UTILIDAD DE LA ESCALA DE ALVARADO EN EL DIAGNÓSTICO TEMPRANO DE LA APENDICITIS AGUDA, EN EL SERVICIO DE URGENCIA DEL HOSPITAL ABEL GILBERT PONTÓN DESDE ENERO DEL 2016 A DICIEMBRE 2018

Abstract

To determine the usefulness of the Alvarado Scale in the Early Diagnosis of Acute Appendicitis, in the emergency service of the Abel Gilbert Pontón Hospital from January 2016 to December 2018 Methods: An observational, prospective and analytical study was conducted in which a sample of 218 patients was selected who presented abdominal pain to the emergency department of the Guayaquil Abel Gilbert Pontón Hospital in the period between February 2016 and February 2018. Result: The sex with greater incidence was the masculine with 53%, the primitive age was between 21-30 years of age. The most frequent pathological type was the purulent fibrin with 73 case with alvarado values of 5-7, the Symptoms more freceunte was abdominal pain in the right iliac fossa and the study obtained a sensitivity of 74% and a specificity of 35%. Conclusion: The strength of the study is in identifying patients with acute appendicitis with a cut-off point> 4, but it does not have the capacity to completely rule out acute appendicitis in those who presented a cutoff point <4 points on the scale of Alvarado.