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Revista Archivo Médico de Camagüey
versión On-line ISSN 1025-0255
Resumen
JIMENEZ-ALMAGUER, Dania et al. Lintula score in the acute appendicitis diagnosis suspect in childrens in the primary care. AMC [online]. 2019, vol.23, n.6, pp. 760-769. Epub 19-Nov-2019. ISSN 1025-0255.
Background:
the acute appendicitis is the main cause of children’s urgency abdominal surgery.
Objective:
to evaluate the effectiveness of the Lintula score in the primary care.
Methods:
a quantitative, traverse study of evaluation of diagnostic test, with blind double mask, in an universe of 36 patients, of up to fifteen years of age, with clinical diagnostic of acute appendicitis, Bartolomé Masó Marquéz University Policlinic, in Granma. To all patients with acute appendicitis diagnostic suspicion was applied Lintula score before their remission and evaluation for the pediatric surgeon being determined the diagnostic capacity of the score.
Results:
the half age was 11.27 years prevailing the masculine sex. The 100 % of the patients had a clinical, operative and histopatological diagnosis, in the secondary level of health, of acute appendicitis respectively. The Lintula score had a sensibility of 96.77 %, a specificity of 25 %, a predictive positive value of 90.91 % and a predictive negative value of 66.67 %.
Conclusions:
the Lintula score presented patterns of sensibility and specificity that it advisable for its use in the primary care.
Palabras clave : APPENDICITIS/surgery; APPENDICITIS/diagnosis; CHILD; ABDOMEN/surgery; PREDICTIVE VALUE OF TESTS.