To evaluate the predictive value of multiple scoring systems for diagnosing acute appendicitis and correlate these scores with surgical intervention results, emphasizing the importance of accurate diagnosis.
Key Findings:
AAS showed the highest discriminatory ability with an AUC of 0.988 (95% CI: 0.961–1.0).
AIR score had an AUC of 0.920 (95% CI: 0.790–1.0), while RIPASA and Alvarado scores had AUCs of 0.825 (95% CI: 0.605–1.0) and 0.715 (95% CI: 0.337–1.0), respectively.
Interpretation:
The AAS and AIR scores demonstrated superior diagnostic performance for acute appendicitis compared to RIPASA and Alvarado scores, indicating their utility in clinical settings and potential to improve patient outcomes.
Limitations:
The study excluded patients under 16 years and those with septic shock, limiting generalizability and introducing potential biases.
Sample size may not fully represent all demographics affected by acute appendicitis.
Conclusion:
The AAS and AIR scoring systems are effective tools for diagnosing acute appendicitis, with AAS showing the best overall performance, suggesting their integration into clinical practice.
