Details

Autor(en) / Beteiligte

• Zouari, Mohamed, MD
• Jallouli, Mohamed, MD
• Louati, Hamdi, MD
• Kchaou, Rim, MD
• Chtourou, Rahma, MD
• Kotti, Ahmed, MD
• Dhaou, Mahdi Ben, MD
• Zitouni, Hayet, MD
• Mhiri, Riadh, MD

Titel

Predictive value of C-reactive protein, ultrasound and Alvarado score in acute appendicitis: a prospective pediatric cohort

Ist Teil von

• The American journal of emergency medicine, 2016-02, Vol.34 (2), p.189-192

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2016

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Purpose To evaluate whether C-reactive protein (CRP) level and ultrasound (US) results on admission could aid the diagnostic accuracy of Alvarado score. Methods A prospective study was performed on children < 14 years admitted for suspected acute appendicitis. Patients were categorized into three groups based on the Alvarado score: group I: score 7-10, group II: score 5-6, group III: score 0-4. Results The difference between predictive values of Alvarado score alone and Alvarado score with CRP was not statically significant. The PPV increased from 74.29% (Alvarado score and CRP) to 93.75% (Alvarado score and US) in group 1 ( P = .001) and the NPV increased from 64.86 and 79.69% (Alvarado score and CRP) to 82.6 and 88.2% (Alvarado score and US) in group 2 ( P = .01) and group 3 ( P = .001), respectively. Conclusions Alvarado score and ultrasound taken together improve the predictive value of diagnosing acute appendicitis in children.