Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 1998 Jan;85(1):37-40.
doi: 10.1046/j.1365-2168.1998.00543.x.

Evaluation of ultrasonography and clinical diagnostic scoring in suspected appendicitis

M Galindo Gallego  1 , B Fadrique, M A Nieto, S Calleja, M J Fernández-Aceñero, G Ais, J González, J J Manzanares
Affiliations

Evaluation of ultrasonography and clinical diagnostic scoring in suspected appendicitis

M Galindo Gallego et al. Br J Surg. 1998 Jan.

Abstract

Background: Several diagnostic aids have been developed to improve diagnosis in suspected appendicitis including ultrasonography and clinical diagnostic scoring. The aim of this study was to elaborate a new scoring system and to measure its accuracy in the preoperative diagnosis of appendicitis, comparing it with the available scoring systems.

Methods: The clinical, radiological and ultrasonographic data of 192 patients with suspected appendicitis were collected prospectively.

Results: Only six of the 12 variables analysed were shown to have prognostic significance. Using Bayesian methodology, a weight was given to each criterion and two overall scores were calculated (ultrasonographic and classical scores). A cut-off point was identified to separate patients who needed surgery and those for observation. The ultrasonographic score showed an 81 per cent sensitivity and a 96 per cent specificity, compared with 60 and 73 per cent respectively for the classical score.

Conclusion: Ultrasonography increases the diagnostic accuracy in patients with suspected acute appendicitis.

PubMed Disclaimer