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.) |
References: | Lancet. 1975 Sep 6;2(7932):421-4. (PMID: 51235) J Ayub Med Coll Abbottabad. 2005 Jul-Sep;17(3):41-4. (PMID: 16320795) J Pak Med Assoc. 1998 Jul;48(7):189-92. (PMID: 10067019) J Pediatr Surg. 2002 Jun;37(6):877-81. (PMID: 12037754) Am J Epidemiol. 1990 Nov;132(5):910-25. (PMID: 2239906) Arch Surg. 2002 Jul;137(7):799-804; discussion 804. (PMID: 12093335) Diagn Interv Imaging. 2015 Oct;96(10):985-95. (PMID: 26441019) BMC Med. 2011 Dec 28;9:139. (PMID: 22204638) Ann R Coll Surg Engl. 1994 Nov;76(6):418-9. (PMID: 7702329) Radiology. 2010 Aug;256(2):460-5. (PMID: 20529988) Surgery. 2008 Aug;144(2):276-82. (PMID: 18656636) World J Surg. 1997 Mar-Apr;21(3):313-7. (PMID: 9015177) Ann Emerg Med. 1986 May;15(5):557-64. (PMID: 3963537) Langenbecks Arch Surg. 2009 Nov;394(6):999-1004. (PMID: 18841382) Singapore Med J. 2010 Mar;51(3):220-5. (PMID: 20428744) Ann R Coll Surg Engl. 1995 Mar;77(2):157. (PMID: 7661968) Ann Surg. 2001 Apr;233(4):455-60. (PMID: 11303128) Br J Surg. 2004 Jan;91(1):28-37. (PMID: 14716790) Singapore Med J. 2011 May;52(5):340-5. (PMID: 21633767) Br J Radiol. 2008 May;81(965):362-78. (PMID: 18440940) Radiology. 2010 Feb;254(2):460-8. (PMID: 20093517) World J Surg. 2008 Aug;32(8):1843-9. (PMID: 18553045) Arch Surg. 2001 May;136(5):556-62. (PMID: 11343547) Langenbecks Arch Surg. 2010 Jun;395(5):495-500. (PMID: 20379739) Clin Radiol. 1998 Sep;53(9):639-49. (PMID: 9766717) BMJ. 2006 Sep 9;333(7567):530-4. (PMID: 16960208) Am J Surg. 2011 Apr;201(4):433-7. (PMID: 21421095) Saudi Med J. 2004 Sep;25(9):1229-31. (PMID: 15448772) |
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 |
تدمد: | 1016-1430 |
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DOI: | 10.47176/mjiri.35.93 |