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Retrospective Multivariate Analysis of Data from Children with Suspected Appendicitis: A New Tool for Diagnosis
المؤلفون المشاركون
Köse, Timur
Dokumcu, Zafer
Toker Kurtmen, Bade
Divarci, Emre
Tamay, Petek Bayindir
Sezak, Murat
Ozok, Geylani
Ergun, Orkan
Celik, Ahmet
المصدر
Emergency Medicine International
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-09-12
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Background.
Decision-making for management may sometimes be difficult in acute appendicitis (AA).
Various diagnostic scoring systems exist, but their sensitivity and specificity rates are far from ideal.
In this study, the determination of the predictors and the effect of radiological data and developing a new scoring system were aimed.
Methods.
Medical records of patients who were hospitalized for AA between February 2012 and October 2016 were retrospectively reviewed.
All data were compared between patients with and without appendicitis.
The multivariate analysis was performed to define significant variables and to examine the sensitivity and specificity of each group of predictors including radiological data.
A new scoring system (NSS) was formed and was compared with two existing scoring systems: pediatric appendicitis score (PAS) and Alvarado scoring system (ASS) by using reclassification method.
Results.
Negative appendectomy rate was 11.3%.
Statistical analysis identified 21 independently significant variables.
The heel drop test had the highest odds ratio.
Sensitivity and specificity rates of clinical predictors were 84.6% and 94.8%, respectively.
Radiological predictors increased the sensitivity rate to 86.9%.
Sensitivity and specificity rates for PAS, ASS, and NSS were 86.8% and 83.9%, 84.7% and 81.6%, and 96.8% and 95.6%, respectively.
The “re-assessed negative appendectomy rate” was 6.2% and false positive results were remarkably more common in patients with duration of symptoms less than 24 hours.
Conclusion.
Radiological data improves the accuracy of diagnosis.
Containing detailed clinical and radiological data, NSS performs superiorly to PAS and ASS, regarding sensitivity and specificity without any age limitation.
The efficiency of NSS may be enhanced by determining different predictors for different phases of the inflammatory process.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Dokumcu, Zafer& Toker Kurtmen, Bade& Divarci, Emre& Tamay, Petek Bayindir& Köse, Timur& Sezak, Murat…[et al.]. 2018. Retrospective Multivariate Analysis of Data from Children with Suspected Appendicitis: A New Tool for Diagnosis. Emergency Medicine International،Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1157067
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Dokumcu, Zafer…[et al.]. Retrospective Multivariate Analysis of Data from Children with Suspected Appendicitis: A New Tool for Diagnosis. Emergency Medicine International No. 2018 (2018), pp.1-9.
https://search.emarefa.net/detail/BIM-1157067
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Dokumcu, Zafer& Toker Kurtmen, Bade& Divarci, Emre& Tamay, Petek Bayindir& Köse, Timur& Sezak, Murat…[et al.]. Retrospective Multivariate Analysis of Data from Children with Suspected Appendicitis: A New Tool for Diagnosis. Emergency Medicine International. 2018. Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1157067
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1157067
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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