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Appendicitis in children: evaluation of the pediatric appendicitis score in younger and older children.

Salö, Martin LU ; Friman, Gustav; Stenström, Pernilla LU ; Ohlsson, Bodil LU and Arnbjörnsson, Einar LU (2014) In Surgery research and practice 2014.
Abstract
Background. This study aimed to evaluate Pediatric Appendicitis Score (PAS), diagnostic delay, and factors responsible for possible late diagnosis in children <4 years compared with older children who were operated on for suspected appendicitis. Method. 122 children, between 1 and 14 years, operated on with appendectomy for suspected appendicitis, were retrospectively analyzed. The cohort was divided into two age groups: ≥4 years (n = 102) and <4 years (n = 20). Results. The mean PAS was lower among the younger compared with the older patients (5.3 and 6.6, resp.; P = 0.005), despite the fact that younger children had more severe appendicitis (75.0% and 33.3%, resp.; P = 0.001). PAS had low sensitivity in both groups, with a... (More)
Background. This study aimed to evaluate Pediatric Appendicitis Score (PAS), diagnostic delay, and factors responsible for possible late diagnosis in children <4 years compared with older children who were operated on for suspected appendicitis. Method. 122 children, between 1 and 14 years, operated on with appendectomy for suspected appendicitis, were retrospectively analyzed. The cohort was divided into two age groups: ≥4 years (n = 102) and <4 years (n = 20). Results. The mean PAS was lower among the younger compared with the older patients (5.3 and 6.6, resp.; P = 0.005), despite the fact that younger children had more severe appendicitis (75.0% and 33.3%, resp.; P = 0.001). PAS had low sensitivity in both groups, with a significantly lower sensitivity among the younger patients. Parent and doctor delay were confirmed in children <4 years of age with appendicitis. PAS did not aid in patients with doctor delay. Parameters in patient history, symptoms, and abdominal examination were more diffuse in younger children. Conclusion. PAS should be used with caution when examining children younger than 4 years of age. Diffuse symptoms in younger children with acute appendicitis lead to delay and to later diagnosis and more complicated appendicitis. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Surgery research and practice
volume
2014
publisher
Hindawi Publishing Corporation
external identifiers
  • pmid:25574500
ISSN
2356-7759
DOI
10.1155/2014/438076
language
English
LU publication?
yes
id
2b917467-9c04-4d59-9b74-4e3fa6e486b3 (old id 5040883)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25574500?dopt=Abstract
date added to LUP
2015-02-05 17:30:02
date last changed
2016-09-20 04:38:42
@article{2b917467-9c04-4d59-9b74-4e3fa6e486b3,
  abstract     = {Background. This study aimed to evaluate Pediatric Appendicitis Score (PAS), diagnostic delay, and factors responsible for possible late diagnosis in children &lt;4 years compared with older children who were operated on for suspected appendicitis. Method. 122 children, between 1 and 14 years, operated on with appendectomy for suspected appendicitis, were retrospectively analyzed. The cohort was divided into two age groups: ≥4 years (n = 102) and &lt;4 years (n = 20). Results. The mean PAS was lower among the younger compared with the older patients (5.3 and 6.6, resp.; P = 0.005), despite the fact that younger children had more severe appendicitis (75.0% and 33.3%, resp.; P = 0.001). PAS had low sensitivity in both groups, with a significantly lower sensitivity among the younger patients. Parent and doctor delay were confirmed in children &lt;4 years of age with appendicitis. PAS did not aid in patients with doctor delay. Parameters in patient history, symptoms, and abdominal examination were more diffuse in younger children. Conclusion. PAS should be used with caution when examining children younger than 4 years of age. Diffuse symptoms in younger children with acute appendicitis lead to delay and to later diagnosis and more complicated appendicitis.},
  articleno    = {438076},
  author       = {Salö, Martin and Friman, Gustav and Stenström, Pernilla and Ohlsson, Bodil and Arnbjörnsson, Einar},
  issn         = {2356-7759},
  language     = {eng},
  publisher    = {Hindawi Publishing Corporation},
  series       = {Surgery research and practice},
  title        = {Appendicitis in children: evaluation of the pediatric appendicitis score in younger and older children.},
  url          = {http://dx.doi.org/10.1155/2014/438076},
  volume       = {2014},
  year         = {2014},
}