Diagnostic scales in acute appendicitis in adults
Keywords:
appendicitis, diagnostic scales, Alvarado scaleAbstract
Introduction: acute appendicitis represents a diagnostic challenge for doctors who perform a first evaluation due to the different clinical presentations. The use of scales as support to diagnose acute appendicitis helps health personnel make the correct decision about their behavior and treatment. Objective: to evaluate the application of the diagnostic scale in surgical intervention for acute appendicitis in adults. Method: structured search strategies were used for the MEDLINE (via PubMed), EMBASE, Google Scholar and Cochrane databases, for studies published on the use of the most common diagnostic scales (Alvarado scale, RIPASA). Results: the three best-known diagnostic scales are described: Alvarado's, inflammatory response of appendicitis (AIR) and the most recent: RIPASA. Final considerations: the application of the diagnostic scales minimizes the time between the beginning of care and the diagnosis, so that at the time of the surgical intervention, the inflammatory process is in early stages, diagnostic aids are used rationally and Avoid performing non-therapeutic appendectomies as much as possible.
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2. Arroyo-Rangel C, Limón IO, Vera ÁG, Guardiola PM, Sánchez-Valdivieso EA. Sensibilidad, especificidad y fiabilidad de la escala RIPASA en el diagnóstico de apendicitis aguda en relación con la escala de Alvarado. Cir Esp. 2018 mar.; 96(3):149-54.
3. Hernandez-Orduña J. Escala de mayor precisión para el diagnóstico de apendicitis aguda: análisis comparativo entre escala de Alvarado, RIPASA y nueva propuesta. Cir Gen [Internet]. 2019 jul-sep. [citado 25 Oct 2023]; 41(3). Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1405-00992019000300144
4. Bolívar-Rodríguez MA, Osuna-Wong BA, Calderón-Alvarado AB, Matus-Rojas J, Dehesa-López E, Peraza-Garay FJ. Comparative analysis of diagnostic scales of acute appendicitis: Alvarado, RIPASA and AIR. Cir Cir Engl Ed. 2019 Jun; 86(2):2261.
5. González Rebollar CR, Álvarez JG, Téllez RT. Apendicitis aguda: Revisión de la literatura.
6. Morales. Rev Hosp Juan Mex [Internet]. 2009 [citado 25 Oct 2023]; 76(4):210-216. Disponible en: https://www.medigraphic.com/pdfs/juarez/ju-2009/ju094g.pdf
7. Dahdaleh FS, Heidt D, Turaga KK. El apéndice. En: Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Kao LS, Hunter JG, et al. Schwartz Principios de Cirugía. 11a ed [Internet]. New York: McGraw-Hill Education; 2020.
8. Vargas-Cano EE, González-Maldonado WY, Rodríguez-Trejo N. Apendicitis Aguda. 2022;10(20).
9. Hernández-Cortez J, León-Rendón JLD, Martínez-Luna MS, Guzmán-Ortiz JD, Palomeque-López A, Cruz-López N, et al. Apendicitis aguda: revisión de la literatura. Cir Gen [Internet]. 2019 [citado 25 Oct Oct 2023]; 41(1):33-38. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=86166
10. Zambrano JNF, Ramos DIS, Merino RPL, Vélez LSI. Utilidad de la escala de Alvarado en el diagnóstico precoz de apendicitis. Univ Cienc Tecnol. 2019 Oct; 1(1):7-7.
11. Quesada Suárez L de; Pelayo I, González Meriño M. La escala de Alvarado como recurso clínico para el diagnóstico de la apendicitis aguda. Rev Cubana Cir [Internet]. 2015 abr-jun. [citado 25 Oct 2023]; 54(2):121-128. Disponible en: https://www.redalyc.org/pdf/2812/281241374281.pdf
12. Castro HFÁ, Aguagallo FV, Moran LDR. Escala de Alvarado como método de diagnóstico en apendicitis aguda. RECIMUNDO. 2018 Mayo; 2(2):496-524.
13. Díaz Castro IF, Jonathan Alberto CO, Erazo Haro SM, Moreno Castro FI. Escala de Alvarado en apendicitis aguda. RECIMUNDO [Internet]. 2020 [citado 25 Oct 2023]; 4(4):123-133. DOI: https://doi.org/10.26820/recimundo/4.(4).octubre.2020.123-133
14. Elshakhs S, Abdelsamie M, Fareed A, Abuomar M. Reliability of the adult appendicitis score in diagnosing acute appendicitis. Menoufia Med J. 2019; 32(2):544.
15. Podda M, Pisanu A, Sartelli M, Coccolini F, Damaskos D, Augustin G, et al. Diagnosis of acute appendicitis based on clinical scores: is it a myth or reality? Acta Biomed. 2021; 92(4):e2021231
