Sensitivity and specificity of feny Ö-lindberg and teicher scores in the diagnosis of acute appendicitis in women.
SENSITIVITY AND SPECIFICITY OF FENYÖ-LINDBERG AND TEICHER SCORES IN THE DIAGNOSIS
OF ACUTE APPENDICITIS IN WOMEN.
Acta Clin Croat. 2016 12;55(4):593-9
Authors: Madžar Z, Kopljar M, Madžar T, Mesić M, Mišić DM, Čiček S, Zovak M
Abstract
The aim of the study was to assess diagnostic accuracy (sensitivity and specificity)
of Fenyö-Lindberg and Teicher scores for distinguishing patients that need immediate surgical treatment
from the others, in a female population from an urban setting. The study prospectively included
130 female patients admitted to the emergency department with abdominal pain indicating acute
appendicitis. The scores and parameters of validity were calculated and compared to definitive diagnosis.
For Fenyö-Lindberg score of -17 or less, 84.5% sensitivity, 55.6% specificity, 87.9% positive predictive
value (PPV) and 48.4% negative predictive value (NPV) were recorded. For cut-off value greater
or equal to -2, there was 59.2% sensitivity, 77.8% specificity, 91% PPV and 33.3% NPV. The Receiver
Operating Characteristic (ROC) curve analysis of Fenyö-Lindberg score showed that the best single
cut-off value for discriminating acute appendicitis in the study population was -15. For Teicher score,
values greater than -3 yielded 89.3% sensitivity and 22.2% specificity, 81.4% PPV and 35.3% NPV. In
conclusion, Fenyö-Lindberg score could be used as an additional tool to exclude appendicitis and
avoid unnecessary appende...
Source: Acta Clinica Croatica - Category: General Medicine Tags: Acta Clin Croat Source Type: research
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