[Application of a diagnostic score for appendicitis by health-related non-physician professionals].

Abstract:

BACKGROUND:Diagnostic scores have been developed as simple, user-friendly, cost-effective instruments to improve the early diagnosis of acute appendicitis. AIM:To assess the yield of a diagnostic score for acute appendicitis, measured by trained health-related non-physician professional. PATIENTS AND METHODS:A prospective, double blind, non-randomized trial. Emergency room nurses applied a previously validated diagnostic score for appendicitis to patients aged more than 15 years with abdominal pain and tachycardia or fever. The main outcome was the percentage of patients operated for acute appendicitis that had a positive score for appendicitis and a pathologically demonstrated appendicitis. RESULTS:The mean scores for patients operated or not operated for appendicitis were 8.64 and 3.31, respectively. The figures for sensitivity, specificity and diagnostic accuracy of the score were 0.83, 0.98 and 0.94, respectively. CONCLUSIONS:An appendicitis score measured by health-related non-physician professionals has a similar diagnostic yield than clinical judgment.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Beltrán MA,Villar M R,Cruces KS

doi

10.4067/s0034-98872006000100005

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

39-47

issue

1

eissn

0034-9887

issn

0717-6163

pii

S0034-98872006000100005

journal_volume

134

pub_type

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