Abstract
EVALUATION OF APPENDICITIS: TZANAKIS SCORING SYSTEM OR MODIFIED ALVARADO’S SCORING SYSTEM

Dr. Anoop Sharma, Dr. Pramita Muntode Gharde, Dr. Pankaj Gharde*, Dr. Rakhi Sharma, Dr. Kamlesh Kumar Sharma and Dr. Ajay Sharma

ABSTRACT

Introduction: The acute appendicitis is an important problem faced by surgeons and radiologist in daily routine. It can progress to perforation and have high mortality and morbidity. That’s why the surgeons operate the cases rather than waiting or going for conservative treatment.[1] Clinical examination gives accuracy of 71% to 97%.[2] To increase the diagnostic accuracy of acute appendicitis now-a-days, USG, laparoscopy and even radioactive isotope imaging is done. Aim and objectives: To compare the sensitivity, specificity and diagnostic accuracy of Tzanakis and Modified Alvarado scoring system and to know which scoring system is better in the diagnosis of Acute Appendicitis. The objectives of our study, to compare, the diagnostic efficacy of Tzanakis and Modified Alvarado scoring system, to asses, the Sensitivity, specificity of symptoms, sign and laboratory Parameters, age wise incidence, gender wise incidence of acute appendicitis. Results: Comparison of results of both scoring systems Tzanakis test sensitivity, specificity, PPV, NPV, Accuracy is 82.02%,36.36%,91.25%,20%,77% and Modified Alvarado scoring system test sensitivity ,specificity , PPV, NPV, Accuracy is 97.75%,18.18%, 90.63%,50%,89%. Conclusion: Hence our final conclusion after comparing these studies, both studies show the positive correlation. But when we think which is best Modified Alvarado’s scoring system is better than Tzanakis scoring system as in Tzanakis system there are chances of observer bias and we don’t wait for total leucocyte count to go up to 12000/cmm if clinical suspicion is there.

Keywords: Appendicitis; Modified Alvarado’s scoring system; Tzanakis scoring System.


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