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Severity of appendicitis correlates with the pediatric appendicitis score.

Publication ,  Journal Article
Adibe, OO; Muensterer, OJ; Georgeson, KE; Harmon, CM
Published in: Pediatr Surg Int
June 2011

PURPOSE: The pediatric appendicitis score (PAS) has been used as a diagnostic tool for the assessment of acute abdominal pain. Our institution has utilized this scoring system as part of a clinical pathway for acute appendicitis. We sought to discover if the PAS could also serve as a prognostic indicator. METHODS: Patients treated within the clinical pathway were divided into three groups (A, B, and C) based on the PAS assigned on admission. Data pertaining to intraoperative findings and length of hospital stay were collected prospectively. RESULTS: In 4 months, 112 patients were enrolled in the study (median age 10.5, range 1-18). 69 of these patients underwent early laparoscopic appendectomy. For group A, 75% had simple appendicitis and 5% were complex. For group B, 68.4% patients had simple appendicitis and 26.3% were complex. For group C, 27.3% were simple and 63.6% were complex. Mean length of hospital stay increased from 1.63 ± 0.34 for patients in group A to 5.9 ± 1.37 for patients in group C. CONCLUSION: Our observational data suggests that the PAS may be a prognostic tool for acute appendicitis. It thereby may impact on preoperative management and postoperative clinical pathways. A larger cohort is necessary to validate our findings.

Duke Scholars

Published In

Pediatr Surg Int

DOI

EISSN

1437-9813

Publication Date

June 2011

Volume

27

Issue

6

Start / End Page

655 / 658

Location

Germany

Related Subject Headings

  • Severity of Illness Index
  • Prospective Studies
  • Prognosis
  • Pediatrics
  • Pain Measurement
  • Male
  • Laparoscopy
  • Infant
  • Humans
  • Follow-Up Studies
 

Citation

APA
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ICMJE
MLA
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Adibe, O. O., Muensterer, O. J., Georgeson, K. E., & Harmon, C. M. (2011). Severity of appendicitis correlates with the pediatric appendicitis score. Pediatr Surg Int, 27(6), 655–658. https://doi.org/10.1007/s00383-010-2744-9
Adibe, Obinna O., Oliver J. Muensterer, Keith E. Georgeson, and Carroll M. Harmon. “Severity of appendicitis correlates with the pediatric appendicitis score.Pediatr Surg Int 27, no. 6 (June 2011): 655–58. https://doi.org/10.1007/s00383-010-2744-9.
Adibe OO, Muensterer OJ, Georgeson KE, Harmon CM. Severity of appendicitis correlates with the pediatric appendicitis score. Pediatr Surg Int. 2011 Jun;27(6):655–8.
Adibe, Obinna O., et al. “Severity of appendicitis correlates with the pediatric appendicitis score.Pediatr Surg Int, vol. 27, no. 6, June 2011, pp. 655–58. Pubmed, doi:10.1007/s00383-010-2744-9.
Adibe OO, Muensterer OJ, Georgeson KE, Harmon CM. Severity of appendicitis correlates with the pediatric appendicitis score. Pediatr Surg Int. 2011 Jun;27(6):655–658.
Journal cover image

Published In

Pediatr Surg Int

DOI

EISSN

1437-9813

Publication Date

June 2011

Volume

27

Issue

6

Start / End Page

655 / 658

Location

Germany

Related Subject Headings

  • Severity of Illness Index
  • Prospective Studies
  • Prognosis
  • Pediatrics
  • Pain Measurement
  • Male
  • Laparoscopy
  • Infant
  • Humans
  • Follow-Up Studies