Validation of scoring systems for the prediction of complicated appendicitis in adults using clinical and computed tomographic findings

ConclusionsFew scoring systems, including proposed ones, had high AUCs, sensitivity, and reasonable specificities, which could potentially aid in safely selecting adult patients with acute appendicitis for nonoperative management.Critical relevance statementThe study suggests few scoring systems for predicting complicated appendicitis with high AUCs and reasonable sensitivities, potentially aiding in selecting patients for nonoperative management.Key points• The study evaluated existing and proposed new scoring systems to predict complicated appendicitis in adults with acute appendicitis on computed tomography.• Several factors were found to be significantly associated with complicated appendicitis, including duration of symptoms, appendicolith, periappendiceal fat stranding, periappendiceal fluid, and extraluminal air.• The modified Atema, Kim HY, and newly proposed scoring systems performed well, potentially aiding in nonoperative management selection.Graphical Abstract
Source: Insights into Imaging - Category: Radiology Source Type: research