Comparative Study between Alvarado Scoring System and Ohmann Score as a Diagnostic Tool for Acute Appendicitis at two Teaching Centers Study in Baghdad City

Abstract

Background: Acute Appendicitis first characterized as a surgical entity in 1886 by pathologist Reginald Fitz,
appendicitis is now the most common abdominal emergency and appendectomy is the non-elective surgery
most frequently performed by general surgeons. More than 250,000 cases are diagnosed and intervened
annually in the United States. It occurs less frequently in men than in women, with a lifetime risk of 8.6%
and 6.7% respectively. Acute appendicitis occurs infrequently in very young children as well as in older
adults. Having its peak incidence in patients between the end of the second decade and the third decade of
life. Showing an inverse relationship between incidence and mortality, its prevalence was less than 1% in the
general population and increases to 4-8% in older adults.
Aim of the Study: To assess Alvarado scoring system as a diagnostic tool for acute appendicitis
Method: A prospective cross-sectional study carried at Al-Yarmouk Teaching hospital and Baghdad
Teaching hospital in the period from the first of Jan 2020 to end of July 2020, in which 190 patients from
both genders were enrolled, and their ages ranged from 12-68 years.
Conclusion: Alvarado score was better than Ohmann score in diagnosis of the patients with acute.