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SM ISO690:2012 GURA, Nicolae. Pediatric appendicitis score assessment in the diagnosis of destructive forms of acute appendicitis in children. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 460. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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Pag. 460-460 | ||||||
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Background. Predicting the destructive forms of acute appendicitis (AA) in children is a key moment in establishing the diagnosis and subsequent tactics of treatment. Currently the most widely used in pediatric surgery is the pediatric appendicitis score (PAS). Objective of the study. Assessment the ability of PAS score to predict the destructive forms of acute appendicitis. Material and Methods. This retrospective study was performed on 64 children who presented with signs of acute surgical abdomen between 20212022. The data were collected according to the PAS algorithm. The results were compared with the final diagnosis and subjected to statistical analysis to determine the sensitivity and specificity of the PAS score. Results. The study group consisted of 64 children aged between 2 and 17 years, of whom 41 were boys and 23 girls, 29 were operated on, in 35 AA were excluded. Of those operated, 26 were confirmed histologically with phlegmonous AA, 2 with gangrenous AA and 1 with catarrhal AA. Applying the PAS Score correctly established the presence of destructive AA in 21 patients, and its absence in 28 patients, but omitted 7 patients with destructive AA and misdiagnosed with AA 8 patients with other pathologies. Therefore, for a limit value ≥ 7 points, the PAS score showed a sensitivity, specificity, and accuracy of 75%, 77.7% and 76.6% respectively. Conclusion. The PAS score may not be useful in diagnosing a destructive form of acute appendicitis due to the very high risk of misdiagnosis in 24.1% of children requiring urgent surgery. |
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Cuvinte-cheie acute appendicitis, children, score, PAS, apendicită acută, copii, scor, PAS |
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