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/ http://journalarticle.ukm.my/774/ http://journalarticle.ukm.my/774/1/The_relationship_between_Alvarado.pdf

id	ukm-774
recordtype	eprints
spelling	ukm-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/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
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/ http://journalarticle.ukm.my/774/ http://journalarticle.ukm.my/774/1/The_relationship_between_Alvarado.pdf
first_indexed	2023-09-18T19:31:44Z
last_indexed	2023-09-18T19:31:44Z
_version_	1777405006836662272

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

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