دورية أكاديمية
A new decision making model for diagnosing acute appendicitis among non-pregnant women and its comparison with alvarado scoring system.
| العنوان: | A new decision making model for diagnosing acute appendicitis among non-pregnant women and its comparison with alvarado scoring system. |
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| المؤلفون: | Arab M; Department of Gyneco-Oncology, Shahid Beheshti University of Medical Sciences, Tehran, Iran ., Nemati Honar B; Department of Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran ., Ghavami B; Department of Laparoscopy, Tehran University of Medical Sciences, Tehran, Iran ., Ghodssi-Ghassemabadi R; Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran ., Aghaei M; Shahid Beheshti University of Medical Sciences, Tehran, Iran ., Yousefi N; Science and Research Branch, Islamic Azad University, Tehran, Iran., Sheibani K; Basir Eye Health Research Center, Tehran, Iran. |
| المصدر: | Medical journal of the Islamic Republic of Iran [Med J Islam Repub Iran] 2021 Jul 21; Vol. 35, pp. 93. Date of Electronic Publication: 2021 Jul 21 (Print Publication: 2021). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Iran University of Medical Sciences Country of Publication: Iran NLM ID: 8910777 Publication Model: eCollection Cited Medium: Print ISSN: 1016-1430 (Print) Linking ISSN: 10161430 NLM ISO Abbreviation: Med J Islam Repub Iran Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: July 2013- : Tehran : Iran University of Medical Sciences Original Publication: 1987-November 2010 : Tehran : Iran University of Medical Sciences |
| مستخلص: | Background: Although acute appendicitis is a common problem, it remains a difficult diagnosis to establish, particularly among females of reproductive age. The present study was conducted to devise a new decision making model for diagnosing acute appendicitis in non-pregnant women. Methods: The present study was a retrospective study consisting of women who had undergone an appendectomy between 2007 and 2015 at the emergency department of Imam Hossein Medical Center, Tehran, Iran. The inclusion criteria were being a female, presenting with abdominal pain, being a suspected case of acute appendicitis, and undergoing an emergency appendectomy. A classification and regression tree (CART) analysis was performed to partition exam and laboratory data obtained from these patients into homogeneous groups in order to develop a prediction rule for appendicitis diagnosis. Results: The study population included 433 non pregnant women who underwent emergency operations with a preliminary diagnosis of acute appendicis. Out of these patients, 295 patients (68.1%) were appendicitis positive based on the pathology exam results, while 138 patients had a normal appendix, indicating a negative appendectomy rate of 31.8%. The final devised CART model included hemoglobin level, PMN count, age, and history of abdominal incision and yielded a sensitivity of 82.7% and specificity of 55.8%, which were better than Alvarado prediction results for the Asian population. Conclusion: We have devised a simple and cost effective prediction model for predicting the outcome among non-pregnant women undergoing emergency appendectomy operation with good sensitivity and specificity compared to the Alvarado model. (© 2021 Iran University of Medical Sciences.) |
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| فهرسة مساهمة: | Keywords: Appendicitis; Decision Making; Model; Prognosis |
| تواريخ الأحداث: | Date Created: 20211227 Latest Revision: 20211228 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC8683831 |
| DOI: | 10.47176/mjiri.35.93 |
| PMID: | 34956939 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1016-1430 |
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| DOI: | 10.47176/mjiri.35.93 |