Suspected Appendicitis in Children
Gastrointestinal, Pediatrics
ED Pathway for Evaluation/Treatment of Patient with Suspected Non-Perforated Appendicitis
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Quality Of Evidence?
High
We are highly confident that the true effect lies close to that of the estimate of the effect. There is a wide range of studies included in the analyses with no major limitations, there is little variation between studies, and the summary estimate has a narrow confidence interval.
Moderate
We consider that the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different. There are only a few studies and some have limitations but not major flaws, there are some variations between studies, or the confidence interval of the summary estimate is wide.
Low
When the true effect may be substantially different from the estimate of the effect. The studies have major flaws, there is important variations between studies, of the confidence interval of the summary estimate is very wide.
Justification
Expert Opinion
Related Information
OTHER RELEVANT INFORMATION
Related Information
Reference List
Pogorelic, Zenon, et al. “Prospective validation of Alvarado score and Pediatric Appendicitis Score for the diagnosis of acute appendicitis in children.” Pediatric emergency care 31.3 (2015): 164-168.
Blitman, Netta M., et al. “Value of focused appendicitis ultrasound and alvarado score in predicting appendicitis in children: can we reduce the use of CT?.” American Journal of Roentgenology 204.6 (2015): W707-W712.
Toprak, Huseyin, et al. “Integration of ultrasound findings with Alvarado score in children with suspected appendicitis.” Pediatrics International 56.1 (2014): 95-99.
Ebell, Mark H., and JoAnna Shinholser. “What are the most clinically useful cutoffs for the Alvarado and Pediatric Appendicitis Scores? A systematic review.” Annals of emergency medicine 64.4 (2014): 365-372.
Bachur, Richard G., et al. “Integration of ultrasound findings and a clinical score in the diagnostic evaluation of pediatric appendicitis.” The Journal of pediatrics 166.5 (2015): 1134-1139.
Saucier, Ashley, et al. “Prospective evaluation of a clinical pathway for suspected appendicitis.” Pediatrics 133.1 (2014): e88-e95.
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DISCLAIMER
The purpose of this document is to provide health care professionals with key facts and recommendations for the diagnosis and treatment of patients in the emergency department. This summary was produced by Emergency Care BC (formerly the BC Emergency Medicine Network) and uses the best available knowledge at the time of publication. However, healthcare professionals should continue to use their own judgment and take into consideration context, resources and other relevant factors. Emergency Care BC is not liable for any damages, claims, liabilities, costs or obligations arising from the use of this document including loss or damages arising from any claims made by a third party. Emergency Care BC also assumes no responsibility or liability for changes made to this document without its consent.
Last Updated Apr 14, 2017
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