PAEDIATRIC SURGERY.UKRAINE.2019.2(63):23-28; DOI 10.15574/PS.2019.63.23

Vakulchyk V. G., Statskevich S. Yu., Polityko D. D.
Grodno State Medical University, Belarus
Grodno Regional Children’s Clinical Hospital, Belarus

Accurate and timely diagnostics of the acute appendicitis (AA) in children remains an actual question. One of the directions is the development of standard diagnostic scales, including clinical symptoms and laboratory data.

Aim. Analysis of the results of using the Pediatric Appendicitis Score (PAS) in the differential diagnostics of abdominal pain in children aged 5–17 years.

Materials and methods. The prospective randomized blind clinical trial. 326 children were examined with abdominal pain at the age of 5–17 years.

Results. The Pediatric Appendicitis Score has a different diagnostic significance in the recommended ranges of values. The level of errors of the first kind contains 6% (DI 0.0–12.6) in the conclusion «low risk of AA». The errors of the second kind (negative appendectomy) is 20% (DI 7.6–32.4) with values of the PAS more than 7 points.

Conclusions. It is advisable to study further the diagnostic ability of the Pediatric Appendicitis Score. The obtained data requires the study the Pediatric Appendicitis Score in different age groups in order to reduce the number of uncertain conclusions, to improve the accuracy of diagnostics of the destructive appendicitis.

Key words: acute appendicitis, children, diagnostics, PAS.

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Article received: Mar 30, 2019. Accepted for publication: Jun 12, 2019.