Puntuación diagnóstica para apendicitis: estudio prospectivo de su aplicación por profesionales de salud no-médicos

Background: Diagnostic scores have been developed as simple, user-friendly, cost-effective instruments to improve the early diagnosis of acute appendicitis. Aim: To assess the yield of a diagnostic score for acute appendicitis, measured by trained health-related non-physician professional. Patients...

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Autores principales: Beltrán,Marcelo A, Villar M,Raúl, Cruces,Karina S
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2006
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000100005
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spelling oai:scielo:S0034-988720060001000052006-03-08Puntuación diagnóstica para apendicitis: estudio prospectivo de su aplicación por profesionales de salud no-médicosBeltrán,Marcelo AVillar M,RaúlCruces,Karina S Appendicitis Diagnosis Diagnostic techniques and procedures Emergency room nursing Background: Diagnostic scores have been developed as simple, user-friendly, cost-effective instruments to improve the early diagnosis of acute appendicitis. Aim: To assess the yield of a diagnostic score for acute appendicitis, measured by trained health-related non-physician professional. Patients and methods: A prospective, double blind, non-randomized trial. Emergency room nurses applied a previously validated diagnostic score for appendicitis to patients aged more than 15 years with abdominal pain and tachycardia or fever. The main outcome was the percentage of patients operated for acute appendicitis that had a positive score for appendicitis and a pathologically demonstrated appendicitis. Results: The mean scores for patients operated or not operated for appendicitis were 8.64 and 3.31, respectively. The figures for sensitivity, specificity and diagnostic accuracy of the score were 0.83, 0.98 and 0.94, respectively. Conclusions: An appendicitis score measured by health-related non-physician professionals has a similar diagnostic yield than clinical judgmentinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.1 20062006-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000100005es10.4067/S0034-98872006000100005
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Appendicitis
Diagnosis
Diagnostic techniques and procedures
Emergency room nursing
spellingShingle Appendicitis
Diagnosis
Diagnostic techniques and procedures
Emergency room nursing
Beltrán,Marcelo A
Villar M,Raúl
Cruces,Karina S
Puntuación diagnóstica para apendicitis: estudio prospectivo de su aplicación por profesionales de salud no-médicos
description Background: Diagnostic scores have been developed as simple, user-friendly, cost-effective instruments to improve the early diagnosis of acute appendicitis. Aim: To assess the yield of a diagnostic score for acute appendicitis, measured by trained health-related non-physician professional. Patients and methods: A prospective, double blind, non-randomized trial. Emergency room nurses applied a previously validated diagnostic score for appendicitis to patients aged more than 15 years with abdominal pain and tachycardia or fever. The main outcome was the percentage of patients operated for acute appendicitis that had a positive score for appendicitis and a pathologically demonstrated appendicitis. Results: The mean scores for patients operated or not operated for appendicitis were 8.64 and 3.31, respectively. The figures for sensitivity, specificity and diagnostic accuracy of the score were 0.83, 0.98 and 0.94, respectively. Conclusions: An appendicitis score measured by health-related non-physician professionals has a similar diagnostic yield than clinical judgment
author Beltrán,Marcelo A
Villar M,Raúl
Cruces,Karina S
author_facet Beltrán,Marcelo A
Villar M,Raúl
Cruces,Karina S
author_sort Beltrán,Marcelo A
title Puntuación diagnóstica para apendicitis: estudio prospectivo de su aplicación por profesionales de salud no-médicos
title_short Puntuación diagnóstica para apendicitis: estudio prospectivo de su aplicación por profesionales de salud no-médicos
title_full Puntuación diagnóstica para apendicitis: estudio prospectivo de su aplicación por profesionales de salud no-médicos
title_fullStr Puntuación diagnóstica para apendicitis: estudio prospectivo de su aplicación por profesionales de salud no-médicos
title_full_unstemmed Puntuación diagnóstica para apendicitis: estudio prospectivo de su aplicación por profesionales de salud no-médicos
title_sort puntuación diagnóstica para apendicitis: estudio prospectivo de su aplicación por profesionales de salud no-médicos
publisher Sociedad Médica de Santiago
publishDate 2006
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000100005
work_keys_str_mv AT beltranmarceloa puntuaciondiagnosticaparaapendicitisestudioprospectivodesuaplicacionporprofesionalesdesaludnomedicos
AT villarmraul puntuaciondiagnosticaparaapendicitisestudioprospectivodesuaplicacionporprofesionalesdesaludnomedicos
AT cruceskarinas puntuaciondiagnosticaparaapendicitisestudioprospectivodesuaplicacionporprofesionalesdesaludnomedicos
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