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TITLE:

COMPARISON OF APPENDICITS INFLAMMAROTY RESPONSE (AIR) SCORE WITH ALVARADO SCORE IN THE DIAGNOSIS OF ACUTE APPENDICITIS

AUTHORS:

Dr Shumail Arslan, Dr Muhammad Hamza , Dr Khawar Ahmed

ABSTRACT:

Introduction: Acute appendicitis is acute inflammation of appendix. It is a common acute surgical condition for which mainstay standard treatment is appendectomy. Objectives: The main objective of the study is to compare the appendicits inflammatory response (AIR) score with alvarado score in the diagnosis of acute appendicitis. Material & Methods: This cross-sectional study was conducted in SIMS during June 2019 to January 2020. All patients fulfilling inclusion criteria were included in the study. Demographic data was collected from medical records. Results: A total of 100 patients were included in the study. Surgery was performed in 59 patients and samples sent confirmed acute appendicitis on histopathology. No significant difference was found in both groups between the positive and negative appendicitis regarding patient`s gender. The AIR score also outperformed the Alvarado score in the analysis of the more difficult to diagnose patients, including women, children, and the elderly. Conclusion: It is concluded that the AIR score probably works better in the pediatric population than the Alvarado score because the variables scored are easy to apply to children. The Alvarado score requires children to identify nausea, anorexia, and migration of pain.

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