Relationship between High Alvarado Scores and Complicate Acute Appendicitis in Acute Appendicitis Patients That Undergo Appendicectomy Surgery

Abstract

ackground/aim: Alvarado score can help diagnose acute appendicitis based on predictive clinical factors and reduce the number of radiological examinations. Correct diagnosis and early surgical intervention are the best treatment to reduce morbidity, mortality and complications, with appendicectomy as the gold standard of treatment. This study aims to determine the relationship between a high Alvarado score and the occurrence of complicated acute appendicitis in acute appendicitis patients who underwent appendicectomy surgery at Sanglah General Hospital. Methods: This study used a cross sectional design. Data observation was carried out retrospectively. The research sample in this study was selected sequentially (consecutive sampling) which involved 108 respondents who had met the inclusion criteria and there were no exclusion criteria. Data analysis in this study consisted of univariate analysis (descriptive statistics), bivariate analysis (Chi Square test) and multivariate analysis (logistic regression). Results: Alvarado score in the complicated group obtained with a mean of 7.4 (SD: 1.2) and the non-complicated group obtained with a mean of 6.7 (SD: 1.8) with p value = 0.049. Alvarado score 7 with the occurrence of complicated appendicitis as many as 45 respondents (41.7%) and 29 respondents non-complicated (26.9%), Alvarado score <7 with complicated appendicitis status as many as 9 respondents (8.3%) and non-complicated as many as 25 respondents (23.1%). Conclusion: There is a significant relationship between a high Alvarado score and the occurrence of complicated acute appendicitis in patients with acute appendicitis who underwent appendicectomy with a 4 times chance of complications if they have a high Alvarado score. Keywords: Appendicitis, Alvarado score, complications, clinical symptoms.