<?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>1025-0255</journal-id>
<journal-title><![CDATA[Revista Archivo Médico de Camagüey]]></journal-title>
<abbrev-journal-title><![CDATA[AMC]]></abbrev-journal-title>
<issn>1025-0255</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Camagüey]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1025-02552021000600005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultados de la aplicación de la escala de Alvarado en un hospital municipal]]></article-title>
<article-title xml:lang="en"><![CDATA[Outcomes of the application of Alvarado score in a municipal hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leyva-Vázquez]]></surname>
<given-names><![CDATA[Frank Yasel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-de-Villa-Suárez]]></surname>
<given-names><![CDATA[Abel Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Almeida]]></surname>
<given-names><![CDATA[Sindy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Camagüey Hospital Universitario Manuel Ascunce Domenech Servicio de Cirugía General.]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Manuel Ascunce Domenech. Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552021000600005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552021000600005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552021000600005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  la apendicitis aguda es uno de los diagnósticos más comunes en pacientes con abdomen agudo. Su diagnóstico puede ser mejorado con el uso de sistemas de puntaje clínicos.  Objetivo:  describir los resultados obtenidos con el uso de la escala de Alvarado para el diagnóstico de apendicitis aguda en un hospital municipal.  Métodos:  se realizó un estudio observacional, descriptivo, transversal en pacientes atendidos en el Hospital Manuel Piti Fajardo, del municipio Florida, provincia Camagüey desde enero a diciembre de 2020. El universo lo conformaron los pacientes operados con diagnóstico de apendicitis aguda, se excluyeron aquellos con diagnóstico transoperatorio diferente y con plastrón apendicular. Se utilizaron como variables independientes: sexo, edad, tiempo de evolución de la enfermedad, datos clínicos al ingreso, estudios diagnósticos realizados y sus resultados. La puntuación en la escala de Alvarado fue la variable dependiente. Se tomaron los datos de las historias clínicas y se registró en un formulario creado al efecto. Resultados: se trataron 43 pacientes, el grupo de edad más afectado fue de 20 a 40 años, predominó el sexo masculino. La mayoría de los pacientes acudieron con menos de 24 horas de evolución. El dolor a la palpación en el cuadrante inferior derecho y el dolor de rebote fueron los principales datos clínicos. El leucograma con diferencial fue el estudio auxiliar más realizado. La mayoría de los pacientes tuvieron una puntuación de alto riesgo en la escala de Alvarado.  Conclusiones:  la escala de Alvarado es una herramienta útil para el diagnóstico de apendicitis aguda en los servicios de urgencias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: acute appendicitis is one of the most common diagnoses among patients with acute abdomen. Diagnosis can be improved by using clinical scoring systems.  Objective:  to describe the results obtained with the Alvarado score for the diagnosis of acute appendicitis in a municipal hospital.  Methods:  a descriptive, cross-sectional and retrospective study was carried out at the Manuel Piti Fajardo Hospital in Florida municipality, Camagüey province, from January to December 2020. The universe consisted of all patients operated on with acute appendicitis diagnosis, excluding those with different diagnosis and appendiceal mass. Independent variables were sex, age, time of evolution of the disease, clinical data at admission, auxiliary studies and their results. Alvarado score was the dependent variable. The medical records and a prepared spread sheet were used as a source to empty the data.  Results: 43 patients were treated whit acute appendicitis; the age group more affected was that of 20 to 40 years old, male sex was predominant. Mostly the patients had less than 24 hours of the disease. Tenderness and rebound pain in the right lower quadrant were the mains clinical data. White blood cell count was the more frequent study. The majority of the patients had a high risk score in Alvarado scoring system.  Conclusions: high risk score in Alvarado scoring system was predominant, age between 20 and 40 years old, male gender and positive results in auxiliary studies were related whit a higher score.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[APENDICITIS/diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[SERVICIO DE URGENCIA EN HOSPITAL]]></kwd>
<kwd lng="es"><![CDATA[TÉCNICAS Y PROCEDIMIENTOS DIAGNÓSTICOS]]></kwd>
<kwd lng="es"><![CDATA[SENSIBILIDAD Y ESPECIFICIDAD]]></kwd>
<kwd lng="es"><![CDATA[PROCEDIMIENTOS QUIRÚRGICOS OPERATIVOS]]></kwd>
<kwd lng="en"><![CDATA[APPENDICITIS/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[EMERGENCY SERVICE, HOSPITAL]]></kwd>
<kwd lng="en"><![CDATA[DIAGNOSTIC TECHNIQUES AND PROCEDURES]]></kwd>
<kwd lng="en"><![CDATA[SENSITIVITY AND SPECIFICITY]]></kwd>
<kwd lng="en"><![CDATA[SURGICAL PROCEDURES, OPERATIVE]]></kwd>
</kwd-group>
</article-meta>
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