Apendicitis aguda, diagnóstico precoz en la Emergencia

Abstract

Abstract: Acute appendicitis is one of the most common causes of acute surgical abdomen. Diagnosis is generally clinical and can be supported by complementary laboratory and imaging studies, however, the latter are not always available in health facilities in our environment. Therefore, the present bibliographic review aims to determine the efficacy of making an early diagnosis through the use of scoring scales. The searches were carried out electronically through a search equation with MESH terms, on the PUBMED platforms where 55 studies were obtained, Cochrane with 16 publications, and Embase with 22, with a result of 93 studies. Of the 93 studies obtained on the different platforms, all studies that did not meet the inclusion criteria, that did not meet the objectives of the study or that were review studies were excluded, so the final result was 20 studies. read and analyzed in their entirety for discussion. The use of expensive methods such as imaging studies is not necessary to obtain an accurate diagnosis of acute appendicitis. It is enough to standardize the common practice of the use of these scales in our environment.