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Desarrollo y validación de una puntuación de riesgo para predecir apendicitis aguda no complicada

Amine Ben Safta¹, Imen Samaali¹, Chadli Dziri¹

¹Department B of General Surgery - Charles Nicolle's Hospital - Medical School, Tunis El Manar University - Tunisia.

La Tunisie medicale

|February 19, 2026

Resumen

Una nueva puntuación puede predecir la apendicitis aguda no complicada (UCAA) con un 96 % de precisión. Los factores incluyen la duración de los síntomas, la defensa en el cuadrante inferior derecho y los niveles de proteína C reactiva (PCR), lo que ayuda a diagnosticar la apendicitis.

Conclusiones:

Los pacientes con una duración de los síntomas <2 días, sin defensa en el CID y PCR <86,8 mg/l tienen un riesgo del 96 % de UCAA.
La puntuación desarrollada ayuda a diferenciar UCAA de CAA.
La aplicación clínica de la puntuación puede optimizar el manejo de la apendicitis.

Palabras clave:

Apendicitis Aguda Apendicitis Aguda No Complicada Apendicitis Aguda Complicada Puntuación Predictiva Variables Predictivas Pronóstico

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