Introducción: La apendicitis aguda es la patología quirúrgica más frecuente en los servicios de urgencia de un hospital. Un método rápido y preciso es necesario para evitar exceso de exámenes paraclínicos y apendicectomías innecesarias. Las puntuaciones diagnósticas son procesos sistemáticos para ordenar la semiología y laboratorio y llegar al diagnóstico adecuado. Objetivo: Determinar la efectividad del Test de Dolnel y Escala de Alvarado como prueba de diagnóstico oportuno de apendicitis aguda en los Hospitales del MINSA y ESSALUD- Cusco, periodo 2011-2016. Material y métodos: Estudio de corte transversal, analítico, retrospectivo, de validez diagnostica, realizado en el servicio de Cirugía, en el Hospital Regional del Cusco, Hospital Antonio Lorena y Hospital Nacional Adolfo Guevara Velasco durante el periodo 2011-2016, con un diseño de validación, se incluyeron 316...

Objective: To determine the sensitivity and specificity of the Alvarado Score for the diagnosis of patients with acute appendicitis treated in hospitals of Cusco during the period from 2011 to 2016. Materials and methods: A descriptive, cross-sectional and observational study. The medical records of 316 patients treated for acute appendicitis during the period from 2011 to 2016 in the Surgery Department of three hospitals in the city of Cusco were reviewed. With a non-probabilistic convenience sampling, the Alvarado Score variable was defined by clinical assessment, and the histopathological analysis was the diagnostic gold standard. The SPSS Statistics 22.0 was used, and the variable was analyzed with sensitivity and specificity tests. Positive and negative predictive values were established, and the receiver operating characteristic (ROC) curve analysis was used. Results: The average ...