Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children
Joint Authors
Stenström, Pernilla
Salö, Martin
Friman, Gustav
Ohlsson, Bodil
Arnbjörnsson, Einar
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-10
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
This study aimed to evaluate Pediatric Appendicitis Score (PAS), diagnostic delay, and factors responsible for possible late diagnosis in children <4 years compared with older children who were operated on for suspected appendicitis.
Method.
122 children, between 1 and 14 years, operated on with appendectomy for suspected appendicitis, were retrospectively analyzed.
The cohort was divided into two age groups: ≥4 years ( n = 102 ) and <4 years ( n = 20 ).
Results.
The mean PAS was lower among the younger compared with the older patients (5.3 and 6.6, resp.; P = 0.005 ), despite the fact that younger children had more severe appendicitis (75.0% and 33.3%, resp.; P = 0.001 ).
PAS had low sensitivity in both groups, with a significantly lower sensitivity among the younger patients.
Parent and doctor delay were confirmed in children <4 years of age with appendicitis.
PAS did not aid in patients with doctor delay.
Parameters in patient history, symptoms, and abdominal examination were more diffuse in younger children.
Conclusion.
PAS should be used with caution when examining children younger than 4 years of age.
Diffuse symptoms in younger children with acute appendicitis lead to delay and to later diagnosis and more complicated appendicitis.
American Psychological Association (APA)
Salö, Martin& Friman, Gustav& Stenström, Pernilla& Ohlsson, Bodil& Arnbjörnsson, Einar. 2014. Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children. Surgery Research and Practice،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1047651
Modern Language Association (MLA)
Salö, Martin…[et al.]. Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children. Surgery Research and Practice No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-1047651
American Medical Association (AMA)
Salö, Martin& Friman, Gustav& Stenström, Pernilla& Ohlsson, Bodil& Arnbjörnsson, Einar. Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children. Surgery Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1047651
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1047651