Are scoring systems detecting acute appendicitis reliable? a prospective clinical study

Abstract

Aim: The diagnosis of acute appendicitis is still challenging. Negative appendectomy rate is reported as 20-30%. Therefore, various scoring systems have been developed to prevent unnecessary appendectomies. The aim of our study is to analyze the diagnostic value of different scoring systems in acute appendicitis. Material and Method: The study conducted with 200 consecutive patients who were operated with the diagnosis of acute appendicitis. After the admission and deciding the operation via experienced general surgeon, the probability of acute appendicitis was calculated using via 6 different scoring systems: Alvarado, Eskelinen, Ohmann, Lintula, RIPASA, Fenyo, respectively, and results were analyzed statistically. p