A retrospective evaluation of the Modified Alvarado Score for the diagnosis of acute appendicitis in HIV-infected patients.
Identifieur interne : 004231 ( Ncbi/Merge ); précédent : 004230; suivant : 004232A retrospective evaluation of the Modified Alvarado Score for the diagnosis of acute appendicitis in HIV-infected patients.
Auteurs : S. Sobnach [Afrique du Sud] ; C. Ede [Afrique du Sud] ; G. Van Der Linde [Afrique du Sud] ; J. Klopper [Afrique du Sud] ; S. Thomson [Afrique du Sud] ; A. Bhyat [Afrique du Sud] ; D. Kahn [Afrique du Sud]Source :
- European journal of trauma and emergency surgery : official publication of the European Trauma Society [ 1863-9941 ] ; 2017.
Abstract
The aim of this study was to evaluate and compare the diagnostic value of a Modified Alvarado Score (MAS) ≥7 for acute appendicitis in both Human Immunodeficiency Virus (HIV)-negative (HIVneg) and positive (HIVpos) patientcohorts.
DOI: 10.1007/s00068-017-0804-8
PubMed: 28573428
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Sobnach</name><affiliation wicri:level="1"><nlm:affiliation>Department of General Surgery, Kimberley Hospital Complex, Du Toit Span Road, Kimberley, 8300, Republic of South Africa. sanjusobnach@yahoo.com.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of General Surgery, Kimberley Hospital Complex, Du Toit Span Road, Kimberley, 8300</wicri:regionArea><wicri:noRegion>8300</wicri:noRegion></affiliation></author><author><name sortKey="Ede, C" sort="Ede, C" uniqKey="Ede C" first="C" last="Ede">C. Ede</name><affiliation wicri:level="1"><nlm:affiliation>Department of General Surgery, Kimberley Hospital Complex, Du Toit Span Road, Kimberley, 8300, Republic of South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of General Surgery, Kimberley Hospital Complex, Du Toit Span Road, Kimberley, 8300</wicri:regionArea><wicri:noRegion>8300</wicri:noRegion></affiliation></author><author><name sortKey="Van Der Linde, G" sort="Van Der Linde, G" uniqKey="Van Der Linde G" first="G" last="Van Der Linde">G. Van Der Linde</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anatomical Pathology, Kimberley Hospital Complex, Du Toit Span Road, Kimberley, 8300, Republic of South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Anatomical Pathology, Kimberley Hospital Complex, Du Toit Span Road, Kimberley, 8300</wicri:regionArea><wicri:noRegion>8300</wicri:noRegion></affiliation></author><author><name sortKey="Klopper, J" sort="Klopper, J" uniqKey="Klopper J" first="J" last="Klopper">J. Klopper</name><affiliation wicri:level="1"><nlm:affiliation>Division of General Surgery, Groote Schuur Hospital, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, Republic of South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Division of General Surgery, Groote Schuur Hospital, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925</wicri:regionArea><wicri:noRegion>7925</wicri:noRegion></affiliation></author><author><name sortKey="Thomson, S" sort="Thomson, S" uniqKey="Thomson S" first="S" last="Thomson">S. Thomson</name><affiliation wicri:level="1"><nlm:affiliation>Division of General Surgery, Groote Schuur Hospital, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, Republic of South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Division of General Surgery, Groote Schuur Hospital, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925</wicri:regionArea><wicri:noRegion>7925</wicri:noRegion></affiliation></author><author><name sortKey="Bhyat, A" sort="Bhyat, A" uniqKey="Bhyat A" first="A" last="Bhyat">A. Bhyat</name><affiliation wicri:level="1"><nlm:affiliation>Department of General Surgery, Kimberley Hospital Complex, Du Toit Span Road, Kimberley, 8300, Republic of South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of General Surgery, Kimberley Hospital Complex, Du Toit Span Road, Kimberley, 8300</wicri:regionArea><wicri:noRegion>8300</wicri:noRegion></affiliation></author><author><name sortKey="Kahn, D" sort="Kahn, D" uniqKey="Kahn D" first="D" last="Kahn">D. Kahn</name><affiliation wicri:level="1"><nlm:affiliation>Division of General Surgery, Groote Schuur Hospital, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, Republic of South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Division of General Surgery, Groote Schuur Hospital, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925</wicri:regionArea><wicri:noRegion>7925</wicri:noRegion></affiliation></author></analytic><series><title level="j">European journal of trauma and emergency surgery : official publication of the European Trauma Society</title><idno type="eISSN">1863-9941</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to evaluate and compare the diagnostic value of a Modified Alvarado Score (MAS) ≥7 for acute appendicitis in both Human Immunodeficiency Virus (HIV)-negative (HIVneg) and positive (HIVpos) patientcohorts.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28573428</PMID><DateCreated><Year>2017</Year><Month>06</Month><Day>02</Day></DateCreated><DateRevised><Year>2017</Year><Month>06</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1863-9941</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Jun</Month><Day>01</Day></PubDate></JournalIssue><Title>European journal of trauma and emergency surgery : official publication of the European Trauma Society</Title><ISOAbbreviation>Eur J Trauma Emerg Surg</ISOAbbreviation></Journal><ArticleTitle>A retrospective evaluation of the Modified Alvarado Score for the diagnosis of acute appendicitis in HIV-infected patients.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00068-017-0804-8</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The aim of this study was to evaluate and compare the diagnostic value of a Modified Alvarado Score (MAS) ≥7 for acute appendicitis in both Human Immunodeficiency Virus (HIV)-negative (HIVneg) and positive (HIVpos) patientcohorts.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This retrospective study included all HIV-tested patients undergoing appendectomy at a regional hospital from March 2010 to March 2011. The MAS was calculated for all patients, as well as for the HIVneg and HIVpos groups separately. Two subgroups were considered for each of these: MAS ≥7 (high likelihood of appendicitis) and MAS <7 (low likelihood of appendicitis). These subgroups were then analysed against histopathological findings of the resected appendix. MAS specificities and sensitivities were determined by comparing Receiver Operator Characteristic (ROC) curves for the various scores.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The study comprised 133 patients. Eighty-six (65%) were men and the median age was 20 years (range 4-64); 18 patients (14%) were HIVpos. Appendicitis was confirmed histologically in 113 patients, 100 in the HIVneg group and 13 in the HIVpos group. Specificity and sensitivity of a MAS ≥7 for HIVneg patients was 73 and 85% respectively. Based on the ROC curves, HIVpos patients only showed similar sensitivities (69%) and specificities (80%) at a MAS ≥8.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">A MAS ≥7 is a reliable predictor of acute appendicitis in HIVneg patients. In HIVpos patients, the MAS threshold required to accurately predict appendicitis is 8. The use of a MAS ≥7 in this group of patients will result in unnecessary surgical intervention.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sobnach</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of General Surgery, Kimberley Hospital Complex, Du Toit Span Road, Kimberley, 8300, Republic of South Africa. sanjusobnach@yahoo.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of General Surgery, Groote Schuur Hospital, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, Republic of South Africa. sanjusobnach@yahoo.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Trauma Centre, Groote Schuur Hospital, University of Cape Town, Observatory, Cape Town, 7925, Republic of South Africa. sanjusobnach@yahoo.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ede</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of General Surgery, Kimberley Hospital Complex, Du Toit Span Road, Kimberley, 8300, Republic of South Africa.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Surgery, University of Witwatersrand, 7 York Road, Parktown, Johannesburg, 2193, Republic of South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Der Linde</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Anatomical Pathology, Kimberley Hospital Complex, Du Toit Span Road, Kimberley, 8300, Republic of South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Klopper</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Division of General Surgery, Groote Schuur Hospital, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, Republic of South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thomson</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of General Surgery, Groote Schuur Hospital, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, Republic of South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bhyat</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of General Surgery, Kimberley Hospital Complex, Du Toit Span Road, Kimberley, 8300, Republic of South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kahn</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Division of General Surgery, Groote Schuur Hospital, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, Republic of South Africa.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>06</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Eur J Trauma Emerg Surg</MedlineTA><NlmUniqueID>101313350</NlmUniqueID><ISSNLinking>1863-9933</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Appendicitis</Keyword><Keyword MajorTopicYN="N">HIV/AIDS</Keyword><Keyword MajorTopicYN="N">Sepsis</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>01</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>05</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>6</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>6</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>6</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28573428</ArticleId><ArticleId IdType="doi">10.1007/s00068-017-0804-8</ArticleId><ArticleId IdType="pii">10.1007/s00068-017-0804-8</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Afrique du Sud</li></country></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Sobnach, S" sort="Sobnach, S" uniqKey="Sobnach S" first="S" last="Sobnach">S. Sobnach</name></noRegion><name sortKey="Bhyat, A" sort="Bhyat, A" uniqKey="Bhyat A" first="A" last="Bhyat">A. Bhyat</name><name sortKey="Ede, C" sort="Ede, C" uniqKey="Ede C" first="C" last="Ede">C. Ede</name><name sortKey="Kahn, D" sort="Kahn, D" uniqKey="Kahn D" first="D" last="Kahn">D. Kahn</name><name sortKey="Klopper, J" sort="Klopper, J" uniqKey="Klopper J" first="J" last="Klopper">J. Klopper</name><name sortKey="Thomson, S" sort="Thomson, S" uniqKey="Thomson S" first="S" last="Thomson">S. Thomson</name><name sortKey="Van Der Linde, G" sort="Van Der Linde, G" uniqKey="Van Der Linde G" first="G" last="Van Der Linde">G. Van Der Linde</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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