New Score (Muzammil-Mudassar appendicitis severity score-an effective tool for conservative management of acute appendicitis.
Keywords:Appendicitis, Conservative, Recurrence, Severity, Score
Objective: To determine the frequency of conservatively managed patients of acute appendicitis by using new (Muzammil-Mudassar appendicitis severity score) scoring system. Study Design: Cross Sectional Observational study. Setting: Government Teaching Hospital, Shahdara. Period: October 2021 to April 2022. Material & Methods: 267 patients diagnosed with acute appendicitis by ALVARADO score were enrolled. New appendicitis severity score was devised by searching online literature. A cut off value of 11 was defined after conducting a pilot study. Patients having score of < 11 were eligible for conservative management. All patients undergoing conservative treatment were receiving nothing per oral and given intravenous antibiotics (ciprofloxacin and metronidazole), intravenous fluids and infusion Paracetamol three times a day for at least 24-48 hours. Surgery was done in failed or unsatisfied cases. Weekly follow-up for first two weeks and then monthly for three months was done. Results: In our study mean age of the patients was 46.23±19.33 years, 187(70.04%) patients had age ≤60 years. The conservative management was successful in 214(80.15%) patients. Recurrence after three months was noted in 13(4.87%) patients. After 3 month follow up the anorexia was found in 4(1.5%) patients, nausea/vomiting in 5(1.9%) patients and pain was noted in 7(2.6%) patients. Conclusion: new score (Muzammil-Mudassar appendicitis severity score) is highly effective in predicting patients who will benefit from conservative management in terms of recurrence.
Copyright (c) 2023 The Professional Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.