Risk stratification by the Appendicitis Inflammatory Response score to guide decision‐making in patients with suspected appendicitis

@article{Scott2015RiskSB,
  title={Risk stratification by the Appendicitis Inflammatory Response score to guide decision‐making in patients with suspected appendicitis},
  author={Alasdair J Scott and Sam E. Mason and Meena Arunakirinathan and Yannis Reissis and James M. Kinross and J. J. Smith},
  journal={British Journal of Surgery},
  year={2015},
  volume={102}
}
Current management of suspected appendicitis is hampered by the overadmission of patients with non‐specific abdominal pain and a significant negative exploration rate. The potential benefits of risk stratification by the Appendicitis Inflammatory Response (AIR) score to guide clinical decision‐making were assessed. 
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Randomized clinical trial of Appendicitis Inflammatory Response score‐based management of patients with suspected appendicitis
TLDR
This prospective interventional study and nested randomized trial analysed the impact of implementing a risk stratification algorithm based on the Appendicitis Inflammatory Response score, and compared routine imaging with selective imaging after clinical reassessment.
Prospective validation of the APPEND clinical prediction rule within a pathway dedicated to right iliac fossa pain
TLDR
The APPEND score is a CPR recently developed in the Counties Manukau population that aims to reduce negative appendicectomy rates and diagnose appendicitis through clinical predication rules.
Validation of the Appendicitis Inflammatory Response (AIR) Score
TLDR
This prospective study validates the Appendicitis Inflammatory Response (AIR) score in patients with suspicion of appendicitis as a valid decision support and finds its discriminating capacity is high in children and patients with long duration of symptoms, and it performs equally well in both sexes.
Validity of Appendicitis Inflammatory Response Score in Distinguishing Perforated from Non-Perforated Appendicitis in Children
TLDR
Acute appendicitis can be detected with a high level of sensitivity and specificity using the AIR score and may differentiate perforated from non-perforated appendectomy in pediatric patients with ahigh level of accuracy.
Clinical Decision Rules in the Evaluation and Management of Adult Gastrointestinal Emergencies.
Reliability of the adult appendicitis score in diagnosing acute appendicitis
TLDR
AAS is a reliable score to risk stratify patients with suspected acute appendicitis, guiding only intermediate-risk cases to further imaging and at score greater than or equal to 18, cases can be directed confidently to surgery without delay.
Evaluation of the Appendicitis Inflammatory Response Score for Patients with suspected Acute Appendicitis
TLDR
The AIR score is a fast, simple, reliable, non-invasive, repeatable and safe diagnostic modality without extra expense and complications.
Validation of the appendicitis inflammatory response score in a provincial population
TLDR
This study showed that the AIR score has a high accuracy, and validates its use in a provincial setting, and showed that AIR score-based management of appendicitis would be expected to reduce non-therapeutic explorations by a minimum of 50%.
DIALAPP: a prospective validation of a new diagnostic algorithm for acute appendicitis
TLDR
The risk-stratified diagnostic algorithm can safely reduce the NAR, simultaneously minimizing the use of CT scans and optimizing healthcare-related costs in the treatment of acute appendicitis.
Evaluation of the Appendicitis Inflammatory Response Score against Alvarado Score in Diagnosis of Acute Appendicitis.
TLDR
Appendicitis Inflammatory Response (AIR) scoring performed well and more accurate than Alvarado scoring system with high specificity and high negative predictive value preventing negative appendectomies.
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References

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TLDR
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TLDR
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TLDR
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