Mahato I P, Karn N K, Lewis O D, Agrawal C S, Bhandari R
Department of Family Medicine, BP Koirala Institute of Health Sciences, Dharan, Nepal.
Trop Doct. 2011 Jan;41(1):11-4. doi: 10.1258/td.2010.090509. Epub 2010 Sep 29.
Acute appendicitis is among the commonest surgical diseases faced by an emergency clinician. A prompt diagnosis is mandatory to reduce morbidity and mortality, which may be difficult for junior doctors who first see the patient in the emergency department. This study was conducted to assess the efficacy of Alvarado score as a tool to improve the accuracy of diagnosis of appendicitis. We did a prospective pre- and post-test study in 381 patients with right iliac fossa pain in the emergency department of BP Koirala Institute of Health Sciences. Alvarado scoring was used for the post-test study. We found that the Alvarado scoring system is an effective diagnostic method, which decreases overdiagnosis of appendicitis in the emergency department, and at the same time reduces the risk of missing acute appendicitis cases. It is inexpensive and easy to implement by junior doctors with good results.
急性阑尾炎是急诊医生最常面对的外科疾病之一。迅速做出诊断对于降低发病率和死亡率至关重要，而这对于在急诊科首次接诊患者的初级医生来说可能具有挑战性。本研究旨在评估阿尔瓦拉多评分作为提高阑尾炎诊断准确性工具的有效性。我们在BP柯伊拉腊健康科学研究所急诊科对381例右下腹疼痛患者进行了一项前瞻性前后测研究。后测研究采用阿尔瓦拉多评分。我们发现，阿尔瓦拉多评分系统是一种有效的诊断方法，它减少了急诊科对阑尾炎的过度诊断，同时降低了漏诊急性阑尾炎病例的风险。该方法成本低廉，初级医生易于实施，且效果良好。
