Experience of Tzanakis Scoring System for Accurate Diagnosis of Acute Appendicitis in Jinnah Postgraduate Medical Centre, Karachi

摘要

OBJECTIVE: To assess the diagnostic accuracy of Tzanaki’s scoring in diagnosing acute appendicitis.STUDY DESIGN: A prospective observational study.PLACE AND DURATION: Surgical ward 3 of Jinnah Postgraduate Medical Centre, Karachi, Pakistan from 1st March 2015 to 31st August 2016.METHODOLOGY: Patients presented in emergency department with clinical diagnosis of acute appendicitis were included inthe study. There are four variables in Tzanakis’s Scoring System and these are presence of right lower abdominal tenderness(4Points), Rebound tenderness(3 points), presence of white blood cells greater than 12000/mm3 in complete blood count(2 points)and positive Ultrasound scan finding for appendicitis(6 points) . The diagnosis was confirmed on the basis of histopathologicalfeatures of appendicitis by the pathologist. Patient’s age, sex, Tzanakis’s Score, Ultrasound findings and histopathology reports wererecorded on a Performa.R E S U L T S : A m o n g 2 1 4 a p p e n d e c t o m i e s , h i s t o p a t h o l o g i c a l l y p r o v e n A c u t e A p p e n d i c i ti s w a s f ound in 89.7% and 10.3% were found to havenormal appendix. Sensitivity, specificity and overall diagnostic score of Tzanaski score was found to be 99%, 91% and 95% respectively.CONCLUSION: The Tzanakis score is simple and easy to be applicable and effective for diagnosing acute appendicitis.