Key result
The Alvarado score did not significantly differ between elderly patients with complicated (6.96) and uncomplicated (6.72) appendicitis (P=0.36), failing to differentiate the two conditions.
Why the study?
It was unknown whether the Alvarado score is beneficial in identifying complicated versus uncomplicated acute appendicitis in elderly patients.
Does the Alvarado score differentiate complicated from uncomplicated appendicitis in elderly patients?
Population
216 patients aged 65 years and older undergoing appendectomy for pathologically confirmed appendicitis
Comparison
Complicated appendicitis vs uncomplicated appendicitis
Design
Retrospective chart review
Authors
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Alvarado score should not guide differentiation of appendicitis severity in elderly patients; leaves open the need for alternative tools in this population.
Observational (n=216)
Does the Alvarado score differentiate complicated from uncomplicated appendicitis in elderly patients?
Absolute Event Rate: 6.96% vs 6.72%
p-value: p=0.36
The Alvarado score is not able to differentiate complicated from uncomplicated appendicitis in elderly patients.
Deiters et al. (2019) conducted an observational in Acute appendicitis (n=216). Complicated appendicitis vs. Uncomplicated appendicitis was evaluated on Mean Alvarado score (p=0.36). The Alvarado score did not significantly differ between elderly patients with complicated (6.96) and uncomplicated (6.72) appendicitis (P=0.36), failing to differentiate the two conditions.
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