External validation of Lintula score in Turkish acute appendicitis patients

被引:9
作者
Yoldas, Omer [1 ]
Karaca, Turgut [2 ]
Tez, Mesut [3 ]
机构
[1] Ordu State Hosp, Ordu, Turkey
[2] Ankara Occupat Dis Hosp, Ankara, Turkey
[3] Ankara Numune Training & Res Hosp, Ankara, Turkey
关键词
Appendicitis; Lintula score; Diagnosis; DIAGNOSTIC SCORE; SUSPECTED APPENDICITIS; PERFORATED APPENDICITIS; ABDOMINAL-PAIN; CHILDREN;
D O I
10.1016/j.ijsu.2011.11.006
中图分类号
R61 [外科手术学];
学科分类号
摘要
Purpose: The aim of this study was to evaluate the predictive accuracy of Lintula score in Turkish appendicitis patients. Materials and methods: Data from a total of 156 patients operated with the diagnosis of acute appendicitis were collected retrospectively. The Lintula score was constructed from nine variables (gender, intensity of pain, relocation of pain, pain in the right lower abdominal quadrant, vomiting, body temperature, guarding, bowel sounds and rebound tenderness) with independent diagnostic value in 156 patients. Lintula score was calculated for all patients. Pathological results of the resected specimen were determined and the diagnostic performance of the Lintula score was compared. Results: Hoshmer-Lemeshow and ROC curve analysis was performed and area under the curve was 0.922. Predictive accuracy of Lintula score among Turkish appendicitis patients was statistically significant. Conclusion: Lintula score seems to be useful method to diagnose acute appendicitis among Turkish patients and may reduce the rate of negative appendectomy. (C) 2011 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:25 / 27
页数:3
相关论文
共 22 条
[11]   Clinical prediction rules - A review and suggested modifications of methodological standards [J].
Laupacis, A ;
Sekar, N ;
Stiell, IG .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 277 (06) :488-494
[12]   A diagnostic score for children with suspected appendicitis [J].
Lintula, H ;
Pesonen, E ;
Kokki, H ;
Vanamo, K ;
Eskelinen, M .
LANGENBECKS ARCHIVES OF SURGERY, 2005, 390 (02) :164-170
[13]   Diagnostic score in acute appendicitis. Validation of a diagnostic score (Lintula score) for adults with suspected appendicitis [J].
Lintula, Hannu ;
Kokki, Hannu ;
Pulkkinen, Jukka ;
Kettunen, Riikka ;
Grohn, Oskari ;
Eskelinen, Matti .
LANGENBECKS ARCHIVES OF SURGERY, 2010, 395 (05) :495-500
[14]   Appendicitis score for children with suspected appendicitis. A randomized clinical trial [J].
Lintula, Hannu ;
Kokki, Hannu ;
Kettunen, Riikka ;
Eskelinen, Matti .
LANGENBECKS ARCHIVES OF SURGERY, 2009, 394 (06) :999-1004
[15]   Disconnect between incidence of nonperforated and perforated appendicitis - Implications for pathophysiology, and management [J].
Livingston, Edward H. ;
Woodward, Wayne A. ;
Sarosi, George A. ;
Haley, Robert W. .
ANNALS OF SURGERY, 2007, 245 (06) :886-892
[16]   PEDIATRIC APPENDECTOMY [J].
PEARL, RH ;
HALE, DA ;
MOLLOY, M ;
SCHUTT, DC ;
JAQUES, DP .
JOURNAL OF PEDIATRIC SURGERY, 1995, 30 (02) :173-181
[17]   CT scan in patients with suspected appendicitis: Clinical implications for the acute care surgeon [J].
Petrosyan, M. ;
Estrada, J. ;
Chan, S. ;
Somers, S. ;
Yacoub, W. N. ;
Kelso, R. L. ;
Mason, R. J. .
EUROPEAN SURGICAL RESEARCH, 2008, 40 (02) :211-219
[18]   Pediatric appendicitis score [J].
Samuel, M .
JOURNAL OF PEDIATRIC SURGERY, 2002, 37 (06) :877-881
[19]   Diagnostic score in appendicitis - Validation of a diagnostic score (Eskelinen score) in patients in whom acute appendicitis is suspected [J].
Sitter, H ;
Hoffmann, S ;
Hassan, I ;
Zielke, A .
LANGENBECKS ARCHIVES OF SURGERY, 2004, 389 (03) :213-218
[20]  
STONE HH, 1971, SURGERY, V69, P673