Outcomes of Treatment for Appendicitis by using Alvarado Score in Khon Kaen Hospital, Thailand.
Keywords:
Outcomes, Alvarado scoreAbstract
Objective : To compare beneft of using Alvarado score in Khon Kaen Hospital.
Methods : Retrospective cohort study was conducted. The samples were appendicitis patients older than 14 years old who admitted in Khon Kaen Hospital between September to October 2017. The patients were divided to 2 groups as using and not using the Alvarado score.
Results : There were 116 appendicitis patients. There were 62 male (53.5%). There were 37.9% walk in Khon Kaen Hospital and 72 (62.1%) patients had referred from another hospitals. Thirty - one patients had underlying disease (26.7%). Median time from onset of abdominal pain to arrive hospital was 17 (2-84) hours. There were 82 (70.7%) patients did not evaluate with Alvarado scoring system and there were 34 (29.3%) patients were evaluated with Alvarado scoring by emergency Practitioners before surgical consultation. The median score of the Alvarado at the time of consultation was 6 (range 3 - 9). There was diverticulitis misdiagnosis as acute appendicitis in patient without score evaluation. No misdiagnosis in Alvarado scoring group. Timing from triage to operation was 8.10 hours (range 1 - 86.3) in patients without Alvarado score while it was 7.7 (1.3-22.1) hour in patients with Alvarado score. overall length of stay of appendicitis is approximately 3 days. However there were no statistic difference between two group.
Conclusion: Alvarado score can be used to identify patients with high probability of appendicitis, these can decreased time from triage to operation and length of stay no statistically difference.
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การละเมิดลิขสิทธิ์ถือเป็นความรับผิดชอบของผู้ส่งบทความโดยตรง
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