TY  - JOUR
T1  - Comparison of Appendicitis Scoring Systems in Pediatric Patients
TT  - Comparison of Appendicitis Scoring Systems in Pediatric Patients
AU  - Banlı Cesur, İlknur
AU  - Sarı Gökay, Sinem
PY  - 2021
DA  - July
Y2  - 2021
DO  - 10.16899/jcm.876825
JF  - Journal of Contemporary Medicine
JO  - J Contemp Med
PB  - Rabia YILMAZ
WT  - DergiPark
SN  - 2667-7180
SP  - 510
EP  - 514
VL  - 11
IS  - 4
LA  - en
AB  - BACKGROUND: Acute appendicitis is one of the most common causes of emergency department (ED) admission among pediatric patients, and the most common cause of abdominal pain requiring surgical intervention. The present study aimed to measure the success of three different appendicitis scoring systems in patients who were operated due to acute appendicitis (AA) upon presenting at the pediatric ED with acute abdominal pain.METHODS: The study included a total of 226 patients who were admitted to Pediatric Emergency Department and who underwent an appendectomy between December 2018 and May 2019. Through a retrospective review of patient files; age, gender, clinical findings, laboratory results, Pediatric Appendicitis Score (PAS), Lintula score, Acute Inflammatory Response (AIR) score, ultrasonography (USG) findings and pathology results of the patients operated due to AA were recorded. RESULTS: A total of 226 patients were included in the study, with a mean age of 11.6±3.66 (1-17) years, and 57.1% (n=129) of the patients were female and 42.9% (n=97) were male. The pathology results were evaluated under three categories: suppurative (phlegmonous) appendicitis, 74.3%; perforated appendix, 9.7%; and reactive lymphoid hyperplasia, 15.9%. The cut-off values >3 for AIR, >7 for PAS and >15 for Lintula were found statistically significant. Among the three scoring systems, Lintula had the highest sensitivity (91.5%) and PAS had the highest specificity (69.4%).DISCUSSION:Although scoring systems are used to diagnose AA, the selected cut-off values for the scoring systems have an effect on the results.. Patients with a PAS score of ≥7 were found to have more significant AA results. We believe that PAS is likely to be a preferred scoring system in pediatric patients, especially under busy ED conditions; however, further studies with larger populations are needed to develop scoring systems that will guide physicians to establish a final diagnosis.
KW  - Apendicitis
KW  - 
KW  - scoring systems
KW  - 
KW  - pediatric patients
N2  - BACKGROUND: Acute appendicitis is one of the most common causes of emergency department (ED) admission among pediatric patients, and the most common cause of abdominal pain requiring surgical intervention. The present study aimed to measure the success of three different appendicitis scoring systems in patients who were operated due to acute appendicitis (AA) upon presenting at the pediatric ED with acute abdominal pain.METHODS: The study included a total of 226 patients who were admitted to Pediatric Emergency Department and who underwent an appendectomy between December 2018 and May 2019. Through a retrospective review of patient files; age, gender, clinical findings, laboratory results, Pediatric Appendicitis Score (PAS), Lintula score, Acute Inflammatory Response (AIR) score, ultrasonography (USG) findings and pathology results of the patients operated due to AA were recorded. RESULTS: A total of 226 patients were included in the study, with a mean age of 11.6±3.66 (1-17) years, and 57.1% (n=129) of the patients were female and 42.9% (n=97) were male. The pathology results were evaluated under three categories: suppurative (phlegmonous) appendicitis, 74.3%; perforated appendix, 9.7%; and reactive lymphoid hyperplasia, 15.9%. The cut-off values >3 for AIR, >7 for PAS and >15 for Lintula were found statistically significant. Among the three scoring systems, Lintula had the highest sensitivity (91.5%) and PAS had the highest specificity (69.4%).DISCUSSION:Although scoring systems are used to diagnose AA, the selected cut-off values for the scoring systems have an effect on the results.. Patients with a PAS score of ≥7 were found to have more significant AA results. We believe that PAS is likely to be a preferred scoring system in pediatric patients, especially under busy ED conditions; however, further studies with larger populations are needed to develop scoring systems that will guide physicians to establish a final diagnosis.
CR  - 1.	Sivit C.J, et al. When appendicitis is suspected in children. Radiographics 2001. 21(1): 247-62; questionnaire 288-94.
2.	Blakely ML,Williams R, Dassinger MS, Eubanks JW 3rd, Fischer P, Huang EY, et al. Early vs interval appandectomy for urg 2011;146:660-5.
UR  - https://doi.org/10.16899/jcm.876825
L1  - https://dergipark.org.tr/tr/download/article-file/1564603
ER  -