JPSB logo
Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 6 No. 1 (2015)

Diagnostic Role of Pediatric Appendicitis Score (PAS) in Appendicitis of Children

Cover
JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2015
CONTENTSVolume 06Number 1January 2015
Editorial
Residency Program A new era in postgraduate medical education in Bangladesh
Md Tosaddeque Hossain Siddiqui
01
Review Articles
Constipation in Children
Kaniz Hasina
20
Original Articles
Effectiveness of Dexamethasone compared with Prednisolone in Induction Therapy of Childhood Acute Lymphoblastic Leukemia
Tofazzal Hossain, MA Mannan, Shamsoon Nahar, AKM Amirul Morshed, Shahnoor Islam, Laila Helaly
03
Gender Specific Psychological Distress in Cancer Patients with Underage Children
Jamila Akter, Manzurul Haque Khan, Jaglul Gaffer Khan
10
Diagnostic Role of Pediatric Appendicitis Score (PAS) in Appendicitis of Children
Susankar Kumar Mondal, AKM Zahid Hossain, Mizanur Rahman, Gazi Zahirul Hasan, Kaniz Hasina, Md Nuruzzaman
16
Case Reports
Gastric Bezoar - A Rare Presentation in Infant
MTH Siddiqui, Mohammad Mahabubul Alam, AM Shahinur, AKM Zahid Hossain, Gazi Zahirul Hasan
24
Combined MACE & Mitrofanoff Procedure for Total Neurogenic Feco-urinary Incontinence A Case Report
KM Didarul Islam, Md Ruhul Amin, Abu Saleh Md Oliullah, AKM Khairul Basher, Amitava Biswas, Nazrul Islam
28
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
View Contents

Authors

  • Susankar Kumar MondalAssistant Prof. Pediatric Surgrey, BSMMU, Dhaka
  • AKM Zahid HossainAssociate Prof. Pediatric Surgrey, BSMMU, Dhaka
  • Mizanur RahmanAssistant Prof. Pediatric Surgrey. Khulna Medical College & Hospital, Khulna
  • Gazi Zahirul HasanAssociate Prof. Pediatric Surgrey, BSMMU, Dhaka
  • Kaniz HasinaAssociate Prof. Pediatric Surgrey, DMCH, Dhaka
  • Md NuruzzamanAssistant Prof. Pediatric Surgrey, BSMMU, Dhaka

Keywords

PSA Appendicitis

Abstract

Appendicitis is one of the most common causes of acute abdominal pain in pediatrics and is the most common indication for emergency abdominal surgery in childhood. The diagnosis of pediatric appendicitis remains challenging. To evaluate the role of pediatric appendicitis score (PAS) in the diagnosis of appendicitis of children. Methods: In this study, 200 suspected appendicitis patients attended in four private hospitals in old Dhaka city over a period of about 34 months from January 2011 to May 2014 were selected as study subjects. Patient age, sex and each of the eight PAS components were collected. Children who had PAS less than six were discharged and contacted by telephone upto 1 month to verify final outcome. Rest of the children with PAS equal or more than 6 were underwent appendectomy. Results: Two hundred patients were assessed in this study. Out of them 67 (33.5%) children had appendicitis and 76 (38.0%) children had PAS equal or more than 6. In appendicitis children, maximum (85.3%) children were in age group 10- 16 years and 10 (14.7%) patients were in age group 5-9 years. Male (73.5%) were predominant than female (26.5%) in appendicitis children. Migration of pain, nausea and anorexia were in 43 (63.2%), 45 (66.2%) and 48 (70.6%) appendicitis children respectively. Fever, cough/percussion tenderness and tenderness in RLQ were in 37 (54.4%), 52 (76.5%) and 59 (86.8%) appendicitis children respectively. Leukocytosis and neutophilia were present in 42 (61.8%) and 46 (67.6%) appendicitis children respectively. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy rate of PAS were 80.6%, 83.5%, 71.1%, 89.5% and 82.5% respectively. Conclusion: Paediatric Appendicitis Score is a good tool but not good enough for diagnosis of paediatirc appedicitis. It cannot be recommended for diagnosis of paediatric appendicitis because its negative appendicectomy rate as well as wrongly discharged rate is high.

Journal of Paediatric Surgeons of Bangladesh (2015) Vol. 6 (1): 16–19

Read full article (PDF)