<?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>2664-2891</journal-id>
<journal-title><![CDATA[Revista científica ciencias de la salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cient. cienc. salud]]></abbrev-journal-title>
<issn>2664-2891</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Pacífico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2664-28912019000100001</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/01.01.2019.01</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Utilidad de la Escala de Alvarado en pacientes con sospecha de apendicitis aguda en un hospital público de Ciudad del Este, Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Utility of the Alvarado Scale in patients with suspected acute appendicitis in a public hospital in Ciudad del Este, Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas]]></surname>
<given-names><![CDATA[Oscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Samudio]]></surname>
<given-names><![CDATA[Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional del Este Escuela de Posgrado ]]></institution>
<addr-line><![CDATA[Minga Guazú ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>1</volume>
<numero>1</numero>
<fpage>1</fpage>
<lpage>10</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912019000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912019000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912019000100001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El diagnóstico de la apendicitis aguda, que es la primera causa de atención quirúrgica en el servicio de urgencias de los hospitales, es esencialmente clínico. Sin embargo, se han empleado diversas herramientas como la escala de Alvarado para mejorar la certeza diagnóstica. Estudio observacional, prospectivo y longitudinal con el objetivo de evaluar la utilidad diagnóstica de la escala de Alvarado en el diagnóstico de apendicitis aguda en el servicio de urgencia del hospital regional de Ciudad del Este, en el periodo junio a diciembre del 2015. Se aplicó la escala de Alvarado a un grupo de 222 pacientes entre 15 y 81 años de edad, 123 (55,4%) hombres y 99 (44,6%) mujeres con sospecha de apendicitis, clasificados posteriormente en dos grupos de acuerdo a si fueron sometidos (n=138) o no a apendicetomía (n=84). En los pacientes no operados, el diagnóstico se confirmó por control telefónico. Los criterios considerados en la escala de Alvarado como migración del dolor, signo de Blumberg y leucocitosis fueron significativamente (p &lt; 0,001) más frecuentes en los operados. La sensibilidad de la escala de Alvarado fue de 94,2% y especificidad de 82,1%, tanto los valores predictivos positivo y negativo fueron de 89,6%. El resultado histopatológico mostró apendicitis flemonosa en el 50% de los operados. La escala diagnóstica de Alvarado es una herramienta muy útil para mejorar la eficiencia diagnóstica en la apendicitis aguda, por lo que se recomienda su uso en los servicios de atención ambulatoria y de urgencias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Diagnosis of acute appendicitis, main cause of surgical care at the hospital emergency department, is essentially clinical. However, several methods have been used to improve diagnostic accuracy, such as the Alvarado score. Observational, prospective and longitudinal study to evaluate the diagnostic usefulness of the Alvarado score in the diagnosis of acute appendicitis in the emergency department of the regional hospital of Ciudad del Este from June to December 2015 was carried out. Alvarado score was applied to 222 patients with suspected acute appendicitis, between 15 and 81 years of age, 123 (55.4%) men and 99 (44.6%) women with suspected appendicitis, further classified into two groups according to whether submitted (n = 138) or not to appendectomy (n = 84). In non-operated patients, diagnosis was confirmed by telephone. The criteria included in the Alvarado scale such as pain migration, Blumberg sign and leukocytosis were significantly (p &lt;0.001) more frequent in the operated group. The sensitivity and specificity of the Alvarado score were 94.2% and 82.1%, respectively and both positive and negative predictive values were 89.6%. Histopathological result showed phlegmonous appendicitis in 50% of the operated patients. The Alvarado scoring system is a very useful tool to improve the diagnostic efficiency in acute appendicitis. It is recommended to use it in outpatient and emergency care services.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[apendicitis]]></kwd>
<kwd lng="es"><![CDATA[sensibilidad y especificidad]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="en"><![CDATA[appendicitis]]></kwd>
<kwd lng="en"><![CDATA[sensitivity and specificity]]></kwd>
<kwd lng="en"><![CDATA[diagnostic.]]></kwd>
</kwd-group>
</article-meta>
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