European Journal of Molecular & Clinical Medicine

Abstract

Background: The first appendectomy was performed in 1880 for the case of acute appendicitis in England. No perfect diagnostic evaluation tool exists if symptoms are vague in nature. There are multiple diagnostic approaches which include symptomatology, physical examinations, laboratory findings and imaging studies such as Ultrasonography (USG), Computerised Tomography (CT) of abdomen. Scoring system is a method which helps in estimating the probability of having the corresponding disease in a patient. Such scoring system is of a simple design and easy to implement. One of the system is Alvarado scoring system which is simple enough to apply and it is effective. This system lacks in certain aspects, it doesn’t include C - reactive protein (CRP) as a variable. Appendicitis Inflammatory Response Score (AIRS) was introduced recently which was prepared in the view of the drawbacks in the Alvarado score, includes the CRP value in it.This score can help in diagnosing appendicitis in the suspected patients who require timely surgery or those who are in need of further evaluation.
Methodology:130 patients with pain in Right Iliac Fossa with provisional diagnosis of Acute Appendicitis were taken for study. Informed, valid, written consent for surgery was taken and was operated by experienced surgeons.. Intra-operative findings, histopathological reports, post-operative complications and post-operative hospital stay were recorded. Based on all above findings AIRS score was calculated.
Results: Out of 130 patients majority of the patients were found in the score of 5-8 with 67 (51.53%) patients. It was followed by 36 (27.69%) patients having AIRS score >8 and only 27 (20.76%) patients with score <4. This suggests the accuracy level of the AIRS score to diagnose the severity of the acute appendicitis in the study population.
Conclusion: AIRS aided in accurate diagnosis of acute appendicitis which can help in taking correct decision regarding the therapeutic approach to manage the patient surgically. AIRS scoring system can help in improving the overall health outcome of the patient due to correct management of the patients.