Alvarado’s Criteria for Diagnosis of Children’s Acute Apendicitis
DOI:
https://doi.org/10.31686/ijier.vol10.iss10.3973Keywords:
Acute abdomen, Acute appendicitis, Alvarado score, childAbstract
Acute abdomen in children is a condition that causes great distress to parents, and appendicitis is its most common cause, being more frequent at school age. This pathology is the cause of numerous visits to public and private hospitals around the world, and brings several complications. It is important that the health team is aware of the possibility of appendicitis in children, due to its high incidence and difficulty in establishing its diagnosis, because the symptoms are nonspecific and there are different clinical presentations. Objective: to explain the importance of the Alvarado criterion for the diagnosis of acute childhood appendicitis. Methodology: This is an integrative bibliographic review, in articles published in the PubMed, Virtual Health Library and Google Scholar databases. For the search for data, the descriptors “Acute abdomen”, “Appendicitis”, “Children” and the keyword “Alvarado score” were used. Data were collected in December 2020. Results: 16 articles were selected as the final sample for analysis of the review, six in English, nine in Portuguese and one in Spanish. Conclusion: Through this review it can be concluded that the use of the Alvarado Score for the diagnosis of acute appendicitis in children is useful and effective, avoiding the use of imaging tests in patients with a score above 7 on this scale.
Downloads
References
Adorno, G.R., Rios, T.F., Colombo, F.A.A, & Cuellar, P.M.G. (2016). Escala de Alvarado para o diagnóstico clínico de apendicite aguda. Rev Pato Tocantins, 3(2), 46-52. https://sistemas.uft.edu.br/periodicos/index.php/patologia/article/view/2094/pdf_1. Accessed 25 dez 2020.
Arredondo, G.P. (2014). Apendicitis y apendicectomías em pediatria. Prevalencia en un hospital de segundo nivel. Cir Gen, 3(2), 82-86. https://www.scielo.org.mx/pdf/cg/v36n2/1405-0099-cg-36-02-82.pdf. Accessed 25 dez 2020.
Aneiros, B., Cano, I., García, A., Yuste, P., Ferrero, E., & Gómez, A. (2019). Apendicite em pediatria: a idade é importante. Rev. Paul. Pediatr, 37(3), 318-324. https://doi. org/10.1590/1984-0462/;2019;37;3;00019. DOI: https://doi.org/10.1590/1984-0462/;2019;37;3;00019
Borges, P.S.G.N., Lima, M.C., & Neto, G.H.F. (2003). Validação do escore de Alvarado no diagnóstico de apendicite aguda em crianças e adolescentes no Instituto Materno Infantil de Pernambuco, IMIP. Ver. Bras. Saúde Matern. Infant, 3(4), 439-445. https://doi.org/10.1590/S1519-38292003000400008. DOI: https://doi.org/10.1590/S1519-38292003000400008
Cerruti, F.A. (1942). apendicite na síndrome de abdômen agudo. Rev Med, 26(99), 5-36. https://doi.org/10.11606/issn.1679-9836.v26i99p5-36. DOI: https://doi.org/10.11606/issn.1679-9836.v26i99p5-36
Cunha, C.M.Q., Troiani Neto, G., Brasil, A.C., Menezes, F.J.C., Brilhante, A.V.M., & Reinaldo, R.R.P. (2018). Correlation of clinical data and the Alvarado’s Score as predictors of acute appendicitis. J. Coloproctol, 38(2), 95-98. https://doi.org/10.1016/j. jcol.2017.11.004.
Depinet, H., Von Allmen, D., Towbin, A., Hornung, R., & Alessandrini, E. (2016). Risk stratification to decrease unnecessary diagnostic imaging for acute appendicitis. Pediatrics, 138(3), e20154031. https://doi.org/10.1542/peds.2015-4031. DOI: https://doi.org/10.1542/peds.2015-4031
Do Nascimento, R.R., Souza, J.C.G., Alexandre, V.B., Kock, K.S., & Kestering, D.M. (2018). Associação entre o escore de Alvarado, achados cirúrgicos e aspecto histopatológico da apendicite aguda. Rev. Col. Bras. Cir, 45(5), e1901. http://dx.doi. org/10.1590/0100-6991e-20181901. DOI: https://doi.org/10.1590/0100-6991e-20181901
Fischer, C.A., Pinho, M.S.L., Ferreira, S., Milani, C.A.C., Van Santen, C.R., & Marquardt, R.A. (2005). Apendicite aguda: existe relação entre o grau evolutivo, idade e o tempo de internação?. Rev.Col.Bras.Cir, 32(3), 136-138. https://doi.org/10.1590/S0100- 69912005000300007. DOI: https://doi.org/10.1590/S0100-69912005000300007
Iamarino, A.P.M., Juliano, Y., Rosa, O.M., Novo, N.F., Favaro, M.L., & Ribeiro Júnior, M.A.F. (2017). Fatores de risco associados às complicações de apendicite aguda. Rev. Col. Bras. Cir, 44(6), 560-566. https://doi.org/10.1590/0100-69912017006002. DOI: https://doi.org/10.1590/0100-69912017006002
Kharbanda, A.B., Monuteaux, M.C., Bachur, R.G., Dudley, N.C., Bajaj, L., Stevenson, M.D., & et al. (2017). A clinical score to predict appendicitis in older male children. Acad Pediatr, 17(3), 261-266.
Lima, A.P., Vieira, F.J., Oliveira, G.P. De M., Ramos, P. Dos S., Avelino, M.E. & et al. (2016). Perfil clínico-epidemiológico da apendicite aguda: análise retrospectiva de 638 casos. Rev. Col. Bras. Cir, 43(4), 248-253. http://dx.doi. org/10.1590/01006991201600400. DOI: https://doi.org/10.1590/0100-69912016004009
Parkinson, J. (1812). Case of diseased vermiform appendix. Med. Chirurg. Trans, 3:57-58. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2128895/pdf/medcht00071-0067.pdf. Accessed 25 dez 2020. DOI: https://doi.org/10.1177/095952871200300105
Pearn, J. & Gardner-Thorpe, C. (2001). James Parkinson (1755-1824): a pioneer of child care. J Paediatr Child Health, 37(1), 9-13. https://doi.org/10.1046/j.1440- 1754.2001.00598.x. DOI: https://doi.org/10.1046/j.1440-1754.2001.00598.x
Peyvasteh, M., Askarpour, S., Javaherizadeh, H., & Besharati, S. (2017). Escore Alvarado modificado em crianças com diagnóstico de apendicite. ABCD, Arq. Bras. Cir. Dig, 30(1), 51-52. https://doi.org/10.1590/0102-6720201700010014. DOI: https://doi.org/10.1590/0102-6720201700010014
Song, D.W., Park, B.K., Suh, S.W., Lee, S.E., Kim, J.W., Park, J.M., & et al. (2018). Bacterial culture and antibiotic susceptibility in patients with acute appendicitis. Int J Colorectal Dis, 4(33), 441-447. https://doi.org/10.1007/s00384-018-2992-z. DOI: https://doi.org/10.1007/s00384-018-2992-z
Souza-Rodrigues, C.F., Rocha, A.C., Rodrigues, A.K.B., Barbosa, F.T., Ramos, F.W..S, & Valões, S.H.C. (2014). Correlação entre a Escala de Alvarado e o aspecto macroscópico do apêndice em pacientes com apendicite. Rev. Col. Bras. Cir, 41(5), 336-340. https://doi.org/10.1590/0100-69912014005007. DOI: https://doi.org/10.1590/0100-69912014005007
https://doi.org/10.1016/j.acap.2016.11.014. DOI: https://doi.org/10.1016/j.acap.2016.11.014
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Bruno César Fernandes, Raquel Borges de Barros Primo, Anny Karoliny das Chagas Bandeira, Mariella Rodrigues da Silva, Carolina Calixto de Souza Andrade, Michelle Katiuscia Melo Mota, Kaio Guilherme Campos Paulo Ikeda, Alan Márcio de Brito Araújo, Vanessa Rodrigues Moraes Delgado, Valeska Lopes Pereira, Ubirajara Medeiros Costa, Eusania Marcia Nascimento, Carmen Célia Neves de Souza, Rodrigo Alexandre Teixeira, Nayara Andrade de Oliveira
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyrights for articles published in IJIER journals are retained by the authors, with first publication rights granted to the journal. The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author for more visit Copyright & License.
How to Cite
Accepted 2022-09-29
Published 2022-10-01
