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The Heidelberg Appendicitis Score Simplifies Identification of Pediatric Appendicitis

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The Heidelberg Appendicitis Score Simplifies Identification of Pediatric Appendicitis. / Boettcher, Michael; Breil, Thomas; Günther, Patrick.

In: INDIAN J PEDIATR, Vol. 83, No. 10, 10.2016, p. 1093-7.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Boettcher, M, Breil, T & Günther, P 2016, 'The Heidelberg Appendicitis Score Simplifies Identification of Pediatric Appendicitis', INDIAN J PEDIATR, vol. 83, no. 10, pp. 1093-7. https://doi.org/10.1007/s12098-016-2106-2

APA

Boettcher, M., Breil, T., & Günther, P. (2016). The Heidelberg Appendicitis Score Simplifies Identification of Pediatric Appendicitis. INDIAN J PEDIATR, 83(10), 1093-7. https://doi.org/10.1007/s12098-016-2106-2

Vancouver

Boettcher M, Breil T, Günther P. The Heidelberg Appendicitis Score Simplifies Identification of Pediatric Appendicitis. INDIAN J PEDIATR. 2016 Oct;83(10):1093-7. https://doi.org/10.1007/s12098-016-2106-2

Bibtex

@article{47eea580fa00410d94632e5f5bc0cc11,
title = "The Heidelberg Appendicitis Score Simplifies Identification of Pediatric Appendicitis",
abstract = "OBJECTIVE: To identify the factors that facilitate the diagnosis of pediatric appendicitis.METHODS: Institutionally approved retrospective, single center analysis of all patients with acute abdominal pain was done. Medical history, symptoms, laboratory and radiologic findings of all children presenting with abdominal pain were evaluated. To identify the best predictors, uni- and multi-variate analysis were used.RESULTS: In 2 years, 431 patients fulfilled the inclusion criteria. Data was complete in all subjects. Of these, 156 (36.2 %) suffered from appendicitis. The best discriminators for appendicitis were clinical and ultrasound features. The four best factors were identified by CART analysis (continuous abdominal pain, tenderness on the right lower quadrant, rebound tenderness and conspicuous ultrasound) and combined to the Heidelberg Appendicitis score. A positive score (>3 features) is highly predictive for acute appendicitis (PPV 89.3 %, NPV 94.9 %) and includes all cases of perforated appendicitis.CONCLUSIONS: It is possible to predict acute appendicitis in children. The decision making process can be simplified by the proposed Heidelberg Appendicitis score, which is comprised of four factors. It has great potential to facilitate and accelerate the diagnosis of pediatric appendicitis.",
author = "Michael Boettcher and Thomas Breil and Patrick G{\"u}nther",
year = "2016",
month = oct,
doi = "10.1007/s12098-016-2106-2",
language = "English",
volume = "83",
pages = "1093--7",
journal = "INDIAN J PEDIATR",
issn = "0019-5456",
publisher = "Springer India",
number = "10",

}

RIS

TY - JOUR

T1 - The Heidelberg Appendicitis Score Simplifies Identification of Pediatric Appendicitis

AU - Boettcher, Michael

AU - Breil, Thomas

AU - Günther, Patrick

PY - 2016/10

Y1 - 2016/10

N2 - OBJECTIVE: To identify the factors that facilitate the diagnosis of pediatric appendicitis.METHODS: Institutionally approved retrospective, single center analysis of all patients with acute abdominal pain was done. Medical history, symptoms, laboratory and radiologic findings of all children presenting with abdominal pain were evaluated. To identify the best predictors, uni- and multi-variate analysis were used.RESULTS: In 2 years, 431 patients fulfilled the inclusion criteria. Data was complete in all subjects. Of these, 156 (36.2 %) suffered from appendicitis. The best discriminators for appendicitis were clinical and ultrasound features. The four best factors were identified by CART analysis (continuous abdominal pain, tenderness on the right lower quadrant, rebound tenderness and conspicuous ultrasound) and combined to the Heidelberg Appendicitis score. A positive score (>3 features) is highly predictive for acute appendicitis (PPV 89.3 %, NPV 94.9 %) and includes all cases of perforated appendicitis.CONCLUSIONS: It is possible to predict acute appendicitis in children. The decision making process can be simplified by the proposed Heidelberg Appendicitis score, which is comprised of four factors. It has great potential to facilitate and accelerate the diagnosis of pediatric appendicitis.

AB - OBJECTIVE: To identify the factors that facilitate the diagnosis of pediatric appendicitis.METHODS: Institutionally approved retrospective, single center analysis of all patients with acute abdominal pain was done. Medical history, symptoms, laboratory and radiologic findings of all children presenting with abdominal pain were evaluated. To identify the best predictors, uni- and multi-variate analysis were used.RESULTS: In 2 years, 431 patients fulfilled the inclusion criteria. Data was complete in all subjects. Of these, 156 (36.2 %) suffered from appendicitis. The best discriminators for appendicitis were clinical and ultrasound features. The four best factors were identified by CART analysis (continuous abdominal pain, tenderness on the right lower quadrant, rebound tenderness and conspicuous ultrasound) and combined to the Heidelberg Appendicitis score. A positive score (>3 features) is highly predictive for acute appendicitis (PPV 89.3 %, NPV 94.9 %) and includes all cases of perforated appendicitis.CONCLUSIONS: It is possible to predict acute appendicitis in children. The decision making process can be simplified by the proposed Heidelberg Appendicitis score, which is comprised of four factors. It has great potential to facilitate and accelerate the diagnosis of pediatric appendicitis.

U2 - 10.1007/s12098-016-2106-2

DO - 10.1007/s12098-016-2106-2

M3 - SCORING: Journal article

C2 - 27115891

VL - 83

SP - 1093

EP - 1097

JO - INDIAN J PEDIATR

JF - INDIAN J PEDIATR

SN - 0019-5456

IS - 10

ER -