DIALAPP: a prospective validation of a new diagnostic algorithm for acute appendicitis.

ABSTRACT:

Purpose

The management of patients with suspected appendicitis remains a challenge in daily clinical practice, and the optimal management algorithm is still being debated. Negative appendectomy rates (NAR) continue to range between 10 and 15%. This prospective study evaluated the accuracy of a diagnostic pathway in acute appendicitis using clinical risk stratification (Alvarado score), routine ultrasonography, gynecology consult for females, and selected CT after clinical reassessment.

Methods

Patients presenting with suspected appendicitis between November 2015 and September 2017 from age 18 years and above were included. Decision-making followed a clear management pathway. Patients were followed up for 6 months after discharge. The hypothesis was that the algorithm can red

SUBMITTER: Malkomes P 

PROVIDER: S-EPMC7870637 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature