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The project aims to determine the frequency of use of the Alvarado score among emergency department physicians at facilities in Villavicencio, Colombia. The information will be collected using a self-directed survey with items assessing awareness, compliance, and systematic recording of the Alvarado score among patients with abdominal pain and suspected acute appendicitis, as predictors of illness and severity.
Introduction: Early detection of appendicitis in the emergency department is vital for prompt treatment and the prevention of complications. The Alvarado score is a diagnostic tool designed to predict the probability of appendicitis in adults. Publications about the use of the Alvarado score are limited. Understanding how frequently a predictive score is used is essential for promoting its adoption. This study aimed to assess the frequency with which emergency department physicians in healthcare facilities in the Meta Department use the Alvarado score.
Methodology: Between August 2019 and January 2020, a cross-sectional survey was conducted with physicians (N = 125) who voluntarily participated from five hospitals in the area.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| City of the facility | Location of the facility | ||
| Site of graduation | Physicians graduated in the local university |
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| Measure | Description | Time Frame |
|---|---|---|
| Awareness | Complete identification of all items of the Alvarado score | 30 days |
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Inclusion Criteria:
Exclusion Criteria:
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General practitioners workin in the emergency department of hospital facilities in the Meta State.
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| Name | Affiliation | Role |
|---|---|---|
| Norton Perez Gutierrez, MD | Hospital Departamental de Villavicencio | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Departamental de Villavicencio | Villavicencio | Meta Department | 50001 | Colombia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29486897 | Result | Arroyo-Rangel C, Limon IO, Vera AG, Guardiola PM, Sanchez-Valdivieso EA. Sensitivity, Specificity and Reliability of the RIPASA Score for Diagnosis of Acute Appendicitis in Relation to the Alvarado Score. Cir Esp (Engl Ed). 2018 Mar;96(3):149-154. doi: 10.1016/j.ciresp.2017.11.013. Epub 2018 Feb 24. English, Spanish. | |
| 40484777 | Result |
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Upon reasonable request
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| ID | Term |
|---|---|
| D001064 | Appendicitis |
| D004194 | Disease |
| D015746 | Abdominal Pain |
| D000006 | Abdomen, Acute |
| ID | Term |
|---|---|
| D059413 | Intraabdominal Infections |
| D007239 | Infections |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
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| Sanabria-Arevalo LM, Dominguez-Torres LC, Kock J, Lotero JD, Gomez-Caceres JC, Tuta-Quintero E. Comparison of the predictive capacity of the Alvarado and AIR scores in the diagnosis of acute appendicitis: A prospective study. Rev Gastroenterol Mex (Engl Ed). 2025 Apr-Jun;90(2):176-181. doi: 10.1016/j.rgmxen.2024.07.007. Epub 2025 Jun 7. |
| 33064688 | Result | Caballero-Alvarado J, Rebaza-Soria S. Comparative analysis of diagnostic scales of acute appendicitis: Alvarado, RIPASA and AIR. Cir Cir. 2020;88(5):672-673. doi: 10.24875/CIRU.20000568. No abstract available. |
| 40418572 | Result | Bakula B, Bogut A, Karacic A, Bakula M, Maric A, Radisic Biljak V. A prospective diagnostic accuracy study of the Alvarado score in a Croatian hospital - is it time for a final conclusion? Acta Chir Belg. 2025 Aug;125(4):197-201. doi: 10.1080/00015458.2025.2512279. Epub 2025 Jun 3. |
| 39923099 | Result | Andersson RE, Stark J. Diagnostic value of the appendicitis inflammatory response (AIR) score. A systematic review and meta-analysis. World J Emerg Surg. 2025 Feb 8;20(1):12. doi: 10.1186/s13017-025-00582-x. |
| D004066 |
| Digestive System Diseases |
| D002429 | Cecal Diseases |
| D007410 | Intestinal Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D012817 | Signs and Symptoms, Digestive |