<?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>S0034-74932022000100004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Nueva propuesta de score para el diagnóstico de apendicitis aguda en adultos]]></article-title>
<article-title xml:lang="en"><![CDATA[A New Score Proposal for Diagnosing Acute Appendicitis in Adults]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caballero Alvarado]]></surname>
<given-names><![CDATA[José Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Azabache Arenas]]></surname>
<given-names><![CDATA[Wenchy Junior]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Privada &#8220;Antenor Orrego&#8221; Hospital Regional Docente de Trujillo ]]></institution>
<addr-line><![CDATA[ Trujillo]]></addr-line>
<country>Perú</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>61</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932022000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932022000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932022000100004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La apendicitis aguda es una de las causas más comunes de abdomen agudo quirúrgico y dado que sigue siendo un reto diagnóstico, dispone de diversas escalas diagnósticas.  Objetivo:  Determinar la superioridad del nuevo score resultante frente al score de Alvarado en el diagnóstico de apendicitis aguda.  Métodos: Se realizó un estudio de pruebas diagnósticas con el uso de la base de datos del Servicio de Cirugía del Hospital Regional Docente de Trujillo, entre febrero y diciembre del año 2015. Con los datos extraídos se elaboró un nuevo score diagnóstico que fue evaluado con el informe histopatológico y luego comparado con el score de Alvarado para evaluar su aplicación. Se calculó la sensibilidad, especificidad y los valores predictivos de ambos scores.  Resultados: Se incluyeron en el estudio 312 pacientes, 177 fueron hombres (56,73 %) y 135 mujeres (43,27 %), con edad media de 31 años (±11,3). Con un total de 267 (85,58 %) pacientes con apendicitis aguda confirmada por estudio histopatológico. El nuevo score clínico resultante de una regresión logística según la prueba de Wald, estuvo compuesto por 4 variables: sexo masculino, vómitos, automedicación previa y signo de Blumberg. Los resultados del área bajo la curva para el nuevo score clínico y el score de Alvarado fueron 0,711 y 0,707, respectivamente.  Conclusiones: El nuevo score clínico es superior al score de Alvarado según el área bajo la curva, pero no en un valor significativo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Acute appendicitis is one of the most common causes of acute surgical abdomen. Since it remains a diagnostic challenge, it has several diagnostic scales available.  Objective: To determine the superiority of a new resulting score versus the Alvarado score in the diagnosis of acute appendicitis.  Methods: A study of diagnostic tests was carried out using the database of the surgery service of the Regional Teaching Hospital of Trujillo, between February and December 2015. With the data collected, a new diagnostic score was elaborated and assessed with the histopathological report; and then, to assess its application, it was compared with the Alvarado score. Sensitivity, specificity and predictive values of both scores were calculated.  Results: 312 patients were included in the study, 177 were male (56.73%) and 135 were female (43.27%), with a mean age of 31 years (±11.3). A total of 267 (85.58%) patients had acute appendicitis confirmed by histopathological study. The new clinical score resulting from a logistic regression according to the Wald test was made up of four variables: male sex, vomiting, previous self-medication and Blumberg's sign. The results of the area under curve for the new clinical score and the Alvarado score were 0.711 and 0.707, respectively.  Conclusions: The new clinical score is better than the Alvarado score, according to the area under curve, but not by a significant value.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[apendicitis]]></kwd>
<kwd lng="es"><![CDATA[curva ROC]]></kwd>
<kwd lng="es"><![CDATA[signos y síntomas]]></kwd>
<kwd lng="es"><![CDATA[score clínico]]></kwd>
<kwd lng="en"><![CDATA[appendicitis]]></kwd>
<kwd lng="en"><![CDATA[ROC curve]]></kwd>
<kwd lng="en"><![CDATA[signs and symptoms]]></kwd>
<kwd lng="en"><![CDATA[clinical score]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tejada-Llacsa]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Melgarejo-García]]></surname>
<given-names><![CDATA[GC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidencia de apendicitis aguda y su relación con factores ambientales, Perú, 2013]]></article-title>
<source><![CDATA[An Fac Med]]></source>
<year>2015</year>
<volume>76</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>253-6</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez-Fernández]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Consideraciones vigentes en torno al diagnóstico de la apendicitis aguda]]></article-title>
<source><![CDATA[Rev Cub Cir]]></source>
<year>2019</year>
<volume>57</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Snyder]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Guthrie]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cagle]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute Appendicitis: Efficient Diagnosis and Management]]></article-title>
<source><![CDATA[Am Fam Physician]]></source>
<year>2018</year>
<volume>98</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>25-33</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marín]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[Fuentes]]></surname>
<given-names><![CDATA[FJT]]></given-names>
</name>
<name>
<surname><![CDATA[Ayuso]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Obrador]]></surname>
<given-names><![CDATA[LZ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dolor abdominal en Urgencias: abdomen agudo]]></article-title>
<source><![CDATA[Med - Programa Form Médica Contin Acreditado]]></source>
<year>2015</year>
<volume>11</volume>
<numero>90</numero>
<issue>90</issue>
<page-range>5357-64</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Casado Méndez]]></surname>
<given-names><![CDATA[PR]]></given-names>
</name>
<name>
<surname><![CDATA[Santos Fonseca]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Méndez López]]></surname>
<given-names><![CDATA[HA]]></given-names>
</name>
<name>
<surname><![CDATA[Méndez Jiménez]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Villavicencio]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Moreno Nuñez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Valor actual de la secuencia de Murphy en el diagnóstico de apendicitis aguda]]></article-title>
<source><![CDATA[Rev Arch Méd Camagüey]]></source>
<year>2017</year>
<volume>21</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>806-17</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Xingye]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Yuqiang]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Rong]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Hongyu]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluation of Diagnostic Scores for Acute Appendicitis]]></article-title>
<source><![CDATA[J Coll Physicians Surg--Pak JCPSP]]></source>
<year>2018</year>
<volume>28</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>110-4</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maghrebi]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Maghraoui]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Makni]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sebei]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Fredj]]></surname>
<given-names><![CDATA[SB]]></given-names>
</name>
<name>
<surname><![CDATA[Mrabet]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intérêt du score d&#8217;Alvarado dans le diagnostic des appendicites aigües]]></article-title>
<source><![CDATA[Pan Afr Med J]]></source>
<year>2018</year>
<numero>29</numero>
<issue>29</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Enochsson]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Gudbjartsson]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Hellberg]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rudberg]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Wenner]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ringqvist]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Fenyö-Lindberg scoring system for appendicitis increases positive predictive value in fertile women? A prospective study in 455 patients randomized to either laparoscopic or open appendectomy]]></article-title>
<source><![CDATA[Surg Endosc]]></source>
<year>2004</year>
<volume>18</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1509-13</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chong]]></surname>
<given-names><![CDATA[CF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Development of the RIPASA score: a new appendicitis scoring system for the diagnosis of acute appendicitis]]></article-title>
<source><![CDATA[Singapore Med J]]></source>
<year>2010</year>
<volume>51</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>220-5</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alvarado]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A Practical Score for the Early Diagnosis of Acute Appendicitis]]></article-title>
<source><![CDATA[Ann Emerg Med]]></source>
<year>1986</year>
<volume>15</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>557-64</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Karaman]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Karaman score: A new diagnostic score for acute appendicitis]]></article-title>
<source><![CDATA[Turk J Trauma Emerg Surg]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Benito]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gendive]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Santiago]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Perez-Garay]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Arana-Arri]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A new clinical score to identify children at low risk for appendicitis]]></article-title>
<source><![CDATA[Am J Emerg Med]]></source>
<year>2020</year>
<volume>38</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>554-61</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Teicher]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Kabnick]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Scoring System to Aid in Diagnoses of Appendicitis]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1983</year>
<volume>198</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>753-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alvarado]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnostic Scores in Acute Appendicitis]]></article-title>
<source><![CDATA[Curr Issues Diagn Treat Acute Append]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Van Dieijen-Visser]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Go]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
<name>
<surname><![CDATA[Brombacher]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The value of laboratory tests in patients suspected of acute appendicitis]]></article-title>
<source><![CDATA[Eur J Clin Chem Clin Biochem J Forum Eur Clin Chem Soc]]></source>
<year>1991</year>
<volume>29</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>749-52</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marchand]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Van Lente]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Galen]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Assessment of Laboratory Tests in the Diagnosis of Acute Appendicitis]]></article-title>
<source><![CDATA[Am J Clin Pathol]]></source>
<year>1983</year>
<volume>80</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>369-74</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andersson]]></surname>
<given-names><![CDATA[REB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Meta-analysis of the clinical and laboratory diagnosis of appendicitis]]></article-title>
<source><![CDATA[Br J Surg]]></source>
<year>2004</year>
<volume>91</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>28-37</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Acharya]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Markar]]></surname>
<given-names><![CDATA[SR]]></given-names>
</name>
<name>
<surname><![CDATA[Ni]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Hanna]]></surname>
<given-names><![CDATA[GB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Biomarkers of acute appendicitis: systematic review and cost-benefit trade-off analysis]]></article-title>
<source><![CDATA[Surg Endosc]]></source>
<year>2017</year>
<volume>31</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>1022-31</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Susana]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Martinessi]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Valor del laboratorio en el diagnóstico de la apendicitis aguda]]></article-title>
<source><![CDATA[Rev Sal Púb]]></source>
<year>2007</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>78-88</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
