<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932020000200002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación de la escala de Alvarado como herramienta diagnóstica en la apendicitis aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Assessment of the Alvarado Score as a Diagnostic Tool for Acute Appendicitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casado Méndez]]></surname>
<given-names><![CDATA[Pedro Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos Fonseca]]></surname>
<given-names><![CDATA[Rafael Salvador]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[Daimí Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferrer Magadán]]></surname>
<given-names><![CDATA[Carmen Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez Jiménez]]></surname>
<given-names><![CDATA[Onelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital General &#8220;Mariano Pérez Balí&#8221; ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital Provincial Universitario &#8220;Celia Sánchez Manduley&#8221; ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Cuba Hospital Provincial Universitario &#8220;Carlos Manuel de Céspedes&#8221; ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>59</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932020000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932020000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932020000200002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La apendicitis aguda es la enfermedad quirúrgica más común en cirugía de urgencia; sin embargo, sigue siendo un problema diagnóstico.  Objetivos: Evaluar la escala de Alvarado como herramienta diagnóstica en la apendicitis aguda.  Métodos: Se desarrolló un estudio observacional y descriptivo con fases analíticas en un universo de 107 pacientes con sospecha diagnóstica de apendicitis aguda, en el Hospital Universitario &#8220;Carlos Manuel de Céspedes&#8221;, Bayamo, Granma, en el período de enero a mayo de 2019. Los datos fueron procesados en el sistema Excel estimándose los parámetros predictivos de efectividad clínica.  Resultados: Predominaron los pacientes masculinos (63,55 %) con una edad media de 29,64 años y un tiempo medio de evolución de los síntomas de 33,74 horas. La aplicación de la escala de Alvarado resultó en 87 pacientes (81,31 %) con probable diagnóstico de apendicitis aguda y donde el 3,74 % de los pacientes no padecían la enfermedad. La escala demostró una sensibilidad (84 %) y una especificidad (80 %) que la hace recomendable para la práctica clínica habitual.  Conclusiones: La escala de Alvarado es un sistema de puntuación predictivo simple, no invasivo y recomendable para su uso en la práctica clínica habitual en cualquier escenario y por cualquier médico de asistencia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Acute appendicitis is the commonest surgical disease in emergency surgery; however, it remains a diagnostic problem.  Objectives:  To evaluate the Alvarado score as a diagnostic tool for acute appendicitis.  Methods:  We carried out an observational and descriptive study, with analytical phases, of a population of 107 patients with suspected diagnosis of acute appendicitis, at Carlos Manuel de Céspedes University Hospital in Bayamo, Granma, from January to May 2019. The data were processed in the Excel system, and the predictive parameters of clinical effectiveness were estimated.  Results:  Male patients (63.55%) predominated, with a mean age of 29.64 years and a mean time of evolution of symptoms of 33.74 hours. Application of the Alvarado score resulted in 87 patients (81.31%) with a probable diagnosis of acute appendicitis, 3.74% of which did not suffer from the disease. The score demonstrated a sensitivity (84%) and a specificity (80%) that makes it recommendable for routine clinical practice.  Conclusions:  The Alvarado score is a simple, noninvasive predictive scoring system recommended to be used in routine clinical practice in any setting and by any attending physician.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[escala de Alvarado]]></kwd>
<kwd lng="es"><![CDATA[sensibilidad]]></kwd>
<kwd lng="en"><![CDATA[acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[Alvarado score]]></kwd>
<kwd lng="en"><![CDATA[sensitivity]]></kwd>
</kwd-group>
</article-meta>
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<article-title xml:lang=""><![CDATA[Appendicitis: ¿Do clinical scores matter?]]></article-title>
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</back>
</article>
