Barza Afzal, Wasim Hayat Khan, Usman Ismat Butt, Muhammad Umar, Muhammad Naeem Afzal, Abdul Wadood.
Alvarado Score: is it still relevant in our set-up?.
Pak J Med Health Sci Jan ;13(2):204-5.

Background: Appendicitis is one of the most common surgical intervention carried out. However the diagnosis of appendicitis is often difficult. Various scoring systems are used. Diagnostic imaging although helpful is often not available. Aim: To evaluate the efficacy of Alvarado score in the diagnosis of appendicitis. Methodology: This observational study was carried out in department of Surgery, Services Hospital, Lahore. This study was a retrospective, observational, descriptive-analytical and cross-sectional analysis. We obtained records of patients who had histopathologically proven appendicitis. All records of patients who underwent appendectomy over a period of 1 year from 1st July, 2017 to 30th June, 2018 were included in the study. Alvarado scores were obtained from blinded evaluators that rated patients that presented with acute abdominal pain to the Emergency Department. If appendicitis was diagnosed, an appendectomy was performed and the appendix tissues were examined by a pathologist so to verify diagnosis. Results: A total of 206 patients were included in the study. Of these 107 (51.94 %) were females and 93 (45.15%) were male. Appendicitis were histopathology present in 190( 90.22%) patients having score of 6 or more. Tenderness (100%) and rebound tenderness (97.08%) were present in almost all cases. Conclusion: Alvarado score continues to be an effective tool in the diagnosis of acute appendicitis.

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