Skripsi

HUBUNGAN SKOR ALVARADO DENGAN TEMUAN INTRAOPERATIF PADA PASIEN APENDISITIS AKUT YANG MENJALANI APENDEKTOMI LAPAROSKOPI DI RSUP DR. MOHAMMAD HOESIN PERIODE JANUARI 2022 – JANUARI 2025

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Background. Acute appendicitis is the most common cause of emergency abdominal surgery, yet its diagnosis remains difficult due to nonspecific early symptoms, leading to a 15–20% misdiagnosis rate. Although the Alvarado score is widely used and generally reliable, its accuracy varies across populations, potentially affecting surgical decisions. This study aimed to assess the relationship between the Alvarado score and intraoperative findings to evaluate its effectiveness in predicting disease severity. Methods. This study employed an analytical observational design with a cross-sectional approach. Data were obtained from the medical records of patients diagnosed with acute appendicitis who underwent laparoscopic appendectomy at Dr. Mohammad Hoesin General Hospital, Palembang, between January 2022 and January 2025. Samples were selected using a total sampling technique based on predefined inclusion and exclusion criteria. Data were analyzed using univariate and bivariate (Chi-Square test, Fisher’s Exact test, and Mann–Whitney U test). Results. A total of 55 patients with acute appendicitis who underwent laparoscopic appendectomy were analyzed, consisting of 33 patients (60%) aged >30 years and 28 male patients (50.9%). The majority of patients had a symptom duration of >24 hours (70.9%) and no comorbidities (94.6%). The Mann–Whitney test showed no significant association between the Alvarado score and intraoperative findings (p = 0.076). The Chi-square test indicated that symptom duration was significantly associated with intraoperative findings (p = 0.014), whereas age, sex, and comorbidities showed no significant association (p > 0.05). Conclusion. This study demonstrated that there was no significant association between the Alvarado score and intraoperative findings in patients with acute appendicitis (p > 0.05), although the mean score tended to be higher in the complication group. Symptom duration showed a significant relationship with intraoperative findings (p = 0.014), where patients with symptoms lasting more than 24 hours were more likely to develop complications. Age, sex, and comorbidities were not significantly associated, although they may physiologically influence the disease course. Overall, the severity of acute appendicitis is more strongly influenced by symptom duration and systemic conditions rather than a single clinical score such as the Alvarado score.

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Detail Information

Series Title

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Call Number

T1876342025

Publisher

Palembang : Prodi Pendidikan Dokter, Fakultas Kedokteran Universitas Sriwijaya., 2025

Collation

xv, 85 hlm.; ilus.; tab, 29 cm

Language

Indonesia

ISBN/ISSN

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Classification

617.550 7

Content Type

Text

Media Type

-

Carrier Type

-

Edition

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Subject(s)

Prodi Pendidikan Dokter
Bedah Abdomen--Perut

Specific Detail Info

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Statement of Responsibility

MI

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