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The relationship between Alvarado score and pain score in managing adult acute appendicitis in the Emergency Department

Acute appendicitis is one of the most common differential diagnoses for acute abdominal pain made by emergency doctors. Suspected cases require surgical referral for observation or definitive intervention to prevent complications. A high index of suspicion and good clinical skills with the aid of sc...

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Main Authors: Ahmad KI,, Shamsul AS,, Ismail MS,
Format: Article
Language:English
Published: Department of Surgery, UKM Medical Centre 2011
Online Access:http://journalarticle.ukm.my/774/1/The_relationship_between_Alvarado.pdf
http://journalarticle.ukm.my/774/
http://jsurgacad.com/
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spelling my-ukm.journal.7742016-12-14T06:28:08Z http://journalarticle.ukm.my/774/ The relationship between Alvarado score and pain score in managing adult acute appendicitis in the Emergency Department Ahmad KI, Shamsul AS, Ismail MS, Acute appendicitis is one of the most common differential diagnoses for acute abdominal pain made by emergency doctors. Suspected cases require surgical referral for observation or definitive intervention to prevent complications. A high index of suspicion and good clinical skills with the aid of scoring systems allows early decision making, which includes optimal pain control. The objective of this study was to identify the pain score and its relationship to the cut-off points of the Alvarado scoring system that justifies early surgical referral or discharge for suspected acute appendicitis from the emergency department. This was a cross sectional study of acute abdominal pain from June 2007 to September 2008. All patients who fulfilled the criteria and consented to the study were assessed for Alvarado score, verbal numerical pain score (VNRS) and their subsequent management. Patients with an Alvarado score of ≥7 were likely to have acute appendicitis (80.1% sensitivity and 52.63% specificity) and those with the score of ≤3 were unlikely to have acute appendicitis. The median pain score was 7.00 (IQR: 5.00-8.50) but 72.5% did not receive any analgesia. There was no direct relationship between pain score with Alvarado score. Oligoanalgesia in patients with acute appendicitis still exist in Emergency Department of UKMMC. Department of Surgery, UKM Medical Centre 2011-04-04 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/774/1/The_relationship_between_Alvarado.pdf Ahmad KI, and Shamsul AS, and Ismail MS, (2011) The relationship between Alvarado score and pain score in managing adult acute appendicitis in the Emergency Department. Journal of Surgical Academia, 1 (1). pp. 15-29. ISSN 2231-7481 http://jsurgacad.com/
institution Universiti Kebangsaan Malaysia
building Perpustakaan Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Acute appendicitis is one of the most common differential diagnoses for acute abdominal pain made by emergency doctors. Suspected cases require surgical referral for observation or definitive intervention to prevent complications. A high index of suspicion and good clinical skills with the aid of scoring systems allows early decision making, which includes optimal pain control. The objective of this study was to identify the pain score and its relationship to the cut-off points of the Alvarado scoring system that justifies early surgical referral or discharge for suspected acute appendicitis from the emergency department. This was a cross sectional study of acute abdominal pain from June 2007 to September 2008. All patients who fulfilled the criteria and consented to the study were assessed for Alvarado score, verbal numerical pain score (VNRS) and their subsequent management. Patients with an Alvarado score of ≥7 were likely to have acute appendicitis (80.1% sensitivity and 52.63% specificity) and those with the score of ≤3 were unlikely to have acute appendicitis. The median pain score was 7.00 (IQR: 5.00-8.50) but 72.5% did not receive any analgesia. There was no direct relationship between pain score with Alvarado score. Oligoanalgesia in patients with acute appendicitis still exist in Emergency Department of UKMMC.
format Article
author Ahmad KI,
Shamsul AS,
Ismail MS,
spellingShingle Ahmad KI,
Shamsul AS,
Ismail MS,
The relationship between Alvarado score and pain score in managing adult acute appendicitis in the Emergency Department
author_facet Ahmad KI,
Shamsul AS,
Ismail MS,
author_sort Ahmad KI,
title The relationship between Alvarado score and pain score in managing adult acute appendicitis in the Emergency Department
title_short The relationship between Alvarado score and pain score in managing adult acute appendicitis in the Emergency Department
title_full The relationship between Alvarado score and pain score in managing adult acute appendicitis in the Emergency Department
title_fullStr The relationship between Alvarado score and pain score in managing adult acute appendicitis in the Emergency Department
title_full_unstemmed The relationship between Alvarado score and pain score in managing adult acute appendicitis in the Emergency Department
title_sort relationship between alvarado score and pain score in managing adult acute appendicitis in the emergency department
publisher Department of Surgery, UKM Medical Centre
publishDate 2011
url http://journalarticle.ukm.my/774/1/The_relationship_between_Alvarado.pdf
http://journalarticle.ukm.my/774/
http://jsurgacad.com/
_version_ 1643734821220909056
score 13.211869

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