AI Summary & Key Takeaways
AI InsightSMART-LAB score of >9 was present in significantly higher number of patients in complicated (perforated and gangrenous) appendicitis than uncomplicated appendicitis (p value 9 (with a sensitivity= 80.7%, specificity= 92.9%, PPV= 85.7%, NPV= 90.1%, and accuracy= 88.7%), while a score 7-9 needs further confirmation to reach a conclusion, and for a score of
📌 3 Key Takeaways
Abstract
Objective: Complicated appendicitis needs an aggressive and urgent management, hence there is need of an efficient scoring system for predicting complicated appendicitis. With this in mind, the author developed the present scoring system for predicting complicated acute appendicitis. The study aimed to assess the suitability of this novel (Shabir’s SMART-LAB) score for predicting diagnosis of complicated appendicitis. Material and Methods: In this prospective study, a novel score designated as “SMART-LAB” SCORE, proposed by the author (Shabir) based on his previous observations was calculated in all patients. This score includes sonography (S), migratory right iliac fossa pain (M), anorexia (A), rebound tenderness (R), tenderness (T), leukocytosis (L), Acute phase protein-CRP (A), and serum bilirubin (B). Results: Of a total of 150 patients included in this study, 52 cases turned out to be perforated and/or gangrenous appendicitis on intraoperative/histopathologic examination. The most commonly affected age group was 10-19 years. SMART-LAB score of >9 was present in significantly higher number of patients in complicated (perforated and gangrenous) appendicitis than uncomplicated appendicitis (p value 9 (with a sensitivity= 80.7%, specificity= 92.9%, PPV= 85.7%, NPV= 90.1%, and accuracy= 88.7%), while a score 7-9 needs further confirmation to reach a conclusion, and for a score of
Özet
Giriş ve Amaç: Komplike apandisitte agresif ve acil müdahale gerekir, bu sebeple komplike apandisiti öngörmek adına etkili bir skorlama sistemine ihtiyaç vardır. Bu amaçla, yazar tarafından komplike akut apandisiti öngören bir skorlama sistemi geliştirildi. Bu çalışmanın amacı, komplike apandisit tanısının öngörülmesinde bu yeni skorlama sisteminin (Shabir’in SMART-LAB skoru) uygunluğunu değerlendirmekti. Gereç ve Yöntem: Bu prospektif çalışmada, kendi gözlemleri doğrultusunda yazar (Shabir) tarafından geliştirilen “SMART-LAB SCORE” adındaki bu yeni skor tüm hastalarda hesaplandı. Bu skorlama sistemine sonografi (S), migratör sağ iliyak fosa ağrısı (M), anoreksiya (A), tepkisel duyarlılık (R), duyarlılık (T), Lökositoz (L), akut faz protein-CRP (A) ve serum bilirubin (B) dahildir. Bulgular: Çalışmaya dahil edilen 150 hastanın 52’sinde perfore/gangrenöz apandisit olduğuna intraoperatif/histopatolojik inceleme sonucunda ulaşıldı. En yaygın olarak etkilenen yaş grubu 10-19 yıl idi. SMART-LAB >9 skoru, komplike (perfore veya gangrenöz) apandisit hastalarında komplike olmayan apandisit hastalarına göre daha fazla bulundu (P değeri 9 skorda komplike apandisit yüksek olasılıkta (sensitive= %80,7, spesifite= %92,9, PPV= %85,7, NPV= %90,1, ve doğruluk= %88,7), 7-9 arası skorda sonuca ulaşmak için daha detaylı incelemeler gerektiği ve