Evidence map›Paper›PMID 40895934›Full record

ArticleCureus2025

Predictive Value of Clinical and CT Scan Findings for Complicated Appendicitis: A Retrospective Analysis.

Ahmed G Alsayaf Alghamdi, Saleh M Alzhrani, Amer Fayraq, Saif A Alzahrani

Abstract read
In one paragraph

Article in Cureus, 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

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ahmed G Alsayaf AlghamdiGeneral Surgery, King Fahad General Hospital, Al Baha, SAU.
Saleh M AlzhraniGeneral and Colorectal Surgery, King Fahad General Hospital, Al Baha, SAU.
Amer FayraqPreventive Medicine, King Abdullah International Medical Research Centre, Jeddah, SAU.
Saif A AlzahraniPublic Health Agency, Ministry of Health, Riyadh, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAppendicitis is a common surgical emergency condition. Its timely and accurate diagnosis is crucial to prevent complications like perforation and abscess formation. However, distinguishing between uncomplicated and complicated appendicitis can be challenging. Clinical and imaging findings are often used, but their predictive value is still debatable. The objective of the study is to identify the predictive value of clinical and computed tomography (CT) scan findings for complicated appendicitis in patients who underwent appendectomy.

methodsA retrospective analysis of data from a cohort of patients who underwent appendectomy in a tertiary governmental hospital was conducted. The study population included patients from varied demographic backgrounds, excluding those who were immunocompromised or had an appendectomy for reasons other than appendicitis. Data analysis was conducted using SPSS (IBM Corp., Armonk, NY, USA).

resultsOut of 256 patients, 57.4% were male and the majority were of Saudi origin (74.6%). A significant difference in the distribution of Alvarado scores between groups with complicated (6, IQR: 5-7) and uncomplicated appendicitis (5, IQR: 4-6) was observed. The logistic regression analysis revealed symptom duration, Alvarado score, and the presence of cecal and ileum thickness in CT scan as significant predictors for complicated appendicitis.

conclusionSymptom duration, Alvarado score, and the presence of cecal and ileum thickness in CT scan are significant predictors for complicated appendicitis. Healthcare professionals should consider these predictors when assessing patients with suspected appendicitis to facilitate early identification and management of potential complications. Further research is required to validate these predictors in different populations and settings.

Indexed as

alvarado scoreappendectomycecal thicknesscomputed tomography (ct)ileum thicknesssymptom duration

Identifiers

PMID40895934
PMCPMC12391903

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.