2015, Number 2
Revista Cubana de Cirugía 2015; 54 (2)
de Quesada SL, Ival PM, González MCL
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ABSTRACTIntroduction: acute appendicitis is a cause of death when the patient does not receive timely medical assistance. The study of 33 hospitals carried out in Cuba in 2011 found that 28 % of the surgical emergencies in adult patients underwent appendectomy.
Objective: to demonstrate the benefits of Alvarado score for diagnosing acute appendicitis in our conditions.
Method: fifty patients, who had been operated on in the emergency service of "Freyre de Andarade" hospital due to initial diagnosis of acute appendicitis from August 1st 2012 to July 31st 2013, were selected. Alvarado score was retrospectively applied by relating the initial surgical diagnosis and the histopathological findings.
Results: the initial diagnosis of the disease was histologically confirmed in 43 cases (86 %).Seven patients (14 %) had normal ceccal appendix. The patients included in the high risk group (8-10 points) in Alvarado score were confirmed with the histological tests. The patients with the confirmed diagnosis of acute appendicitis were classified into the high and medium risk scores which is considered as strength.
Conclusions: the number of normal appendices does not differ from that of the reviewed literature. The surgical patients with acute appendicitis classified into the high-risk group were histologically confirmed.