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Indian Journal of Pediatrics
Published in: Indian Journal of Pediatrics 12/2023

21-07-2023 | Appendicitis | Editorial Commentary

Diagnosing Appendicitis on the Basis of Clinical Prediction Rules: Are We There Yet?

Author: Rishi Bolia

Published in: Indian Journal of Pediatrics | Issue 12/2023

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Excerpt

Appendicitis is the most common reason for abdominal surgery in children [1, 2]. Despite being so common, the diagnosis of appendicitis is challenging and is often delayed because the initial symptoms can be often nonspecific. In a case-controlled study from five pediatric emergency departments, it was found that 63% children had a delay in diagnosis because of an incorrect diagnosis at their first visit to a healthcare facility [3]. These delays in diagnosis are associated with worse outcomes. …
Literature
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Guan L, Liu Z, Pan G, et al. The global, regional, and national burden of appendicitis in 204 countries and territories, 1990–2019: a systematic analysis from the global burden of disease study 2019. BMC Gastroenterol. 2023;23:44.CrossRefPubMedPubMedCentral
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Kulik DM, Uleryk EM, Maguire JL. Does this child have appendicitis? A systematic review of clinical prediction rules for children with acute abdominal pain. J Clin Epidemiol. 2013;66:95–104.CrossRefPubMed
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Michelson KA, Reeves SD, Grubenhoff JA, et al. Clinical features and preventability of delayed diagnosis of pediatric appendicitis. JAMA Netw Open. 2021;4:e2122248.CrossRefPubMedPubMedCentral
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van Amstel P, Gorter RR, van der Lee JH, Cense HA, Bakx R, Heij HA. Ruling out appendicitis in children: can we use clinical prediction rules? J Gastrointest Surg. 2019;23:2027–48.CrossRefPubMed
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Ebell MH, Shinholser J. What are the most clinically useful cutoffs for the alvarado and pediatric appendicitis scores? A systematic review. Ann Emerg Med. 2014;64:365-72.e2.CrossRefPubMed
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Benabbas R, Hanna M, Shah J, Sinert R. Diagnostic accuracy of history, physical examination, laboratory tests, and point-of-care ultrasound for pediatric acute appendicitis in the emergency department: a systematic review and meta-analysis. Acad Emerg Med. 2017;24:523–51.CrossRefPubMed
Metadata
Title
Diagnosing Appendicitis on the Basis of Clinical Prediction Rules: Are We There Yet?
Author
Rishi Bolia
Publication date
21-07-2023
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 12/2023
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-023-04771-x

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