Correlation between Alvarado score and preoperative serum hyperbilirubinemia as a new diagnostic modality for severity of acute appendicitis

Document Type : Original Article

Authors

Department of General and Laparoscopic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt

Abstract

Introduction: Acute appendicitis is a prevalent abdominal emergency that necessitates immediate surgery. The most
common emergency procedure carried out globally is an appendectomy.
Objective: To assess the clinical significance of the preoperative correlation between the Alvarado score and serum
hyperbilirubinemia and to evaluate their ability to predict the severity of acute appendicitis clinically.
Patients and Methods: This cross-sectional analytic study was performed at the Department of General Surgery
Emergency of a tertiary hospital in the period between June 2022 and March 2023. This study was carried out on 208
cases with acute appendicitis.
Results: The mean age of participants was 29.17±14.452 years, predominantly males (54.8%). About two-thirds of
the cases (67.8%) underwent open appendectomy, 58 (27.9%) underwent laparoscopic appendectomy, and nine (4.3%)
underwent laparoscopic and then converted to open appendectomy. More than half of the cases were categorized as
probably appendicitis by Alvarado score. There was a statistically significant difference comparing Alvarado’s scores and
the pathological findings of the participants (P=0.021). No statistically significant differences were recorded between
Alvarado score findings and preoperative serum bilirubin levels.
Conclusion: The study found an association between Alvarado’s score and pathology findings. However, no statistically
significant differences were recorded between the Alvarado score and preoperative serum bilirubin levels.

Keywords

The Egyptian Journal of Surgery
Volume 43, Issue 4
October 2024
Pages 1579-1586

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