A Comparative study of the maintenance Appendectomy before and after using Alvarado score

Abstract

To studies the comparison of treatment outcomes of appendicitis patient receiving appendectomy before and after using Alvarado Score evaluation.

Research design: This research is retrospective descriptive study with retrospective data collection of patient medical record. The patient groups were admitted to King Narai Hospital between 1^st October 2014 - 30^th September 2017. The 1006 patients were diagnosed as appendicitis and receiving appendectomy. The patients were separated as 2 groups, 446 patients before using Alvarado Score evaluation and 540 patients after using Alvarado Score evaluation respectively. This study are comparison of personal characteristic, clinical characteristic and treatment results with using computer package program data analysis such as descriptive statistics, Chi-Square Test and t-test.

Results: This study found that 2 group patients were different in ages, the timing of the abdominal pain before arriving at the hospital and total number of WBC. From treatment results, time of diagnosis, period of hospital admission and medical fee were significantly different (p=0.00). The rate of appendicitis and rate of mistaken diagnosis of patient group after using Alvarado Score evaluation were less than patient group before using Alvarado Score evaluation. In addition, the using Alvarado Score evaluation was significantly related with appendicitis (p ≤ .01). Patient group before using Alvarado Score evaluation had appendicitis risk more than 2.5 time of after using Alvarado Score evaluation.

Conclusion and suggestion: The using Alvarado Score evaluation could be used for easily and fast appendicitis diagnosis, suitable for patients with suspected appendicitis and using for consideration the patient admission.