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dc.contributor.author
Rassi, Ricardo
dc.contributor.author
Muse, Florencia
dc.contributor.author
Sánchez, José
dc.contributor.author
Cuestas, Eduardo
dc.date.available
2022-09-29T15:49:51Z
dc.date.issued
2022-04
dc.identifier.citation
Rassi, Ricardo; Muse, Florencia; Sánchez, José; Cuestas, Eduardo; Diagnostic Value of Clinical Prediction Scores for Acute Appendicitis in Children Younger than 4 Years; Georg Thieme Verlag Kg; European Journal Of Pediatric Surgery; 32; 2; 4-2022; 198-205
dc.identifier.issn
0939-7248
dc.identifier.uri
http://hdl.handle.net/11336/171074
dc.description.abstract
Introduction: Acute appendicitis can be difficult to diagnose, especially in children < 4 years old. The aim of the present study was to assess the diagnostic value of Alvarado score (AS), appendicitis inflammatory response (AIR) score, and pediatric appendicitis score (PAS) in children younger than 4 years. Materials and Methods: All children younger than 4 years who underwent appendicectomy between 2005 and 2019 were included retrospectively. The diagnostic performance of the scores was analyzed using the area under the receiver-operating characteristic (ROC) curve and by calculating the diagnostic performances at optimal criterion value cutoff points. Results: In this study, 100 children were included (58 boys and 42 girls) with a median age of 39.5 (12-47) months. Ninety children were diagnosed with pathologically proven acute appendicitis. The area under ROC curve of AS was 0.73, AIR score was 0.79, and PAS was 0.69 (p > 0.05, respectively). In children with low risk of acute appendicitis, negative predictive values were 75.0% for AS, 50.0% for AIR score, and 66.7% for PAS (p < 0.05, respectively). The positive predictive values in children with high risk of acute appendicitis were of 92.7% for AS, 92.6% for AIR score, and 93.6% for PAS (p > 0.05, respectively). AS, AIR score, and PAS plus positive ultrasonography have 0.58, 0.49, and 0.88 area under ROC curve. Conclusion: The three scores can be of assistance in the suspicion of acute appendicitis. PAS markedly improved combined with positive ultrasonography, but none can be used in setting the diagnosis of acute appendicitis in young children.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Georg Thieme Verlag Kg
dc.rights
info:eu-repo/semantics/restrictedAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
APPENDICITIS
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CLINICAL PREDICTION SCORES
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DIAGNOSIS
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PRESCHOOL CHILDREN
dc.subject.classification
Pediatría
dc.subject.classification
Medicina Clínica
dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Diagnostic Value of Clinical Prediction Scores for Acute Appendicitis in Children Younger than 4 Years
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2022-09-12T18:24:45Z
dc.identifier.eissn
1439-359X
dc.journal.volume
32
dc.journal.number
2
dc.journal.pagination
198-205
dc.journal.pais
Alemania
dc.journal.ciudad
Stuttgart
dc.description.fil
Fil: Rassi, Ricardo. Hospital Privado Centro Medico de Córdoba. Departamento de Pediatria y Neonatologia; Argentina. Clínica del Sol; Argentina
dc.description.fil
Fil: Muse, Florencia. Hospital Privado Centro Medico de Córdoba. Departamento de Pediatria y Neonatologia; Argentina
dc.description.fil
Fil: Sánchez, José. Hospital Privado Centro Medico de Córdoba. Departamento de Pediatria y Neonatologia; Argentina. Hospital Raúl A. Ferreyra; Argentina
dc.description.fil
Fil: Cuestas, Eduardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; Argentina. Hospital Privado Universitario de Córdoba; Argentina
dc.journal.title
European Journal Of Pediatric Surgery
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1055/s-0041-1722860
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0041-1722860
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