A comparison of clinical judgment vs the modified Alvarado score in acute appendicitis.
AIMS: To investigate the value of the modified Alvarado score (MAS) in helping Accident and Emergency (AandE) doctors decide which patients with suspected acute appendicitis need surgical referral. METHODS: 11,258 patients presented to a University Hospital AandE Department over a two-month period; 82 were triaged as 'abdominal pain' or 'suspected appendicitis'. Ten patients self-discharged prior to seeing a doctor. The remaining case notes (72) were reviewed and MAS's calculated. The Alvara...Expand abstract
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- International journal of surgery (London, England)
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