Alvarado Score — Εκτίμηση σκωληκοειδίτιδας
Κλινική βαθμολόγηση πιθανότητας οξείας σκωληκοειδίτιδας — σκορ Alvarado για απόφαση χειρουργείου
Acute appendicitis unlikely
0
Symptoms
Migration of pain
From epigastrium/periumbilical area to the right lower quadrant
Anorexia/acetone in the urine
Nausea/vomiting
Physical signs
Right lower quadrant tenderness
Rebound pain
Elevated temperature
Oral temperature ≥ 37.3 °C
Laboratory findings
Leukocytosis
White blood cell count > 10.000/μL
Neutrophils > 75 % in the differential blood count
Επιπλέον πληροφορίες
Προειδοποίηση
Αυτό το εργαλείο προορίζεται μόνο για εκπαιδευτικούς σκοπούς, δεν αντιπροσωπεύει και δεν αντικαθιστά επαγγελματικές συμβουλές. Αυτό το εργαλείο δεν πρέπει να χρησιμοποιείται για την παροχή ιατρικών διαγνώσεων ή/και ιατρικών θεραπειών.
General description
Acute appendicitis, one of the most common causes of acute abdominal pain, is often a perplexing diagnostic problem during the early stages of the disease. The Alvarado score is a clinical scoring system used to stratify patients based on the probability of acute appendicitis.
Alvarado score consists of 6 clinical items (migration of pain, anorexia/acetone in the urine, nausea/vomiting, right lower quadrant tenderness, rebound pain, elevated temperature) and 2 laboratory measurements (leukocytosis, neutrophils > 75 % in the differential blood count). The resulting score stratifies patients into 4 risk groups.
The Alvarado score has been externally validated and is recommended by the 2020 update of the World Society of Emergency Surgery (WSES) guidelines on diagnosis and treatment of acute appendicitis. The WSES guidelines recommend the use of clinical scores (such as Alvarado) to exclude acute appendicitis and to identify intermediate-risk patients in need of imaging diagnostics. However, they suggest against using the Alvarado score to positively confirm the clinical suspicion of acute appendicitis in adults.
Acute appendicitis, one of the most common causes of acute abdominal pain, is often a perplexing diagnostic problem during the early stages of the disease. The Alvarado score is a clinical scoring system used to stratify patients based on the probability of acute appendicitis.
Alvarado score consists of 6 clinical items (migration of pain, anorexia/acetone in the urine, nausea/vomiting, right lower quadrant tenderness, rebound pain, elevated temperature) and 2 laboratory measurements (leukocytosis, neutrophils > 75 % in the differential blood count). The resulting score stratifies patients into 4 risk groups.
The Alvarado score has been externally validated and is recommended by the 2020 update of the World Society of Emergency Surgery (WSES) guidelines on diagnosis and treatment of acute appendicitis. The WSES guidelines recommend the use of clinical scores (such as Alvarado) to exclude acute appendicitis and to identify intermediate-risk patients in need of imaging diagnostics. However, they suggest against using the Alvarado score to positively confirm the clinical suspicion of acute appendicitis in adults.
Result ranges
Acute appendicitis unlikely
0–4Acute appendicitis possible
5–6Acute appendicitis probable
7–8Acute appendicitis very probable
9–10Formula
Tenderness in the right lower quadrant and leukocytosis are assigned with 2 points, remaining elements are assigned with 1 point.
References
Alvarado, A. “A practical score for the early diagnosis of acute appendicitis.” Annals of emergency medicine vol. 15,5 (1986): 557-64. doi:10.1016/s0196-0644(86)80993-3.
Έκδοση
1
Σχετικά με αυτό το εργαλείο
Acute appendicitis, one of the most common causes of acute abdominal pain, is often a perplexing diagnostic problem during the early stages of the disease. The Alvarado score is a clinical scoring system used to stratify patients based on the probability of acute appendicitis.
Alvarado score consists of 6 clinical items (migration of pain, anorexia/acetone in the urine, nausea/vomiting, right lower quadrant tenderness, rebound pain, elevated temperature) and 2 laboratory measurements (leukocytosis, neutrophils > 75 % in the differential blood count). The resulting score stratifies patients into 4 risk groups.
The Alvarado score has been externally validated and is recommended by the 2020 update of the World Society of Emergency Surgery (WSES) guidelines on diagnosis and treatment of acute appendicitis. The WSES guidelines recommend the use of clinical scores (such as Alvarado) to exclude acute appendicitis and to identify intermediate-risk patients in need of imaging diagnostics. However, they suggest against using the Alvarado score to positively confirm the clinical suspicion of acute appendicitis in adults.
Alvarado score consists of 6 clinical items (migration of pain, anorexia/acetone in the urine, nausea/vomiting, right lower quadrant tenderness, rebound pain, elevated temperature) and 2 laboratory measurements (leukocytosis, neutrophils > 75 % in the differential blood count). The resulting score stratifies patients into 4 risk groups.
The Alvarado score has been externally validated and is recommended by the 2020 update of the World Society of Emergency Surgery (WSES) guidelines on diagnosis and treatment of acute appendicitis. The WSES guidelines recommend the use of clinical scores (such as Alvarado) to exclude acute appendicitis and to identify intermediate-risk patients in need of imaging diagnostics. However, they suggest against using the Alvarado score to positively confirm the clinical suspicion of acute appendicitis in adults.
