appendicitis inflammatory response scoring
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This document presents data on 107 patients evaluated for acute appendicitis. It compares the Alvarado score and Air score clinical prediction rules. The Alvarado score achieved a sensitivity of 84.62% and specificity of 71.43%, while the Air score achieved a sensitivity of 77% and specificity of 97.78%. Both scores can help determine which patients can be discharged, need further evaluation, or would benefit most from direct surgery.
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appendicitis inflammatory response scoring
- 6. 107
- 7. 0 5 10 15 20 25 30 35 11-20y 21-30y 31-40y 41-50y >50y 35 31 21 5 7 AGE DISTRIBUTION PERCENTAGE
- 9. 70.33 54.2 50.93 13.9 0 20 40 60 80 100 120 PAIN IN RLQ NAUSEA VOMITING ANOREXIA MIG OF PAIN PERCENTAGE
- 11. 31 42 21 6 MILD MODERATE SEVERE ABSENT 0 5 10 15 20 25 30 35 40 45 PERCENT
- 12. 38 29 33 0 5 10 15 20 25 30 35 40 <10,000 10-14.900 >=15000 0 5 10 15 20 25 30 35 40 45 <70% 70-84% >=85% 23 44 33
- 13. 3 21 46 30 0 5 10 15 20 25 30 35 40 45 50 NOT DONE <10 10--49 >=50
- 14. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% ALVARADO AIR 15 18 71 45 21 44 Normal Intermediate Suggestive of appendicitis
- 16. 21 100 84 71 44 100 88 86 0 20 40 60 80 100 120 SENSITIVITY SPECIFICITY SENSITIVITY SPECIFICITY ALVARADO1 AIR 1 alvarado 2 air 2
- 17. 84.62 71.43 77 97.78 23.81 88 85.71 87 98.88 33.33 0 20 40 60 80 100 120 SENSITIVITY SPECIFICITY AUC PPV NPV ALVARADO2 AIR 2
- 18. 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 Normal Appendix Ac.+ Chr. Appen. Suppurative + Perforative Appen. 4.27 5.87 6.36 ALVARADOScore Mean ALVARADO SCORES in three groups
- 19. 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 10.00 Normal Appendix Ac.+ Chr. Appen. Suppurative + Perforative Appen. 4.80 8.64 9.23 AIRSCORE Mean AIR SCORES in three groups
- 21. 10098.91 95.65 85.87 71.74 33.7 11.96 1.090 10010010097.83 92.39 78.26 58.7 36.96 14.13 00 10 20 30 40 50 60 70 80 90 100 110 -10 0 10 20 30 40 50 60 70 80 90 100 SENSITIVITY 100-SPECIFICITY ALVARADO AIR Reference line
- 31. can be discharged directly scheduled for surgery benefit most