Original Article

Year : 2021 | Volume : 5 | Issue : 2 | Page : 54 - 59

Correlation between Alvarado score and histopathology in appendicitis – A pilot study

Vinod V. Prabhu, Vishrabdha Pawar

Departments of Surgery and 1 Pathology, Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, Maharashtra, India

Abstract

Introduction:

Alvarado scoring system is an easy, clinical tool in the preoperative evaluation of acute appendicitis. Many a times, the diagnosis is made by the clinical examination along with ultrasonography and computed tomography scan. Alvarado score (AS) supposedly improves the diagnostic accuracy and consequently reduces negative exploration.

Aims:

The aim of this study was to explore the possibility of a correlation of preoperative Alvarado scoring with histological evidence.

Materials and Methods:

This pilot study was carried out to evaluate histopathological (HP) correlation with AS, in 100 patients admitted in the department of surgery of a rural medical college. HP grades were first constructed, and then, the score was compared so as examine the correlation if any. A Histopathology report (HPR) grade of 5 was taken as normal appendix.

Results:

In a sample size of 100, there were a maximum of 46 patients with AS score 5 and 6 and 44 patients with HP Grade 4. Using receiver operating characteristic curve, the cutoff for the score was 5 with a sensitivity of 58.24% and specificity of 33.33%. The negative appendicectomy rate was 9%.

Conclusion:

The AS score correlates poorly with the HP findings.

Keywords: Alvarado score, appendicitis, histopathology

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

How to cite this article:

Prabhu VV, Pawar V. Correlation between Alvarado score and histopathology in appendicitis – A pilot study. Int J Clinicopathol Correl 2021;5:54-9.