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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.2
- 수록면
- 100 - 105 (6page)
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Purpose: This study aims to assess the diagnostic efficacy of the Alvarado score and to determine cut-off values of Alvarado score according to age for deciding on the options for patients with suspected appendicitis.
Methods: From October 2008 to January 2009, we prospectively reviewed 152 patients with suspected appendicitis. The patients were classified into adults and children groups. We then determined cut-off values of the Alvarado score by analyzing each score’s sensitivity and specificity.
Results: Of the 147 patients, 96 patients were adults and 51 were children. The mean Alvarado score for adults and children were 6.08±1.85, and 6.69±1.43 in appendicitis and 4.32±2.02, and 4.60±1.81 in non-appendicitis, respectively. In adults, the sensitivity of the Alvarado scores 7 or higher for appendicitis was 66.2%, and the specificity was 67.7%. And the sensitivity of the Alvarado scores 4 or lower for non-appendicitis was 58.1%, and the specificity was 81.5%. In children, the sensitivity of the Alvarado scores 7 or higher for appendicitis was 80.8%, and the specificity was 68.0%. And the sensitivity of the Alvarado scores 4 or lower for non-appendicitis was 52.0%, and the specificity was 92.3%.
Conclusion: The cut-off values for Alvarado score were not different according to age of the patient. If the Alvarado score is 7 or higher, surgical management is recommended, and if the Alvarado score is 4 or lower, observation without CT or US is recommended. In equivocal appendicitis as defined by the Alvarado scores 5 to 6, adjunctive CT or US are recommended to confirm appendicitis.
Methods: From October 2008 to January 2009, we prospectively reviewed 152 patients with suspected appendicitis. The patients were classified into adults and children groups. We then determined cut-off values of the Alvarado score by analyzing each score’s sensitivity and specificity.
Results: Of the 147 patients, 96 patients were adults and 51 were children. The mean Alvarado score for adults and children were 6.08±1.85, and 6.69±1.43 in appendicitis and 4.32±2.02, and 4.60±1.81 in non-appendicitis, respectively. In adults, the sensitivity of the Alvarado scores 7 or higher for appendicitis was 66.2%, and the specificity was 67.7%. And the sensitivity of the Alvarado scores 4 or lower for non-appendicitis was 58.1%, and the specificity was 81.5%. In children, the sensitivity of the Alvarado scores 7 or higher for appendicitis was 80.8%, and the specificity was 68.0%. And the sensitivity of the Alvarado scores 4 or lower for non-appendicitis was 52.0%, and the specificity was 92.3%.
Conclusion: The cut-off values for Alvarado score were not different according to age of the patient. If the Alvarado score is 7 or higher, surgical management is recommended, and if the Alvarado score is 4 or lower, observation without CT or US is recommended. In equivocal appendicitis as defined by the Alvarado scores 5 to 6, adjunctive CT or US are recommended to confirm appendicitis.
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REFERENCES
참고문헌 (25)
참고문헌 신청
1. [학술지(정기간행물)] - 장성욱 / 2008 / 급성 충수염이 의심되는 환자에서 Alvarado Score의 활용 / 대한소화기학회지 52 (1) : 27 ~ 31
2. [학술지(정기간행물)] - 이성민 / 2008 / 급성충수염 진단에서 CT와 비교한 Alvarado Score의 효용 분석 / Journal of the Korean Society of Coloproctolgy 24 (1) : 1 ~ 6
3. [학술지(정기간행물)] - Andersson M / 2008 / The appendicitis inflammatory response score: a tool for the diagnosis of acute appendicitis that outperforms the Alvarado score / World J Surg 32 : 1843 ~ 1849
4. [학술지(정기간행물)] - Sun JS / 2008 / Receiver operating characteristic analysis of the diagnostic performance of a computed tomographic examination and the Alvarado score for diagnosing acute appendicitis: emphasis on age and sex of the patients / J Comput Assist Tomogr 32 : 386 ~ 391
5. [학술지(정기간행물)] - Petrosyan M / 2008 / CT scan in patients with suspected appendicitis: clinical implications for the acute care surgeon / Eur Surg Res 40 : 211 ~ 219
2. [학술지(정기간행물)] - 이성민 / 2008 / 급성충수염 진단에서 CT와 비교한 Alvarado Score의 효용 분석 / Journal of the Korean Society of Coloproctolgy 24 (1) : 1 ~ 6
3. [학술지(정기간행물)] - Andersson M / 2008 / The appendicitis inflammatory response score: a tool for the diagnosis of acute appendicitis that outperforms the Alvarado score / World J Surg 32 : 1843 ~ 1849
4. [학술지(정기간행물)] - Sun JS / 2008 / Receiver operating characteristic analysis of the diagnostic performance of a computed tomographic examination and the Alvarado score for diagnosing acute appendicitis: emphasis on age and sex of the patients / J Comput Assist Tomogr 32 : 386 ~ 391
5. [학술지(정기간행물)] - Petrosyan M / 2008 / CT scan in patients with suspected appendicitis: clinical implications for the acute care surgeon / Eur Surg Res 40 : 211 ~ 219
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UCI(KEPA) : I410-ECN-0101-2013-514-002679985