Clinical scoring systems have been employed in the diagnosis
of acute appendicitis, demonstrating varying levels of efficacy. The Alvarado
scoring system is the most prevalent, followed by other systems such as the
RIPASA and AIR systems. These scoring systems are generally effective in
excluding appendicitis or identifying patients who may require additional
imaging, such as ultrasound or computed tomography. However, clinical scoring
systems are not typically used in isolation to diagnose acute appendicitis.
This review article has been conducted to examine the commonly utilised scoring
systems and assess their sensitivity and specificity. A literature review was
conducted using secondary sources. Findings indicate that all the studies
scored were good at ruling out acute appendicitis, but they cannot be used on
their own to diagnose acute appendicitis. Further investigations, such as
imaging with ultrasound or computerised tomography, may be required to diagnose
acute appendicitis. Further randomised, prospective studies are required to
more comprehensively assess their clinical efficacy.
Author(s) Details
Kumar H.R.
Taylor University School of Medicine and Health Science, 47500 Subang Jaya,
Malaysia.
Please see the book here :- https://doi.org/10.9734/bpi/msup/v4/6855
