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Which children could benefit from additional diagnostic tools in case of suspected appendicitis?

April 26, 2017additional appendicitis benefit Case children diagnostic tools

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Which children could benefit from additional diagnostic tools in case of suspected appendicitis?

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van den Broek WT; van der Ende ED; Bijnen AB; Breslau PJ; Gouma DJ Department of Surgery, Medical Centre Alkmaar, Alkmaar, The Netherlands. BACKGROUND: New diagnostic tools such as ultrasound scan, computed tomography (CT) scan, and diagnostic laparoscopy, have become available for children with suspected appendicitis but should be reserved for equivocal cases. The aim of this study was to develop a scoring system to identify this subgroup of children. METHODS: Patients from 2 different periods (period 1, 99 consecutive children [group 1] and period 2, 62 consecutive children [group 2] with suspected appendicitis) were prospectively evaluated. Variables predicting appendicitis were obtained from group 1. By means of a regression analysis, a scoring system was created and applied to the patients of group 2. Missed appendicitis and negative appendectomy rates obtained by clinical practice were compared with the results that would have been accomplished based on the scoring system. Therea