Diagnostic validity of the Alvarado scale in patients with appendicitis, sugestive of abdominal pain, in a third level hospital of southern Bogota

Diagnostic validity of the Alvarado scale in patients with appendicitis, sugestive of abdominal pain, in a third level hospital of southern Bogota

Acute abdominal pain is one of the symptoms which a patient attends the emergency room of any hospital worldwide, representing a 5 to 10% of those consultations; this represents for the emergency doctor and specialists interconsulted a challenge, because it contains several conditions that may or may not be surgical and not be diagnosed properly and promptly can be fatal, within these, is appendicitis, pathological and surgical condition which most often is faced the surgeon general. The patient may present with signs and varied symptoms ranging from a clear picture of appendicitis, or have no signs or symptoms suggestive as this pathology diagnosis; so scales have been developed to facilitate or provide help to the doctor for a correct diagnosis and subsequent treatment; Alvarado makes the scale of these diagnostic aids, being a non-invasive, fast and reliable economical method. Was evaluated by means of this project the validity of the scale in the USS Tunal IIII level to be one of the largest and busiest hospitals in Bogota, for this sample of 161 patients was taken Hospital and rated each parameter in addition to comparing the scores given by the same scale and histopathological diagnosis. The results show that the scale is sensitive but not specific for the diagnosis of appendicitis.

Saved in:
Bibliographic Details
Main Authors: Peralta R, Karen Viviana, Caballero R, Carlos Andrés, Mora V, Mónica del Pilar
Format: Digital revista
Language:spa
Published: Universidad de Ciencias Aplicadas y Ambientales U.D.C.A 2017
Online Access:https://revistas.udca.edu.co/index.php/ruadc/article/view/408
Tags: Add Tag
No Tags, Be the first to tag this record!
id rev-ruadc-co-article-408
record_format ojs
institution UDCA CO
collection OJS
country Colombia
countrycode CO
component Revista
access En linea
databasecode rev-ruadc-co
tag revista
region America del Sur
libraryname Biblioteca de la UDCA de Colombia
language spa
format Digital
author Peralta R, Karen Viviana
Caballero R, Carlos Andrés
Mora V, Mónica del Pilar
spellingShingle Peralta R, Karen Viviana
Caballero R, Carlos Andrés
Mora V, Mónica del Pilar
Diagnostic validity of the Alvarado scale in patients with appendicitis, sugestive of abdominal pain, in a third level hospital of southern Bogota
author_facet Peralta R, Karen Viviana
Caballero R, Carlos Andrés
Mora V, Mónica del Pilar
author_sort Peralta R, Karen Viviana
title Diagnostic validity of the Alvarado scale in patients with appendicitis, sugestive of abdominal pain, in a third level hospital of southern Bogota
title_short Diagnostic validity of the Alvarado scale in patients with appendicitis, sugestive of abdominal pain, in a third level hospital of southern Bogota
title_full Diagnostic validity of the Alvarado scale in patients with appendicitis, sugestive of abdominal pain, in a third level hospital of southern Bogota
title_fullStr Diagnostic validity of the Alvarado scale in patients with appendicitis, sugestive of abdominal pain, in a third level hospital of southern Bogota
title_full_unstemmed Diagnostic validity of the Alvarado scale in patients with appendicitis, sugestive of abdominal pain, in a third level hospital of southern Bogota
title_sort diagnostic validity of the alvarado scale in patients with appendicitis, sugestive of abdominal pain, in a third level hospital of southern bogota
description Acute abdominal pain is one of the symptoms which a patient attends the emergency room of any hospital worldwide, representing a 5 to 10% of those consultations; this represents for the emergency doctor and specialists interconsulted a challenge, because it contains several conditions that may or may not be surgical and not be diagnosed properly and promptly can be fatal, within these, is appendicitis, pathological and surgical condition which most often is faced the surgeon general. The patient may present with signs and varied symptoms ranging from a clear picture of appendicitis, or have no signs or symptoms suggestive as this pathology diagnosis; so scales have been developed to facilitate or provide help to the doctor for a correct diagnosis and subsequent treatment; Alvarado makes the scale of these diagnostic aids, being a non-invasive, fast and reliable economical method. Was evaluated by means of this project the validity of the scale in the USS Tunal IIII level to be one of the largest and busiest hospitals in Bogota, for this sample of 161 patients was taken Hospital and rated each parameter in addition to comparing the scores given by the same scale and histopathological diagnosis. The results show that the scale is sensitive but not specific for the diagnosis of appendicitis.
publisher Universidad de Ciencias Aplicadas y Ambientales U.D.C.A
publishDate 2017
url https://revistas.udca.edu.co/index.php/ruadc/article/view/408
work_keys_str_mv AT peraltarkarenviviana diagnosticvalidityofthealvaradoscaleinpatientswithappendicitissugestiveofabdominalpaininathirdlevelhospitalofsouthernbogota
AT caballerorcarlosandres diagnosticvalidityofthealvaradoscaleinpatientswithappendicitissugestiveofabdominalpaininathirdlevelhospitalofsouthernbogota
AT moravmonicadelpilar diagnosticvalidityofthealvaradoscaleinpatientswithappendicitissugestiveofabdominalpaininathirdlevelhospitalofsouthernbogota
AT peraltarkarenviviana validezdiagnosticadelaescaladealvaradoenpacientescondolorabdominalsugestivodeapendicitisenunhospitaldetercerniveldelsurdebogota
AT caballerorcarlosandres validezdiagnosticadelaescaladealvaradoenpacientescondolorabdominalsugestivodeapendicitisenunhospitaldetercerniveldelsurdebogota
AT moravmonicadelpilar validezdiagnosticadelaescaladealvaradoenpacientescondolorabdominalsugestivodeapendicitisenunhospitaldetercerniveldelsurdebogota
_version_ 1763178439708246016
spelling rev-ruadc-co-article-4082020-04-02T12:40:11Z Diagnostic validity of the Alvarado scale in patients with appendicitis, sugestive of abdominal pain, in a third level hospital of southern Bogota Validez diagnóstica de la escala de Alvarado en pacientes con dolor abdominal sugestivo de apendicitis, en un hospital de tercer nivel, del sur de Bogotá Peralta R, Karen Viviana Caballero R, Carlos Andrés Mora V, Mónica del Pilar Apendicitis escala de Alvarado diagnóstico falsos positivos Appendicitis Alvarado scale diagnosis false positives Acute abdominal pain is one of the symptoms which a patient attends the emergency room of any hospital worldwide, representing a 5 to 10% of those consultations; this represents for the emergency doctor and specialists interconsulted a challenge, because it contains several conditions that may or may not be surgical and not be diagnosed properly and promptly can be fatal, within these, is appendicitis, pathological and surgical condition which most often is faced the surgeon general. The patient may present with signs and varied symptoms ranging from a clear picture of appendicitis, or have no signs or symptoms suggestive as this pathology diagnosis; so scales have been developed to facilitate or provide help to the doctor for a correct diagnosis and subsequent treatment; Alvarado makes the scale of these diagnostic aids, being a non-invasive, fast and reliable economical method. Was evaluated by means of this project the validity of the scale in the USS Tunal IIII level to be one of the largest and busiest hospitals in Bogota, for this sample of 161 patients was taken Hospital and rated each parameter in addition to comparing the scores given by the same scale and histopathological diagnosis. The results show that the scale is sensitive but not specific for the diagnosis of appendicitis. El dolor abdominal agudo es uno de los síntomas por los que un paciente asiste al servicio de urgencias de cualquier hospital, a nivel mundial, representando entre un 5 y 10% del total de consultas, constituyéndose para el médico de urgencias y especialistas interconsultados, un reto, dado que encierra varias patologías, que pueden ser o no quirúrgicas y que de no ser diagnosticadas, correcta y oportunamente, se pueden convertir en fatales, como la apendicitis, la condición patológica y quirúrgica, la que, frecuentemente, se ve enfrentado el cirujano general. El paciente, se puede presentar con signos y síntomas muy variados, que van desde un cuadro claro de apendicitis o no tener signos ni síntomas que sugieran, como diagnóstico, esta patología, por lo cual, se han desarrollado escalas que faciliten o aporten ayuda al mé- dico para un correcto diagnóstico y posterior tratamiento. La escala de Alvarado hace parte de estas ayudas diagnósticas, siendo un método económico, no invasivo, rápido y confiable. Se evaluó por medio de este proyecto, la validez de la escala en la USS Tunal de IIII nivel, al ser uno de los hospitales más grandes y concurridos de Bogotá; para ello, se tomó una muestra de 161 pacientes y valorando cada parámetro de la escala, además, de comparar el puntaje dado por la misma y el diagnóstico histopatológico. Los resultados permiten concluir que la escala es sensible, pero no específica para el diagnóstico de apendicitis. Universidad de Ciencias Aplicadas y Ambientales U.D.C.A 2017-06-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.udca.edu.co/index.php/ruadc/article/view/408 10.31910/rudca.v20.n1.2017.408 Revista U.D.C.A Actualidad & Divulgación Científica; Vol. 20 No. 1 (2017): Revista U.D.C.A Actualidad & Divulgación Científica. January - June; 5-11 Revista U.D.C.A Actualidad & Divulgación Científica; Vol. 20 Núm. 1 (2017): Revista U.D.C.A Actualidad & Divulgación Científica. Enero - Junio; 5-11 Revista U.D.C.A Actualidad & Divulgación Científica; v. 20 n. 1 (2017): Revista U.D.C.A Actualidad & Divulgación Científica. Enero - Junio; 5-11 2619-2551 0123-4226 10.31910/rudca.v20.n1.2017 spa https://revistas.udca.edu.co/index.php/ruadc/article/view/408/350 https://revistas.udca.edu.co/index.php/ruadc/article/view/408/1358 /*ref*/ALARCÓN, N. 2012. Asociación entre escala de Alvarado y diagnóstico de apendicitis aguda complicada y no complicada según anatomía patológica en el Centro Médico Naval. Rev. Horizonte Médico. 12(2):14-20. /*ref*/ANDERSSON, M.; ANDERSSON, R. 2008. The apendicitis inflammatory response score: A tool for the diagnosis of acute apendicitis that out performs the Alvarado score. World J. Surg. 32:1843-1849. /*ref*/BEJARANO, M.; GALLEGO, C.; GÓMEZ, J. 2011. Frecuencia de abdomen agudo quirúrgico en pacientes que consultan al servicio de urgencias. Rev. Col. Cir. 26(1):33-41. /*ref*/CAYCEDO, R. 2013. Abdomen agudo. En: Caycedo, R. (ed). Médica Celsus, Cirugía general, 3rd ed. Colombia: Celsus. Bogotá, Colombia. 303p. /*ref*/CEDILLO, E.; SANTANA, I.; GONZÁLEZ, R.; ONOFRE, J.; GARTZ-TONDORF, G. 2012. Sensibilidad y especificidad de la escala de Alvarado en el diagnóstico de apendicitis aguda comparada con TAC o ultrasonido en las primeras 24 horas de evolución. Rev. Cirujano General. 34(2):107-110. /*ref*/DANE. 2005. Proyecciones de población total por años y sexo, según departamentos periodo 2005-2020. Cuadro 7: 50. Bogotá, Colombia. /*ref*/DE QUESADA, L.; IVAL, M.; GONZÁLEZ, M. 2015. La escala de Alvarado como recurso clínico para el diagnóstico de la apendicitis aguda. Rev. Cubana de Cirugía.54:2. /*ref*/HERNÁNDEZ, L.; DOMÍNGUEZ, D. 2012. Sensibilidad y especificidad de la escala de Alvarado en apendicitis aguda en el Hospital Regional de alta especialidad de Veracruz. Rev. Cirujano General. 34(3):179-184. /*ref*/KHAN, I.; UR REHMAN, A. 2005. Application of Alvarado scoring system in diagnosis of acute appendicitis. J. Ayub. Med. Coll. Abbottabad. 17(3):41-44. /*ref*/MINISTERIO DE SALUD. 1993. Resolución 8430 de 1993. Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Artículo. 11, sección a. Bogotá, Colombia. /*ref*/OHLE, R.; O'REILLY, F.; O'BRIEN, K.; FAHEY, T.; DIMITROV, B. 2011. The Alvarado score for predicting acute appendicitis: A systematic review. BMC Medicine. 9(139):1-13. /*ref*/OSPINA, J.; BARRERA, L.; MANRIQUE, F. 2011. Utilidad de una escala diagnóstica en casos de apendicitis aguda. Rev. Col. Cir. 26:234-241. /*ref*/PAULSON, E.; KALADY, M.; PAPPAS, T. Suspected appendicitis. 2003. N. Engl. J. Med. 348(3):236-242. /*ref*/RICCI, L.; FERREYRA, C.; CÓRDOBA, M.; RIOS, A.; STATTI, M. 2015. Apendicitis aguda según los criterios de Alvarado. Rev. Argent Cirug. 107(2):57-62. /*ref*/ROSSINI, S.; HABERMAN, D.; GONZALEZ, R. 2009. Utilidad de la tomografía computada en pacientes con dolor en fosa iliaca derecha: Apendicitis aguda y su diagnóstico diferencial. Rev. Argent. Radiol. 73(1):51-63. /*ref*/SANABRIA, A.; MORA, M.; DOMÍNGUEZ, L.; VEGA, V.; OSORIO, C. 2010. Validación de la escala diagnóstica de Alvarado en pacientes con dolor abdominal sugestivo de apendicitis en un centro de segundo nivel de complejidad. Rev. Col. Cir. 25(3):195-201. /*ref*/SANEI, B.; MAHMOODIEH, M.; HOSSEINPOUR, M. 2009. Evaluation of validity of Alvarado scoring system for diagnosis of acute appendicitis. Pak. J. Med. Sci. 25(2):298-301. /*ref*/SINGH, K.; GUPTA, S.; PARGAL, P. 2008. Application of Alvarado scoring system in diagnosis of acute appendicitis. Jk Science. 10(2):84-86. /*ref*/VEGA, C.; MUÑOZ, N.; CHIQUIZA, L.; BARRETO, S. 2013. Consenso cirujanos; COVE e infectología. Guía de práctica clínica de apendicitis aguda, USS Tunal. Bogotá, Colombia. /*ref*/VELÁZQUEZ, J.; GODÍNEZ, C.; VÁZQUEZ, M. 2010. Evaluación prospectiva de la escala de Alvarado en el diagnóstico de apendicitis aguda. Rev. Cirujano General. 32(1):17-23.

Similar Items