{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T22:03:47Z","timestamp":1779314627327,"version":"3.51.4"},"reference-count":34,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO Objetivo: comparar o resultado do escore de Alvarado com os achados cir\u00fargicos e com os resultados do exame histopatol\u00f3gico do ap\u00eandice de pacientes operados por apendicite aguda. M\u00e9todos: estudo observacional com delineamento transversal de 101 pacientes com 14 anos de idade ou mais, submetidos \u00e0 apendicectomia de urg\u00eancia. A avalia\u00e7\u00e3o continha o escore de Alvarado, pontua\u00e7\u00e3o no escore, sexo, idade, etnia dos pacientes e tempo de evolu\u00e7\u00e3o. Foi obtido o aspecto cir\u00fargico do ap\u00eandice, dados a respeito das complica\u00e7\u00f5es p\u00f3s-operat\u00f3rias e o resultado do exame histopatol\u00f3gico. O intervalo de confian\u00e7a pr\u00e9-estabelecido foi de 95%. Foram calculadas sensibilidade, especificidade, valor preditivo positivo e negativo do escore, e realizada uma an\u00e1lise atrav\u00e9s da curva ROC. Resultados: a associa\u00e7\u00e3o entre o escore de Alvarado e a confirma\u00e7\u00e3o diagn\u00f3stica utilizando como ponto de corte uma pontua\u00e7\u00e3o maior ou igual a seis encontrou-se signific\u00e2ncia estat\u00edstica (P=0,002), com sensibilidade de 72% e especificidade de 87,5%. A pontua\u00e7\u00e3o maior ou igual a seis mostrou maior tend\u00eancia a apresentar fases mais avan\u00e7adas da apendicite aguda tanto no aspecto cir\u00fargico quanto histopatol\u00f3gico, quando comparado a uma pontua\u00e7\u00e3o menor que seis. O sexo masculino apresentou maiores chances de complica\u00e7\u00f5es quando comparado ao sexo feminino (P=0,003). Conclus\u00e3o: o escore de Alvarado se mostrou um bom m\u00e9todo para triagem diagn\u00f3stica na apendicite aguda, j\u00e1 que pontua\u00e7\u00f5es maiores ou iguais a seis est\u00e3o associadas a uma probabilidade maior de confirma\u00e7\u00e3o diagn\u00f3stica e de quadros mais avan\u00e7ados da doen\u00e7a aguda.<\/jats:p>","DOI":"10.1590\/0100-6991e-20181901","type":"journal-article","created":{"date-parts":[[2018,10,19]],"date-time":"2018-10-19T15:11:58Z","timestamp":1539961918000},"source":"Crossref","is-referenced-by-count":10,"title":["Associa\u00e7\u00e3o entre o escore de Alvarado, achados cir\u00fargicos e aspecto histopatol\u00f3gico da apendicite aguda."],"prefix":"10.1590","volume":"45","author":[{"given":"Ricardo Reis","family":"do Nascimento","sequence":"first","affiliation":[{"name":"UNISUL - Universidade do Sul de Santa Catarina, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime C\u00e9sar Gelosa","family":"Souza","sequence":"additional","affiliation":[{"name":"UNISUL - Universidade do Sul de Santa Catarina, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa Baschirotto","family":"Alexandre","sequence":"additional","affiliation":[{"name":"UNISUL - Universidade do Sul de Santa Catarina, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelser de Souza","family":"Kock","sequence":"additional","affiliation":[{"name":"UNISUL - Universidade do Sul de Santa Catarina, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darlan de Medeiros","family":"Kestering","sequence":"additional","affiliation":[{"name":"UNISUL - Universidade do Sul de Santa Catarina, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2018,10,18]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.5505\/tjtes.2013.88714","article-title":"Appendicitis scores may be useful in reducing the costs of treatment for right lower quadrant pain","volume":"19","author":"Kirkil C","year":"2013","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"issue":"2","key":"ref2","article-title":"Apendicitis aguda: clasificaci\u00f3n, diagn\u00f3stico y tratamiento","volume":"46","author":"Quevedo Guanche L","year":"2007","journal-title":"Rev Cubana Cir"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","DOI":"10.1002\/bjs.9329","article-title":"Global disease burden of conditions requiring emergency surgery","volume":"101","author":"Stewart B","year":"2014","journal-title":"Br J Surg"},{"issue":"10000","key":"ref4","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1016\/S0140-6736(15)00275-5","article-title":"Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management","volume":"386","author":"Bhangu A","year":"2015","journal-title":"Lancet"},{"key":"ref5","series-title":"Medical Radiology. Imaging of Acute Appendicitis in Adults and Children","first-page":"13","volume-title":"Clinical Presentation of Acute Appendicitis: Clinical Signs-Laboratory Findings-Clinical Scores, Alvarado Score and Derivate Scores","author":"Humes DJ","year":"2011"},{"issue":"4","key":"ref6","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1007\/s00268-011-0988-8","article-title":"Changing incidence of acute appendicitis and nonspecific abdominal pain between 1987 and 2007 in Finland","volume":"35","author":"Ilves I","year":"2011","journal-title":"World J Surg"},{"issue":"12","key":"ref7","first-page":"753","article-title":"Alvarado scoring system in prediction of acute appendicitis","volume":"21","author":"Jalil A","year":"2011","journal-title":"J Coll Physicians Surg Pak"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","first-page":"66","DOI":"10.26719\/2012.18.1.66","article-title":"Sensitivity and specificity of ultrasound in the diagnosis of acute appendicitis","volume":"18","author":"Al-Ajerami Y","year":"2012","journal-title":"East Mediterr Health J"},{"issue":"1","key":"ref9","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1503\/cjs.023509","article-title":"Impact of computed tomography of the abdomen on clinical outcomes in patients with acute right lower quadrant pain: a meta-analysis","volume":"54","author":"Krajewski S","year":"2011","journal-title":"Can J Surg"},{"issue":"7","key":"ref10","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1007\/s00268-011-1101-z","article-title":"In-hospital delay increases the risk of perforation in adults with appendicitis","volume":"35","author":"Busch M","year":"2011","journal-title":"World J Surg"},{"issue":"2","key":"ref11","doi-asserted-by":"crossref","first-page":"93","DOI":"10.22442\/jlumhs.08720152","article-title":"Diagnostic accuracy of Alvarado Scoring System in acute appendicitis","volume":"7","author":"Soomro AG","year":"2008","journal-title":"J Liaquat Univ Med Heal Sci"},{"issue":"4","key":"ref12","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.amjsurg.2010.10.009","article-title":"Negative appendectomy: a 10-year review of a nationally representative sample","volume":"201","author":"Seetahal SA","year":"2011","journal-title":"Am J Surg"},{"issue":"1","key":"ref13","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1177\/000313481307900138","article-title":"Accuracies of diagnostic methods for acute appendicitis","volume":"79","author":"Park JS","year":"2013","journal-title":"Am Surg"},{"issue":"3","key":"ref14","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.ajem.2009.09.029","article-title":"A pilot study on potential new plasma markers for diagnosis of acute appendicitis","volume":"29","author":"Thuijls G","year":"2011","journal-title":"Am J Emerg Med"},{"issue":"4","key":"ref15","first-page":"441","article-title":"Alvarado score for the acute appendicitis in a provincial hospital","volume":"94","author":"Limpawattanasiri C","year":"2011","journal-title":"J Med Assoc Thail"},{"issue":"4","key":"ref16","doi-asserted-by":"crossref","first-page":"404","DOI":"10.5455\/2320-6012.ijrms20131117","article-title":"Role of Alvarado score in the diagnosis of acute appendicitis","volume":"1","author":"Reddy GB","year":"2013","journal-title":"Int J Res Med Sci"},{"issue":"5","key":"ref17","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1111\/acem.12374","article-title":"A simple clinical decision rule to rule out appendicitis in patients with nondiagnostic ultrasound results","volume":"21","author":"Leeuwenburgh MM","year":"2014","journal-title":"Acad Emerg Med"},{"issue":"2","key":"ref18","first-page":"169","article-title":"Sensibilidad y especificidad de la escala de Alvarado en el diagn\u00f3stico de apendicitis aguda comparada con TAC o ultrasonido en las primeras 24 horas de evoluci\u00f3n","volume":"34","author":"Cedillo-Alem\u00e1n EJ","year":"2012","journal-title":"Cir Gen"},{"issue":"5","key":"ref19","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/S0196-0644(86)80993-3","article-title":"A practical score for the early diagnosis of acute appendicitis","volume":"15","author":"Alvarado A","year":"1986","journal-title":"Ann Emerg Med"},{"key":"ref20","series-title":"Baltimore","volume-title":"Sternberg's diagnostic surgical pathology","author":"Mills SE","year":"2010","edition":"5th ed"},{"issue":"5","key":"ref21","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1590\/0100-69912014005007","article-title":"Correlation between the Alvarado Scale and the macroscopic aspect of the appendix in patients with appendicitis","volume":"41","author":"Sousa-Rodrigues CF","year":"2014","journal-title":"Rev Col Bras Cir"},{"issue":"60","key":"ref22","first-page":"396","article-title":"Ecograf\u00eda y Escala de Alvarado en el diagn\u00f3stico de la apendicitis aguda. Impacto en la tasa de apendicectom\u00eda negativa","volume":"28","author":"Genzor R\u00edos SJ","year":"2016","journal-title":"Emergencias"},{"issue":"4","key":"ref23","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1590\/0100-69912016004009","article-title":"Clinical-epidemiological profile of acute appendicitis: retrospective analysis of 638 cases","volume":"43","author":"Lima AP","year":"2016","journal-title":"Rev Col Bras Cir"},{"issue":"2","key":"ref24","first-page":"71","article-title":"Use of modified Alvarado score and USG combination in decreasing negative appendicectomy rate","volume":"22","author":"Swami G","year":"2017","journal-title":"IJRTSAT"},{"issue":"4","key":"ref25","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.asjsur.2013.04.004","article-title":"Acute appendicitis: diagnostic accuracy of Alvarado scoring system","volume":"36","author":"Memon ZA","year":"2013","journal-title":"Asian J Surg"},{"issue":"11","key":"ref26","first-page":"57","article-title":"Diagnostic importance of Alvarado and RIPASA Score in acute appendicitis","volume":"4","author":"Rodrigues W","year":"2017","journal-title":"Int J Sci Study"},{"issue":"1","key":"ref27","doi-asserted-by":"crossref","first-page":"257","DOI":"10.4172\/2161-1076.1000257","article-title":"The validity of Alvarado Score in diagnosis of acute appendicitis among Sudanese patients","volume":"6","author":"Abdelrahim M","year":"2016","journal-title":"Surgery Curr Res"},{"issue":"4","key":"ref28","doi-asserted-by":"crossref","first-page":"E121","DOI":"10.1503\/cjs.023013","article-title":"The accuracy of the Alvarado score in predicting acute appendicitis in the black South African population needs to be validated","volume":"57","author":"Kong VY","year":"2014","journal-title":"Can J Surg"},{"issue":"2","key":"ref29","first-page":"121","article-title":"La escala de Alvarado como recurso cl\u00ednico para el diagn\u00f3stico de la apendicitis aguda","volume":"54","author":"Quesada Su\u00e1rez L","year":"2015","journal-title":"Rev Cuba Cir"},{"issue":"4","key":"ref30","first-page":"234","article-title":"Utilidad de una escala diagn\u00f3stica en casos de apendicitis aguda","volume":"26","author":"Ospina J","year":"2011","journal-title":"Rev Colomb Cir"},{"issue":"1","key":"ref31","first-page":"21","article-title":"Evaluation of appendicitis inflammatory response score as a novel diagnostic tool for diagnosis of acute appendicitis and its comparison with Alvarado score","volume":"3","author":"Sudhir S","year":"2017","journal-title":"IJSS J Surg"},{"issue":"1","key":"ref32","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1590\/S0101-98802007000100005","article-title":"Fatores de Risco para as complica\u00e7\u00f5es ap\u00f3s apendicectomias em adultos","volume":"27","author":"Silva SM","year":"2007","journal-title":"Rev Bras Coloproct"},{"issue":"3","key":"ref33","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1590\/S0102-67202007000300005","article-title":"Perfil das complica\u00e7\u00f5es ap\u00f3s apendicectomia em um hospital de emerg\u00eancia","volume":"20","author":"Nutels DBA","year":"2007","journal-title":"ABCD Arq Bras Cir Dig"},{"issue":"6","key":"ref34","first-page":"560","article-title":"Fatores de risco associados \u00e0s complica\u00e7\u00f5es de apendicite aguda","volume":"44","author":"Iamarino APM","year":"2017","journal-title":"Rev Col Bras Cir"}],"container-title":["Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rcbc\/v45n5\/0100-6991-rcbc-45-05-e1901.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,13]],"date-time":"2020-11-13T15:22:51Z","timestamp":1605280971000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-69912018000500151&lng=pt&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,18]]},"references-count":34,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2018]]}},"alternative-id":["S0100-69912018000500151"],"URL":"https:\/\/doi.org\/10.1590\/0100-6991e-20181901","relation":{},"ISSN":["1809-4546","0100-6991"],"issn-type":[{"value":"1809-4546","type":"electronic"},{"value":"0100-6991","type":"print"}],"subject":[],"published":{"date-parts":[[2018,10,18]]}}}