The Journal of Pediatrics
Volume 153, Issue 2 , Pages 278-282 , August 2008

Prospective Validation of the Pediatric Appendicitis Score

  • Ran D. Goldman, MD

      Affiliations

    • Pediatric Research in Emergency Therapeutics (PRETx) Program, Division of Pediatric Emergency Medicine, BC Children's Hospital, Department of Pediatrics, University of British Columbia, and Child & Family Research Institute, Vancouver, British Columbia, Canada
    • Corresponding Author InformationReprint requests: Ran D. Goldman, MD, Division of Pediatric Emergency Medicine, BC Children's Hospital, Department of Pediatrics, University of British Columbia, 4480 Oak St, Vancouver, BC V6H 3V4, Canada.
    • ,
  • Susan Carter, BSc

      Affiliations

    • Division of Pediatric Emergency Medicine, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
    • ,
  • Derek Stephens, MD

      Affiliations

    • Population Health Sciences, Research Institute, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
    • ,
  • Roula Antoon, MD

      Affiliations

    • Division of Pediatric Emergency Medicine, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
    • ,
  • William Mounstephen, MD

      Affiliations

    • Division of Pediatric Emergency Medicine, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
    • ,
  • Jacob C. Langer, MD

      Affiliations

    • Division of General Surgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.

Received 15 October 2005 ,Revised 5 October 2007 ,Accepted 24 January 2008.

References 

  1. Caty MG, Azizkhan RG. Acute surgical conditions of the abdomen. Pediatr Ann. 1994;23:192–194
  2. Aldiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132:910–925
  3. Curran TJ, Muenchow SK. The treatment of complicated appendicitis in children using peritoneal drainage: results from a public hospital. J Pediatr Surg. 1993;28:204–208
  4. McAnena OJ, Austin O, O'Connell PR, Hederman WP, Gorey TF, Fitzpatrick J. Laparoscopic versus open appendicectomy: a prospective evaluation. Br J Surg. 1992;179:818–820
  5. McLean AD, Stonebridge PA, Bradbury AW, Rainey JB, Macleod DA. Time of presentation, time of operation, and unnecessary appendicectomy. BMJ. 1993;306:307
  6. Surana R, O'Donnell B, Puri P. Appendicitis diagnosed following active observation does not increase morbidity in children. Pediatr Surg Int. 1995;10:76–78
  7. Ohmann C, Yang Q, Franke C. Diagnostic scores for acute appendicitis (Abdominal Pain Study Group). Eur J Surg. 1995;161:273–281
  8. Hoffmann J, Rasmussen OO. Aids in the diagnosis of acute appendicitis. Br J Surg. 1989;76:774–779
  9. Pearl RH, Hale DA, Molloy M, Schutt DC, Jaques DP. Pediatric appendectomy. J Pediatr Surg. 1995;30:173–178
  10. Douglas CD, Macpherson NE, Davidson PM, Gani JS. Randomised controlled trial of ultrasonography in diagnosis of acute appendicitis, incorporating the Alvarado score. BMJ. 2000;321:919–922
  11. Roebuck DJ, Metreweli C. Radiation risk in CT for acute abdominal pain. Radiology. 1998;209:287–288
  12. Teicher I, Landa B, Cohen M, Kabnick LS, Wise L. Scoring system to aid in diagnoses of appendicitis. Ann Surg. 1983;198:753–759
  13. Arnbjornsson E. Scoring system for computer-aided diagnosis of acute appendicitis (The value of prospective versus retrospective studies). Ann Chir Gynaecol. 1985;74:159–166
  14. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med. 1986;15:557–564
  15. Owen TD, Williams H, Stiff G, Jenkinson LR, Rees BI. Evaluation of the Alvarado score in acute appendicitis. J R Soc Med. 1992;85:87–88
  16. Lamparelli MJ, Hoque HM, Pogson CJ, Ball AB. A prospective evaluation of the combined use of the modified Alvarado score with selective laparoscopy in adult females in the management of suspected appendicitis. Ann R Coll Surg Engl. 2000;82:192–195
  17. Gough IR. A study of diagnostic accuracy in suspected acute appendicitis. Austr NZ J Surg. 1988;58:555–559
  18. Christian F, Christian GP. A simple scoring system to reduce the negative appendicectomy rate. Ann R Coll Surg Engl. 1992;74:281–285
  19. Izbicki JR, Knoefel WT, Wilker DK, Mandelkow HK, Muller K, Siebeck M, et al. Accurate diagnosis of acute appendicitis: a retrospective and prospective analysis of 686 patients. Eur J Surg. 1992;158:227–231
  20. Ramirez JM, Deus J. Practical score to aid decision making in doubtful cases of appendicitis. Br J Surg. 1994;81:680–683
  21. Ohmann C, Franke C, Yang Q. Clinical benefit of a diagnostic score for appendicitis: results of a prospective interventional study (German Study Group of Acute Abdominal Pain). Arch Surg. 1999;134:993–996
  22. Impellizzeri P, Centonze A, Antonuccio P, Turiaco N, Cifala S, Basile M, et al. Utility of a scoring system in the diagnosis of acute appendicitis in pediatric age (A retrospective study). Minerva Chirurgica. 2002;57:341–346
  23. Bond GR, Tully SB, Chan LS, Bradley RL. Use of the MANTRELS score in childhood appendicitis: a prospective study of 187 children with abdominal pain. Ann Emerg Med. 1990;19:1014–1018
  24. Samuel M. Pediatric appendicitis score. J Pediatr Surg. 2002;37:877–881
  25. Kharbanda A, Taylor G, Fishman S, Bachur R. Risk stratification in the diagnosis of appendicitis. Ped Emerg Care. 2004;20:795;[Abstract]

PII: S0022-3476(08)00073-5

doi: 10.1016/j.jpeds.2008.01.033

The Journal of Pediatrics
Volume 153, Issue 2 , Pages 278-282 , August 2008

Article Tools

* Image Usage & Resolution