Evidence map›Paper›PMID 40656820›Full record

Observational studyJNMA; journal of the Nepal Medical Association2025

Pediatric Appendicitis Score and Ultrasound in children with Acute Appendicitis: An Observational Study.

Suyog Simkhada, Bijay Thapa, Anupama Thapa Basnet, Sijan Karki

Abstract readObservational Study
In one paragraph

Observational study in JNMA; journal of the Nepal Medical Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Suyog SimkhadaDepartment of Pediatrics Surgery, Kanti Children Hospital, Maharajgunj, Kathmandu, Nepal.
Bijay ThapaDepartment of Pediatrics Surgery, Kanti Children Hospital, Maharajgunj, Kathmandu, Nepal.
Anupama Thapa BasnetDepartment of Pediatrics Surgery, Kanti Children Hospital, Maharajgunj, Kathmandu, Nepal.
Sijan KarkiBir Hospital, Mahaboudha, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Acute appendicitis is a common surgical emergency encountered in pediatric population. Differential diagnosis in this age group present with similar signs and symptoms. Clinical scoring system and Ultrasound imaging are helpful in diagnosing acute appendicitis and ruling out its differential diagnosis. This study was done to assess the findings of presence or absence of appendicitis in children based on the Pediatric Appendicitis Score (PAS) and ultrasound scan. Methods: An observational cross-section study was done from November 2023 to May 2024, in a tertiary level hospital, Kathmandu. All children between the ages of five and 14 years undergoing surgery for the provisional diagnosis of acute appendicitis were included in the study. The provisional diagnosis was based on a Pediatric appendicitis score and ultrasound. The diagnosis was confirmed by histopathology. Ethical approval was taken from Institutional Review Committee (Reference number: 811/2080/81). Results: A total of 50 children were included during the study period. A pediatric appendicitis score of more than seven, which is considered a high risk, was observed in 43 (86%) patients, and a score between four and six, which was considered an intermediate risk, was observed in 6 (12%) patients Similarly, 39 (78%) of the patient had appendix diameter more than six mm and 10 (20%) had less than six in ultrasound measurement. Conclusions: Both Pediatric Appendicitis Score and Ultrasonography can be used to diagnose acute appendicitis in children.

Indexed as

AppendicitisAppendixAcute DiseaseAdolescentAppendectomyChildChild, PreschoolCross-Sectional StudiesDiagnosis, DifferentialFemaleHumansMaleNepalSeverity of Illness IndexUltrasonographyacute appendicitiscomputed tomography scanhistopathological examinationpediatric appendicitis scoreultrasonography

Identifiers

PMID40656820
PMCPMC11930293

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