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[Diagnostic scales for acute appendicitis in children].
J E Atoche1, J Caballero-Alvarado1,2, K Lozano-Peralta1
1School of Medicine, Antenor Orrego Private University, Trujillo, Peru.
Khirurgiia
|October 18, 2024
Summary
Diagnosing acute appendicitis in children is challenging. This review analyzes 22 pediatric appendicitis prediction scales, highlighting their role in guiding surgical decisions.
Area of Science:
- Pediatric Emergency Medicine
- Diagnostic Accuracy
- Clinical Decision Support
Background:
- Acute appendicitis is a common pediatric emergency with diagnostic challenges.
- Predictive clinical scales aid in risk stratification for pediatric appendicitis.
- Existing criteria lack universal consensus, necessitating a comprehensive review.
Purpose of the Study:
- To identify and analyze 22 distinct prediction scales for diagnosing acute appendicitis in children.
- To evaluate the utility of these scales in guiding surgical intervention decisions.
- To provide an overview of current diagnostic tools for pediatric appendicitis.
Main Methods:
- A systematic literature search was conducted following PRISMA guidelines.
- 73 articles were selected from 1521 based on inclusion criteria (pediatric population, integrated scales).
- Analysis focused on scales incorporating clinical history, physical examination, laboratory, and imaging data.
Main Results:
- Twenty-two pediatric appendicitis prediction scales were identified and analyzed.
- The Alvarado scale and Tzanakis scale were among the most frequently used worldwide.
- Pediatric-specific scores like PAS and Heidelberg Appendicitis Score (HAS) were noted.
Conclusions:
- Predictive scales are crucial for diagnosing acute appendicitis in children.
- These scales integrate diverse data to inform surgical management.
- Further consensus on optimal scale selection may improve diagnostic accuracy.
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