Int J Cur Res Rev | Vol 10 • Issue 9 • May 2018 22 International Journal of Current Research and Review DOI: 10.31782/IJCRR.2018.10906 A Study on Comparision of Diagnostic Efficiency between Modified Alvarado Score and Graded Compression Ultrasonography in the Case of Acute Appendicitis Malay Kumar Barman 1 , Kaustav Das 2 , Koel Mukherjee 3 1 North Bengal Medical College, Sushruta Nagar, Darjeeling, West Bengal; 2 Department of Anthropology, Bangabasi College, West Bengal; 3 Department of Anthropology, Haldia Government College, Purba Medinipur, West Bengal. ABSTRACT Background: Several diagnostic aids have been developed to improve diagnosis in suspected acute appendicitis. Modified Alvarado Score includes signs and symptoms associated with ones degree of clinical suspicion. Graded Compression Ultra- sonograpy is used in many institutions to aid the diagnosis of acute appendicitis. Aim: The aim of present study is to compare and evaluate diagnostic accuracy of Modified Alvarado Score and Graded Com- pression Ultrasonography in co-relation to histopathology report for diagnosis of acute appendicitis. Methodology: A cross-sectional study of 75 patients who underwent appendectomy for suspected acute appendicitis have been considered and were evaluated by Modified Alvarado Score and Graded Compression Ultrasonography, which was correlated with histopathological findings. Result: Out of 75 patients, 29 patients (38.66%) had acute appendicitis. In the present study, modified Alvarado Score has sen- sitivity of 76.86%, specificity 82.61%, positive predictive value 73.33%, negative predictive value 84.44%, diagnostic accuracy 80.0%, false positive error rate 17.39% and false negative error rate 24.11%. Graded Compression Ultrasonography has sen- sitivity of 82.76%, specificity 89.13%, positive predictive value 82.76%, negative predictive value 89.13%, diagnostic accuracy 86.67%, false positive error rate 10.87% and false negative error rate 17.24%. Conclusion: From the findings, the present study intended to conclude that it is highly clinically suggestive that the Modified Alvarado Score should be combined with Graded Compression Ultrasonography for better diagnosis of acute appendicitis. Key Words: Modified Alvarado Score, Graded Compression Ultrasonography, Acute appendicitis Corresponding Author: Koel Mukherjee, Assistant Professor (West Bengal Education Service) Department of Anthropology, Haldia Government College, Purba Medinipur-721657, West Bengal; Contact No. 9675922970; Email: koelanthro@gmail.com ISSN: 2231-2196 (Print) ISSN: 0975-5241 (Online) Received: 31.03.2018 Revised: 19.04.2018 Accepted: 25.04.2018 INTRODUCTION Abdominal pain is the primary presenting complaint of pa- tients with acute appendicitis. 1,2,3 The diagnostic sequence of colicky central abdominal pain followed by vomiting with migration of the pain to the right iliac fossa was first de- scribed by Murphy but may only be present in 50% of pa- tients. 4,2 It may progress to perforation which is associated with higher morbidity and mortality. 5 Hence, surgeons are inclined to operate when diagnosis is probable rather than to wait till it is certain. 6 Acute appendicitis is the most com- mon cause of acute surgical abdomen with a lifelong risk of 7%. 7 Despite its high incidence, classic clinical and labora- tory findings usually allow for diagnosis which is not so easy due to atypical and frequently confusing presentation which leads to misdiagnosis. 8 Therefore, diagnosis of Acute Appen- dicitis remains challenging despite improvement in history taking, clinical examination, and new computer aided deci- IJCRR Section: Healthcare Sci. Journal Impact Factor 4.016 ICV: 71.54 Original Article