Correlation Between Alvarado Score with Surgical Findings in Acute Appendicitis Patients at RSUD Dr. H. Chasan Boesoirie Ternate

Fitria Anggaina A. Mustafa, Ferdian Hidayat, Prita Aulia M. Selomo

Abstract


Acute appendicitis is the most common cause of emergency surgery in the world. Patients who need immediate surgery compared to patients under active observation often difficult to identified, so several system scores have been found including Alvarado score which based on clinical findings. Delayed of surgical treatment results in the progression of this disease. Perforation were mostly found at higher Alvarado scores. This study aims to determine the correlation between the Alvarado score with surgical findings of acute appendicitis patients at RSUD Dr. H. Chasan Boesoirie Ternate. This research is an observational analytical study with a cross-sectional design using secondary data in the form of medical record data of acute appendicitis patients who underwent surgery at RSUD Dr. H. Chasan Boesoirie Ternate during 2020-2022 period who met the inclusion and exclusion criteria amounted to 49 samples. Data taken included age, gender, Alvarado score and surgical findings. The samples were then analyzed univariately and bivariately using Spearman's correlation. Characteristics of acute appendicitis patients were the majority in the age group 17-25 years (46.9%), male (63.3%), Alvarado score group 7-10 (55.1%) and surgical findings of perforation (65, 3%). Based on bivariate analysis, p = 0.019 (p<0.05) was obtained, which means there was a significant relationship between the Alvarado score and the surgical findings of acute appendicitis patients at RSUD Dr. H. Chasan Boesoirie Ternate.

Keywords


acute appendicitis; Alvarado score; surgical findings; medical record

Full Text:

PDF

References


Sjamsuhidajat R. Buku Ajar Ilmu Bedah Sjamsuhidajat-De Jong: Sistem Organ dan Tindak Bedahnya (2). 4th ed. Zunlida S. Butami, Leo Rendy Kristandyo AWN, editor. Vol. 3, EGC. Jakarta: EGC; 2017.

Hernández J, De León J, Martínez M, Guzmán J, Palomeque A, Cruz N, et al. Acute Appendicitis: Literature Review. Cir Gen [Internet]. 2019;41(1):33–8. Available from: https://www.scielo.org.mx/pdf/cg/v41n1/1405-0099-cg-41-01-33.pdf

Wickramasinghe DP, Xavier C, Samarasekera DN. The Worldwide Epidemiology of Acute Appendicitis: An Analysis of the Global Health Data Exchange Dataset. World J Surg[Internet]. 2021;45(7):1999–2008. Available from: https://doi.org/10.1007/s00268-021-06077-5

Depkes RI. Laporan Hasil Riset Kesehatan Dasar Indonesia Tahun 2017. Jakarta: Badan Penelitian dan Kesehatan Depkes RI; 2017.

Kong VY, Bulajic B, Allorto NL, Handley J, Clarke DL. Acute Appendicitis in a Developing Country. World J Surg. 2012;36(9):2068–73.

RSUD Dr. H. Chasan Boesoirie Ternate. Profil Apendisitis Tahun 2019-2022. 2023.

Jain R, Jain V, Jolly S. Alvarado Score: Still Relevant in Diagnosis of Acute Appendicitis: A Prospective Study with Histopathological Correlation. Int Surg J [Internet]. 2017;4(7):2123. Available from: https://www.ijsurgery.com/index.php/isj/article/view/1572/1256

Sammalkorpi H. Diagnosis of Acute Appendicitis: Diagnostic Scoring and Significance of Preoperative Delay [Internet]. Faculty of Medicine of the University of Helsinki; 2017. Available from: https://core.ac.uk/download/pdf/84363397.pdf

Alvarado A. A Practical Score for the Early Diagnosis of Acute Appendicitis. Ann Emerg Med [Internet]. 1986;15(5):557–64. Available from: https://pubmed.ncbi.nlm.nih.gov/3963537/

Siregar GHZP, Wagiu AMJ, Lampus HF. Akurasi Skor Alvarado pada Kasus Apendisitis. Med Scope J. 2023;4(2):124–34.

Petroianu A, Barroso TVV. Pathophysiology of Acute Appendicitis. JSM Gastroenterol Hepatol. 2016;4(3):4–7.

Sabiston DC. Buku Ajar Bedah Sabiston Bagian 1. Oswari J, editor. Jakarta: EGC; 2012.

Jalaluddin MD. Hubungan Alvarado Score dengan Temuan Hasil Operasi pada Pasien Apendisitis di Rumah Sakit Muhammadiyah Palembang [Internet]. Repository Universitas Muhammadiyah Palembang. Universitas Muhammadiyah Palembang; 2019. Available from: http://repository.um-palembang.ac.id/id/eprint/2808/

Hartawan IGNBRM, Ekawati NP, Saputra H, Dewi IGASM. Karakteristik Kasus Apendisitis di Rumah Sakit Umum Pusat Sanglah Denpasar Bali Tahun 2018. J Med Udayana [Internet]. 2020;9(10):6–10. Available from: https://ocs.unud.ac.id/index.php/eum/article/view/67019/37307

Ismail NA, Suciaty S, Ramli RR. Gambaran Efektivitas Penanganan Nyeri Post Operasi Appendisitis di RSUD Undata Palu Tahun 2019. Med Alkhairaat J Penelit Kedokt dan Kesehat. 2020;2(3):125–30.

Sarla D (Colonel) GS. Acute Appendicitis: Age, Sex and Seasonal Variation. J Med Sci Cinical Res. 2018;6(6).

Aithmia DR, Choudhary S, Mahajan S. A Clinicopathological Study of Emergency Appendectomies to Evaluate Negative Appendectomy Rate in a Tertiary Care Hospital. Saudi J Pathol Microbiol. 2022;7(2):73–6.

Saverio S Di, Birindelli A, Kelly MD, Catena F, Weber DG, Sartelli M, et al. WSES Jerusalem Guidelines for Diagnosis and Treatment of Acute Appendicitis. World J Emerg Surg [Internet]. 2016;11(1):1–25. Available from: http://dx.doi.org/10.1186/s13017-016-0090-5

Cristie JO, Ary Wibowo A, Noor MS, Tedjowitono B, Aflanie I. Literature Review: Analisis Faktor Risiko yang Berhubungan dengan Kejadian Apendisitis Akut. Homeostasis. 2021;4:59–68.

Nugrohowati N, Widianto A, I. YZ, IM. SU, Sulistyani R. The Correlation between Alvarado Score and Histopathological Profile of Appendicitis in Academic Hospital of Universitas Gadjah Mada. Acad Hosp J [Internet]. 2022;4(1). Available from: https://journal.ugm.ac.id/ahj/article/view/63882

Regar MK, Choudhary GS, Nogia C, Pipal DK, Agrawal A, Srivastava H. Comparison of Alvarado and RIPASA Scoring Systems in Diagnosis of Acute Appendicitis and Correlation with Intraoperative and Histopathological Findings. Int Surg J. 2017;4(5):1755.

Ohle R, Reilly FO, Brien KKO, Fahey T, Dimitrov BD. The Alvarado Score for Predicting Acute Appendicitis : A Systematic Review. BMC Med [Internet]. 2011;9(1):139. Available from: https://www.diva-portal.org/smash/get/diva2:1047669/FULLTEXT01.pdf

Selomo PAM, Pattiiha AM. Leukosit Pra Operasi dengan Tingkat Keparahan Morfologi Apendisitis Akut di Rumah Sakit Kota Ternate. Kieraha Med J [Internet]. 2021;3(2):98–102. Available from: https://ejournal.unkhair.ac.id/index.php/kmj/article/view/3952

R. P, C. V, K. B, M. SV, R. K, T. S. A Study of Correlation between Clinical, Radiological and Pathological Diagnosis of Appendicitis: A Retrospective Analytic Study. Int Surg J. 2018;5(9):3011.

Ghag GS, Shukla KS, Shukla DKB, Bhalerao UD. A Comparative Study of Perforated and Non-perforated Appendicitis with Respect to Clinical Findings, Radiological Findings and Post-operative Management. Asian Pacific J Heal Sci. 2016;3(Supplimentary 2016):5–13.

Jalil A, Shah SA, Saaiq M, Zubair M, Riaz U, Habib Y. Alvarado Scoring System in Prediction of Acute Appendicitis. J Coll Physicians Surg Pakistan [Internet]. 2011;21(12):753–5. Available from: https://pubmed.ncbi.nlm.nih.gov/22166697/

Muktar U, Agbo S, Lawal A, Usman B. Correlation of Alvarado Score and Intra-operative Findings in Patients Presenting to a Tertiary Center in Northwestern Nigeria. IOSR J Dent Med Sci. 2018;17(10):85–93.

Al-Tarakji M, Zarour A, Singh R, Ghali MS. The Role of Alvarado Score in Predicting Acute Appendicitis and Its Severity in Correlation to Histopathology : A Retrospective Study in a Qatar Population. 2022;14(7). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9376215/




DOI: https://doi.org/10.29103/averrous.v10i1.15689

Article Metrics

 Abstract Views : 80 times
 PDF Downloaded : 3 times

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Fitria Anggaina A. Mustafa, Ferdian Hidayat, Prita Aulia M. Selomo

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Print ISSN :
 2477-5231
Online  ISSN
:
 2502-8715

Publisher:
Unimal Logo

Fakultas Kedokteran Universitas Malikussaleh
Kampus Fakultas Kedokteran Universitas Malikussaleh, Jl. Meunasah, Uteunkot Cunda, Lhokseumawe, 24351, Provinsi Aceh, Tel/fax : 081376575984, Email: averrous@unimal.ac.id

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.