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ORIGINAL ARTICLE
Year : 2021  |  Volume : 5  |  Issue : 2  |  Page : 54-59

Correlation between Alvarado score and histopathology in appendicitis – A pilot study


1 Departments of Surgery, Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, Maharashtra, India
2 Departments of Pathology, Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, Maharashtra, India

Correspondence Address:
Vinod V Prabhu
Shreyas, Behind Central Warehouse, Miraj - 416 410, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcpc.ijcpc_7_21

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Introduction: Alvarado scoring system is an easy, clinical tool in the preoperative evaluation of acute appendicitis. Many a times, the diagnosis is made by the clinical examination along with ultrasonography and computed tomography scan. Alvarado score (AS) supposedly improves the diagnostic accuracy and consequently reduces negative exploration. Aims: The aim of this study was to explore the possibility of a correlation of preoperative Alvarado scoring with histological evidence. Materials and Methods: This pilot study was carried out to evaluate histopathological (HP) correlation with AS, in 100 patients admitted in the department of surgery of a rural medical college. HP grades were first constructed, and then, the score was compared so as examine the correlation if any. A Histopathology report (HPR) grade of 5 was taken as normal appendix. Results: In a sample size of 100, there were a maximum of 46 patients with AS score 5 and 6 and 44 patients with HP Grade 4. Using receiver operating characteristic curve, the cutoff for the score was 5 with a sensitivity of 58.24% and specificity of 33.33%. The negative appendicectomy rate was 9%. Conclusion: The AS score correlates poorly with the HP findings.


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