Accuracy in the diagnosis of acute appendicitis: Physical examination versus imaging

İngilizce (OpenAlex)

Abstract Background Acute appendicitis is one of the most common causes of acute abdomen. In case of delay in the diagnosis process, perforation develops, and the patient's morbidity and mortality increase. In our study, we evaluated the effectiveness of laboratory, radiological, and physical examination findings in diagnosing acute appendicitis. Methods A total of 488 patients hospitalized with a prediagnosis of acute appendicitis were included in the study. 162 patients constituted the unoperated and 326 patients constituted the operated group (Groups 1 and 2). The two groups were compared in terms of age, gender, and ultrasonographic findings, as well as Alvarado score parameters. Results In logistic regression analysis, which included only Alvarado parameters, anorexia was the most valuable parameter in predicting surgery (p=0.000). The Alvarado score was found to be the most useful parameter in making the surgery decision (p