<?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>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202022000200017</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2022.agosto.17</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eficacia de la escala de Alvarado en pacientes con diagnóstico de apendicitis aguda, en el Servicio de Cirugía General del Hospital Regional de Ciudad del Este]]></article-title>
<article-title xml:lang="en"><![CDATA[Efficacy of the Alvarado scale in patients with a diagnosis of acute apendicitis at the General Surgery Unit at hospital regional de Ciudad del Este, Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivas-Aquino]]></surname>
<given-names><![CDATA[Natalia Noemí]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araujo-Medina]]></surname>
<given-names><![CDATA[Idalia Agustina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mura]]></surname>
<given-names><![CDATA[José Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Rivas]]></surname>
<given-names><![CDATA[Norberto Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Ciudad del Este  ]]></institution>
<addr-line><![CDATA[Ciudad del Este ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional del Este Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Ciudad del Este ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>46</volume>
<numero>2</numero>
<fpage>17</fpage>
<lpage>21</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202022000200017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202022000200017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202022000200017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Objetivo: Evaluar la eficacia de la Escala de Alvarado para el diagnóstico de la Apendicitis aguda en pacientes dentro del Servicio de Cirugía General del Hospital Regional de Ciudad de Este. Materiales y métodos: Estudio observacional, descriptivo, de corte trasversal. Se incluyeron historias clínicas de pacientes con diagnóstico pre operatorio de Apendicitis aguda, fue aplicada la Escala de Alvarado y se correlaciono el puntaje con su posterior hallazgo macroscópico post operatorio, operados en el Servicio de Cirugía General del HR-CDE en el periodo de enero a septiembre de 2020. Resultados: Se incluyeron un total de 100 pacientes; donde 61% eran del sexo masculino. Fue aplicada la Escala de Alvarado y se los agrupo en 4 grupos, Riesgo bajo (16%), Riesgo posible (23%), Riesgo probable (39%) y Riesgo alto (22%), y según el hallazgo macroscópico post operatorio se los clasifico en apendicitis congestiva (14%), flegmonosa (42%), gangrenosa (35%) y perforada (8%). Se obtuvo una Sensibilidad del 86% y Especificidad del 29% para este estudio. Conclusión: La Escala de Alvarado una herramienta sencilla, de fácil aplicación y un apoyo útil para el diagnóstico de esta patología.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Objective: Evaluate the efficacy of the Alvarado score in the diagnosis of acute appendicitis in patients at the General Surgery Unit at Ciudad de Este Hospital Regional, Paraguay. Materials and methods: observational, descriptive, cross-sectional study. The past medical histories of patients with preoperative diagnosis of acute appendicitis were included in the study, the Alvarado score was applied, and the score was associated with its subsequent macroscopic postoperative finding. Patients were operated on at the General Surgery Unit of the HR-CDE from January 2020 through September 2020. Results: a total 100 patients were included; 61% of whom were men. The Alvarado score was applied, and they were categorized into 4 groups, low risk (16%), possible risk (23%), probable risk (39%), and high risk (22%). According to the macrosco¬pic postoperative finding they were categorized into congestive (14%), phlegmonous (42%), gangrenous (35%), and perforated appendicitis (8%). An 86% sensitivity rate, and a 29% specificity rate were obtained for this study. Conclusion: the Alvarado score is a simple tool, easy to apply, and a useful support in the diagnosis of this condition.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[Escala de Alvarado]]></kwd>
<kwd lng="es"><![CDATA[Abdomen agudo quirúrgico]]></kwd>
<kwd lng="en"><![CDATA[acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[Alvarado score]]></kwd>
<kwd lng="en"><![CDATA[acute surgical abdomen]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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