Correlation between Alvarado score and preoperative serum hyperbilirubinemia as a new diagnostic modality for severity of acute appendicitis | ||
| The Egyptian Journal of Surgery | ||
| Volume 43, Issue 4, October 2024, Pages 1579-1586 PDF (409.62 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EJSUR.2024.301872.1114 | ||
| Authors | ||
| Sami Mufeed; Hany Maurice; Poula R.R. Hanna; Hitham H. Mohey* | ||
| Department of General and Laparoscopic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt | ||
| Abstract | ||
| Introduction: Acute appendicitis is a prevalent abdominal emergency that necessitates immediate surgery. The most common emergency procedure carried out globally is an appendectomy. Objective: To assess the clinical significance of the preoperative correlation between the Alvarado score and serum hyperbilirubinemia and to evaluate their ability to predict the severity of acute appendicitis clinically. Patients and Methods: This cross-sectional analytic study was performed at the Department of General Surgery Emergency of a tertiary hospital in the period between June 2022 and March 2023. This study was carried out on 208 cases with acute appendicitis. Results: The mean age of participants was 29.17±14.452 years, predominantly males (54.8%). About two-thirds of the cases (67.8%) underwent open appendectomy, 58 (27.9%) underwent laparoscopic appendectomy, and nine (4.3%) underwent laparoscopic and then converted to open appendectomy. More than half of the cases were categorized as probably appendicitis by Alvarado score. There was a statistically significant difference comparing Alvarado’s scores and the pathological findings of the participants (P=0.021). No statistically significant differences were recorded between Alvarado score findings and preoperative serum bilirubin levels. Conclusion: The study found an association between Alvarado’s score and pathology findings. However, no statistically significant differences were recorded between the Alvarado score and preoperative serum bilirubin levels. | ||
| Keywords | ||
| Acute appendicitis; Alvarado score; preoperative serum hyperbilirubinemia; severity of appendicitis | ||
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