostic Value of Modified Alvarado Score (MAS) and Ultrasound for the Diagnosis of Acute Appendicitis." International Journal of Pharmaceutical and Clinical Research 14, no. 9 (2022): 28–33. https://doi.org/10.5281/zenodo.13313299.

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<strong>Introduction: </strong>Acute appendicitis is one of the most happened surgical emergencies, needs early diagnosis and immediate surgical management to prevent adverse events. In an attempt to increases the diagnostic accuracy, several imaging techniques and clinical scoring systems have been established. This study was designed to assess the sensitivity of modified Alvarado score and ultrasound in the diagnosis of acute appendicitis and correlating with operative and histopathology findings. <strong>Material and Methods:</strong> Eighty clinically diagnosed cases with ac

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Timilsina, Bhusan Raj, Rajiv Shah, Sudeep Raj KC, et al. "RIPASA vs Modified Alvarado Scoring System for diagnosis of Appendicitis." Journal of College of Medical Sciences-Nepal 14, no. 4 (2018): 213–16. http://dx.doi.org/10.3126/jcmsn.v14i4.21633.

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INTRODUCTION: Acute appendicitis is the most common surgical condition presented to the emergency department. Clinical scoring systems such as the Alvarado and modified Alvarado scoring system were developed with the goal of reducing the negative appendectomy rate to 5%–10%. In the other hand the Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) scoring system was established in 2008 specifically for Asian population. The aim of this study was to compare the modified Alvarado with the RIPASA scoring system in the Nepalese population. METHODS: This study included 125 patients w

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Ahmed, Baderkhan Saeed. "Using modified Alvarado score in conservative treatment of acute appendicitis." Advanced medical journal 3, no. 2 (2017): 35–40. http://dx.doi.org/10.56056/amj.2017.29.

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Background and objectives: Acute appendicitis is the most common and challenging surgical emergencies. The diagnosis is still based on the clinical examination. The modified alvarado score system isa safe diagnostic modality without extra expense and complications. Efficacy ofantibiotic treatment was often considered as a bridge to surgery inselectedpatients with acute appendicitis aided by using of Modified Alvarado scoring system. Methods: A prospective clinical trial comparing antibiotics with appendectomy, a total of 424 consecutive patients were enrolled, according to Modified Alvarado Sc

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Swamy, Mahadeva, Vishal a, and Bhuvaneshwari b. "CLINICAL STUDY ON ACUTE APPENDICITIS INCORPORATING MODIFIED ALVARADO SCORE AND ABDOMINAL ULTRASOUND." International Journal of Advanced Research 11, no. 07 (2023): 941–57. http://dx.doi.org/10.21474/ijar01/17303.

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Acute appendicitis is one of the most common acute abdominal surgical emergencies the diagnosis of which is often challenging. If there is a delay in the diagnosis and prompt action is not taken, it may lead to perforation and other complication. Many scoring systems have been devised for the diagnosis of appendicitis, among which Modified Alvarado score is being used widely. Ultrasound also has gained importance in recent years. Our study aims in combining the use of Modified Alvarado score and USG in the diagnosis to bring down the rate of negative appendicectomies. Aimof The Study 1. To eva

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Ahmed, Baderkhan Saeed, Azhy Muhammed Dewana, Balen Salahaddin Muhammed, Tavga Omer Jaffar, Nyan Saeed Omar, and Amanj Jalal Namq. "Diagnosis of acute appendicitis by modified Alvarado score vs. ultrasound based on histopathological findings: A comparative study." Medical Journal of Tikrit University 29, no. 2 (2023): 73–79. http://dx.doi.org/10.25130/mjotu.29.1.11.

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Background: Acute appendicitis commonly causes emergency surgery. Clinical examination accuracy ranges from 71-97%; despite ultrasound diagnostic improvements, accuracy depends mainly on operator experience. This study uses a modified version of the Alvarado score, excluding one laboratory finding (shift to the left of neutrophil maturation). As differential count is not routinely undertaken in the study site (Erbil), patients were scored out of 9 rather than 10 points. This study compares the diagnostic accuracy of ultrasound and modified Alvarado score in the diagnosis of acute appendicitis,

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Banepali, Niroj, Kamal Koirala, Rupesh Mukhiya, and Rakesh Roshan Sthapit. "A Comparative Study of RIPASA Score and Modified Alvarado Score in Acute Appendicitis in Nepalese Population." Nepalese Medical Journal 2, no. 2 (2019): 224–28. http://dx.doi.org/10.3126/nmj.v2i2.25369.

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Introduction: Although acute appendicitis is a common surgical condition, its diagnosis can be elusive at times with misdiagnosis leading to serious complications. Various scoring systems have been developed to overcome this dilemma and the reported accuracies of these scores vary greatly.Materials and Methods: A retrospective review of charts was carried out to identify all patients admitted to KIST medical college teaching hospital from May 2015 to April 2016 with the diagnosis of acute appendicitis. A total of 120 cases that underwent surgery for suspected acute appendicitis were included.

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Sonkariya, Seema, Devendra Atal, Dinesh Kumar Barolia, and Sahil Gambhir. "Prediction of acute appendicitis using ultrasonography and modified Alvarado score — A prospective comparative study." IP Journal of Surgery and Allied Sciences 4, no. 1 (2022): 10–14. http://dx.doi.org/10.18231/j.jsas.2022.002.

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Acute appendicitis is not uncommon pathology but clinical diagnosis depends on skills of treating health officer. Now advancement in technology and easy availability of USG and CT scan centers make the easy diagnosis. Some time atypical presentation of acute appendicitis makes delay in diagnosis clinically. But, the modified Alvarado score make easy diagnosis of acute appendicitis and compatible to USG. This is a prospective comparative study conducted at RNT Medical College, Udaipur. This study was done in 50 patients, who were presented with pain right lower abdomen. to compare the sensitivi

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Patel, Om Prakash, Manoranjan Dwa, and Suresh Maharjan. "Tzanaki Score Vs Modified Alvarado Score in Predicting Acute Appendicitis." Nepal Medical Journal 8, no. 1 (2025): 15–19. https://doi.org/10.37080/nmj.221.

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Introduction: Acute appendicitis is one of the most common causes of acuteabdomen presenting to emergency. Despite many diagnostic modalities, thereis always a clinical dilemma in diagnosing acute appendicitis. Many scoringsystems were established to help in diagnosing acute appendicitis (AA) andreduce unnecessary surgeries. The aim of this study was to compare Tzanakiscore with Modified Alvarado Score in predicting acute appendicitis. Methods: This prospective observational study was conducted in theDepartment of General Surgery, Bir Hospital, NAMS, Kathmandu, Nepal, over 12months (August 202

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Reddy, Mannem G. K., and V. Mahidhar Reddy. "Raja Isteri Pengiran Anak Saleha Appendicitis score for the diagnosis of acute appendicitis in comparison with the Alvarado score." International Surgery Journal 7, no. 2 (2020): 459. http://dx.doi.org/10.18203/2349-2902.isj20200298.

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Background: Different scoring systems have been created to increase diagnostic accuracy, and they are inexpensive, non-invasive, and easy to use and reproduce. The modified Alvarado score is widely used in emergency services. The Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) score was formulated in 2010 and has greater sensitivity and specificity. The aim of our article was to compare the usefulness of modified RIPASA score and Alvarado score in the diagnosis of patients with abdominal pain and suspected acute appendicitis.Methods: A prospective study was undertaken among 100 cases pr

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Devanathan, Suhas, Darshana Tote, and Sandip Shinde. "Effectiveness of Modified Alvarado Scoring System for Diagnosis of Acute Appendicitis." Journal of Evolution of Medical and Dental Sciences 10, no. 37 (2021): 3252–56. http://dx.doi.org/10.14260/jemds/2021/660.

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BACKGROUND Acute appendicitis is very commonly diagnosed when a patient presents with acute abdomen. This is more commonly seen in the young and middle-aged individuals. The clinical signs and symptoms determine the diagnosis and management. Scoring systems are in plenty to diagnose acute appendicitis and mainly include the presenting signs and symptoms, but are not acceptable for all populations with different age groups. Modified Alvarado scoring system is a timed tested scoring system used in different populations and age groups with good efficacy and to provide a bedside clinical diagnosis

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Jyoti, Neha, and Vivek Madhur. "A Study to Evaluate Modified Alvarado Score for Acute Appendicitis Diagnosis." International Journal of Science and Research (IJSR) 14, no. 1 (2025): 1072–73. https://doi.org/10.21275/sr25114052757.

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Habib, Md Ahsan, Md Rezaul Islam, Md Mustafizur Rahman, Jannatul Fatin, and Bipul Kumar Saha. "Evaluation of Modified Alvarado Score Compared with Histopathological Diagnosis in Acute Appendicitis." SAS Journal of Surgery 10, no. 01 (2024): 100–106. http://dx.doi.org/10.36347/sasjs.2024.v10i01.018.

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Background: Decision-making in patients with acute appendicitis poses a diagnostic challenge worldwide, despite much advancement in abdominal surgery. A number of scoring systems have been advocated to minimize the number of negative appendectomies. However, Modified Alvarado Score System (MASS) is the most prominent and widely used one. Considering limited data regarding correlation between Modified Alvarado Score and post-operative histopathological findings, the study was designed to assess the usefulness of Modified Alvarado Score compared with histopathological report in diagnosis of acut

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Jain, Sanjay, Ajay Gehlot, and M. C. Songra. "Modified alvarado score in diagnosis of acute appendicitis: a clinicopathological study." International Surgery Journal 5, no. 3 (2018): 878. http://dx.doi.org/10.18203/2349-2902.isj20180415.

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Background: Acute appendicitis is one of the commonest surgical emergencies in all ages. Diagnosis is mainly clinical, delay in diagnosis definitely increases the morbidity, mortality and cost of treatment, more aggressive surgical approach has resulted in increased white appendectomies.Methods: A total 100 cases hospitalized with abdominal pain, suggestive of acute appendicitis on the basis of modified Alvarado scoring system and were subsequently operated, were included in the present study in our institute for period of 20 Months.Results: Males belonging to young age group of 21-30 were mos

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Mondal, Hari Pada, Md Hadiuzzaman, Chandranath Mukhopadhyay, Shibram Chattopadhyay, Sajal Kumar Biswas, and Sudhansu Sekhar Bhoj. "Usefulness of Modified Alvarado Score in Diagnosis of Acute Appendicitis in Adults." Bangladesh Journal of Medical Science 14, no. 4 (2015): 336–38. http://dx.doi.org/10.3329/bjms.v14i4.16257.

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Background: Definitive diagnosis of acute appendicitis preoperatively is sometimes difficult. Failure to make a diagnosis is the main reason for persistent rate of morbidity and mortality. Various scoring systems are devised to aid diagnosis of acute appendicitis. In some studies the modified Alvarado score was helpful, reliable and practical in minimizing unnecessary appendectomy. Objective: The purpose of this study was to evaluate the usefulness of modified Alvarado score for the diagnosis of acute appendicitis. Materials and Method: A prospective study of 89 adult patients, admitted with a

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Rao, Kodenge Raghavendra, D. Navya Sesha Harika, Suragani V. Narayana, et al. "A comparative study on RIPASA and modified Alvarado score in the diagnosis of acute appendicitis in tertiary care hospital." International Surgery Journal 8, no. 3 (2021): 944. http://dx.doi.org/10.18203/2349-2902.isj20210931.

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Background: Acute Appendicitis is common surgical emergencies with a lifetime prevalence of approximately 1 in 7. Despite advances in diagnosis and treatment; acute Appendicitis is still associated with morbidity (10%) and mortality (1-5 %). Presentations of acute Appendicitis can mimic various acute medical and surgical conditions, and the diagnosis is predominantly a clinical one-different scoring systems used for aiding in early diagnosis of Acute Appendicitis and its prompt management. Alvarado score and RIPASA score are the most popular ones. So we retrospectively applied and compared Alv

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Samudre, Sayali S., and Anil S. Munde. "Comparative study between clinical diagnosis using modified Alvarado score and ultrasound imaging in decreasing negative appendectomy rate." International Surgery Journal 8, no. 4 (2021): 1185. http://dx.doi.org/10.18203/2349-2902.isj20211295.

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Background: Acute appendicitis is the acute inflammation of appendix which is the most common cause of acute surgical emergencies. Appendicitis can mimic other pathologies. Removing normal appendix is an economical burden both on patients and health resources. Misdiagnosis and delay in surgery can lead to complications like perforation and finally peritonitis.Methods: This was prospective comparative study carried out in 200 patients over the period of 2 years. Patients with clinical features of acute appendicitis and fitting in inclusion and exclusion criteria were selected. Detailed history

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Ghumro, Rooh Ali, Sughra Parveen, Tanweer Ahmed, et al. "Comparative Study Between Karaman Score and Modified Alvarado Score for Predictability in Avoiding Negative Appendectomy in the Suspected Cases of Acute Appendicitis." Pakistan Journal of Medical and Health Sciences 16, no. 10 (2022): 535–37. http://dx.doi.org/10.53350/pjmhs221610535.

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Objective: To compare the diagnostic accuracy between the Karaman score and the Modified Alvarado score for predictability in avoiding a negative appendectomy in suspected cases of acute appendicitis. Material and methods: This comparative study was done at the general surgery department of JPMC Karachi, from February 2022 to August 2022. All the patients diagnosed as the cases of acute appendicitis undergoing surgical treatment, aged more than 14 years and of either gender, were included. Both the Karaman and the Alvarado scoring systems were implemented in order to assign points to each of t

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Dsouza, Caren, John Martis, and Vinay Vaidyanathan. "DIAGNOSTIC EFFICACY OF MODIFIED ALVARADO SCORE OVER GRADDED COMPRESSION ULTRASONOGRAPHY." Journal of Health and Allied Sciences NU 03, no. 03 (2013): 105–8. http://dx.doi.org/10.1055/s-0040-1703689.

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Abstract Background: Acute appendicitis is one of the commonest surgical emergencies. Despite a life time cumulative risk of nearly 7% its diagnosis remains a challenge. The risks of two primary outcomes must be balanced in the management of presumed appendicitis: perforation and misdiagnosis.The rate of misdiagnosis in certain populations is as high as 40%. Diagnostic aids like modified Alvarado score and ultrasonography can dramatically reduce the negative appendicectomies. Methods:Data was collected from 60 patients with complains of right iliac fossa pain over a period of 9 months to our h

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Qamar, Rohan, Khalid Mahmood, Romassa Javed, Faheem Sher, and Ibrahim Tufail. "Reliability of Diagnosis of Acute Appendicitis by Clinical Assessment Through Modified ALVARADO Vs RIPASA Scoring System at Combined Military Hospital, Rawalpindi." Life and Science 5, no. 2 (2024): 06. http://dx.doi.org/10.37185/lns.1.1.346.

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Objective: To determine the diagnostic accuracy of RIPASA (Raja Isteri Pengiran Anak Saleha Appendicitis) andModified ALVARADO score in the diagnosis of acute appendicitis by using histopathology as a gold standard.Study Design: A comparative cross-sectional study.Place and Duration of Study: The study was carried out at the Department of Surgery, Combined MilitaryHospital (CMH) Rawalpindi, Pakistan from January 2020 to August 2020.Methods: A total of 126 patients suspected of having acute appendicitis were included. All patients who hadmet the inclusion criteria were chosen via the process of

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Kareem, Tayeb, Nadya Ahmed, and Star Hussein. "Accuracy of Modified Alvarado Scoring System in Early Diagnosis of Acute Appendicitis." Zanco Journal of Medical Sciences 13, no. 2 (2009): 8–13. http://dx.doi.org/10.15218/zjms.2009.013.

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Background and objective: Appendicitis is a common surgical emergency. The patients with equivocal signs can present a diagnostic challenge. Early diagnosis and intervention is mandatory for prevention of complications. On the other hand negative appendicectomy should be avoided as much as possible. The aim is to evaluate the role of the modified Alvarado scoring system in early diagnosis of acute appendicitis. Methods: During a period of 6 months from 1st February to 31st July 2008; 250 patients with right iliac fossa pain were admitted and observed in Emergency Hospital in Erbil. The age of

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John, Binni, Geo Paul K. Jose, and Vipin Chandran Chandrasekharan Nair. "MODIFIED ALVARADO SCORE VERSUS ULTRASOUND EXAMINATION IN ACUTE APPENDICITIS." Journal of Evidence Based Medicine and Healthcare 4, no. 69 (2017): 4112–17. http://dx.doi.org/10.18410/jebmh/2017/819.

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M A, Khawaja, Fatima K., Shafique A., et al. "A Comparative Study of Modified Alvarado Score Vs Routine Clinical Assessment in the Management of Acute Appendicitis." Pakistan Journal of Medical and Health Sciences 16, no. 1 (2022): 32–34. http://dx.doi.org/10.53350/pjmhs2216132.

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Background: Pain in right Iliac fossa is one of the most common presenting symptom in the surgical emergency in which acute appendicitis is the most probable amongst the differentials. Patients with equivocal signs and symptoms pose a significant diagnostic dilemma for which they are admitted for observation. Aim: To compare the efficacy of modified Alvarado scoring system with the routine clinical diagnosis. Study design: A randomized controlled trial was set up to compare clinical diagnosis (control group) with a diagnostic protocol using modified Alvarado scoring system (intervention group)

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Bansal, Gagan, and Sharmila Dudani. "Neutrophil-to-lymphocyte ratio to improve the diagnostic performance of appendicitis inflammatory score and modified Alvarado score." BLDE University Journal of Health Sciences 9, no. 1 (2024): 22–27. http://dx.doi.org/10.4103/bjhs.bjhs_175_23.

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Abstract: BACKGROUND: Acute appendicitis is a surgical emergency often encountered in clinical practice. Diagnosis is usually based on clinical judgment supplemented with a few baseline investigations. Neutrophil-to-lymphocyte ratio (NLR) is a novel, stable inflammatory marker reflecting the inflammatory status, superior to individual leukocyte parameters. OBJECTIVES: We aimed to study the introduction of NLR as an additional parameter in the appendicitis inflammatory score and modified the Alvarado score to improve the sensitivity and specificity in the diagnosis of acute appendicitis. MATERI

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G., Ray, Rakesh Raj E., Selvakumaran S., and Baliga Kapil. "A Comparative Study of RIPASA and Modified Alvarado Scoring Systems for the Diagnosis ofAcute Appendicitis." International Journal of Pharmaceutical and Clinical Research 15, no. 6 (2023): 809–15. https://doi.org/10.5281/zenodo.12209947.

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<strong>Background: </strong>The most Common emergency seen in general surgical practice is acute appendicitis. The most widely used scoring methods for its diagnosis are the Alvarado and Modified Alvarado scores (MASS), however they perform poorly in some groups. Objective: In order to determine whether is a superior diagnostic tool for acute appendicitis in the Indian population, we compared the RIPASA score with MASS. <strong>Methods:</strong> A retrospective study was done in the Department of General Surgery, IGMCRI Pondicherry, between August 2018 and October 2019. 100 par

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Parihar, Suman, M. S. Parihar, J. L. Kumawat, and C. P. Joshi. "A prospective study of accuracy of modified Alvarado score in patients with acute appendicitis in tertiary care hospital." International Surgery Journal 5, no. 3 (2018): 937. http://dx.doi.org/10.18203/2349-2902.isj20180807.

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Background: Acute appendicitis is the most common acute emergency of the abdomen. Clinical diagnosis of acute appendicitis is challenging in most of situation. The present study was designed to evaluate the role of modified Alvarado scoring system in diagnosis of acute appendicitis.Methods: One hundred consecutive patients presenting in the department of surgery Geetanjali Medical College and Hospital from January 2014 to 2016 were included. Demographic characteristics, symptoms and signs, laboratory results were recorded. Data was collected using a pre-tested questionnaire and analyzed using

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Singh, Rajkishore, Rajiv Singh, and Kulwant Singh. "Role of modified Alvarado scoring system and USG abdomen in acute appendicitis: an overview." International Surgery Journal 4, no. 12 (2017): 4029. http://dx.doi.org/10.18203/2349-2902.isj20175404.

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Background: Acute appendicitis is the most common cause of an ‘acute abdomen’ in young adults and, as such, the associated symptoms and signs have become a paradigm for clinical teaching. Appendicitis is sufficiently common that appendicectomy (termed appendectomy in North America) is the most frequently performed urgent abdominal operation and is often the first major procedure performed by a surgeon in training. In this study we correlate the usefulness of Modified Alvarado scoring system(MASS) and ultrasonography(USG) in management of acute appendicitis.Methods: The study was done on 60 pat

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Anil, Kumar Sharma, Dixit Pranay, Singh Manisha, and Prajapati Rajesh. "To Evaluate the Modified Alvarado Score in Patients with Acute Appendicitis." International Journal of Pharmaceutical and Clinical Research 14, no. 10 (2022): 791–96. https://doi.org/10.5281/zenodo.13308591.

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<strong>Background: </strong>Appendicitis has been one of the most widely studied and researched about topic since the early years. Even after elapse of more than 120 years since its first description this common surgical disease continues to remain a diagnostic problem and can baffle best of the clinician. There is nausea but vomiting more than twice is rare. A low grade pyrexia and constipation is usual. An alternative outcome is that the appendix becomes surrounded by a mass of omentum or adjacent viscera which walls off the inflammatory process and prevents inflammation spreading to t

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Mohammad, Ibrahim Mohammad Fathy, Mohammad Ahmad Abd El-Gawad, and Hany Yousef El-Askary. "Diagnostic Accuracy of Modified Alvarado Score and Pelvi-Abdominal Ultrasound in Diagnosis of Acute Appendicitis." Scientific Journal of Medical Scholar 3, no. 3 (2024): 46–52. http://dx.doi.org/10.55675/sjms.v3i3.96.

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Background: Acute abdominal pain represents about 9% of emergency visits. The likelihood of the diagnosis of surgical etiology increased with the presence of fever, vomiting, diarrhea, absent sounds of bowel, voluntary guarding, abdominal rigidity and rebound tenderness. Patient age could help in the differential diagnosis. Aim and objectives: To evaluate diagnostic accuracy of modified Alvarado Score and pelvi-abdominal ultrasound in diagnosis of acute appendicitis. Patients and methods: This prospective observational study, included 50 patients. They were selected from attendee of general su

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P, Prabhu, and Rajiv Raj D. "Usefulness of Modified Alvarado Score in Acute Appendicitis Incorporating Ultrasound." Journal of Evolution of Medical and Dental Sciences 9, no. 8 (2020): 479–82. http://dx.doi.org/10.14260/jemds/2020/108.

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Bibi, Sarwat, Junaid Misbah, and Khurram Saqib. "To determine the frequency of operations in acute appendicitis after antibiotic therapy." Professional Medical Journal 26, no. 08 (2019): 1233–37. http://dx.doi.org/10.29309/tpmj/2019.26.08.3167.

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A descriptive, cross sectional study conducted to evaluate the results of conservative management of acute appendicitis with antibiotic therapy. Study Design: Descriptive, cross sectional study. Setting: Surgical Unit of Aziz Fatima Trust Hospital. Period: 1st Jan 2017 to 31st December 2018. Materials and Methods: The objective of this study is to determine the frequency of operations in acute appendicitis being treated by antibiotic therapy. A total of 140 patients were included in this study. Study patients having a modified Alvarado score of 7-9 received intravenous antibiotics (ciprofloxac

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Samraj, Anita, and Dharun Kumar S. "Assessment of the accuracy of using the combination of modified alvarado score and abdominal ultrasound in acute appendicitis." International Surgery Journal 4, no. 9 (2017): 2997. http://dx.doi.org/10.18203/2349-2902.isj20173678.

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Background: Appendix is a worm shaped blind tube of varying length (2-25) cm opening into the caecum 2cm below the ileocaecal valve in posteromedial valve. It is the only organ in the body that has no constant position. Incidence of acute appendicitis parallels that of lymphoid development with peak incidence in early adulthood. It is rare before the age of two. Before puberty the incidence of acute appendicitis is equal in both sexes. But after puberty there is a slight male preponderance. The objective of this study was to evaluate assessment of accuracy of the combined use of modified Alvar

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Premkumar, Daivasikamani. "KIMS modification of Alvarado’s score for acute appendicitis." International Surgery Journal 4, no. 8 (2017): 2756. http://dx.doi.org/10.18203/2349-2902.isj20173413.

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Background: Abdominal pain is one of the most frequent presentations to the emergency department (ED). Acute appendicitis is by no means an easy diagnosis to make and can baffle the best. Problems related to the diagnosis of appendicitis are evidenced by the significant negative laparotomy rate. A scoring system described by Alvarado was designed to reduce the negative appendicectomy rate without increasing morbidity and mortality. Alvarado’s score does not include ultrasonogram which is most commonly done investigation before any abdominal surgery.Methods: The study included the ultrasonograp

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