<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1726-8958</journal-id>
<journal-title><![CDATA[Revista Médica La Paz]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. La Paz]]></abbrev-journal-title>
<issn>1726-8958</issn>
<publisher>
<publisher-name><![CDATA[Colegio Médico de La Paz]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1726-89582022000100033</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[UTILIDAD DIAGNÓSTICA DE LOS CRITERIOS DE ALVARADO PARA APENDICITIS AGUDA EN EL IGBJ LA PAZ DURANTE EL AÑO 2019]]></article-title>
<article-title xml:lang="en"><![CDATA[DIAGNOSTIC UTILITY OF THE ALVARADO CRITERIA FOR ACUTE APPENDICITIS AT IGBJ LA PAZ DURING 2019]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores Mancilla]]></surname>
<given-names><![CDATA[Jeaneth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Municipal Modelo Corea  ]]></institution>
<addr-line><![CDATA[Ciudad de El Alto ]]></addr-line>
<country>Bolivia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>28</volume>
<numero>1</numero>
<fpage>33</fpage>
<lpage>41</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1726-89582022000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1726-89582022000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1726-89582022000100033&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESÚMEN:  Introducción y Objetivo: La apendicitis aguda es una de las patologías quirúrgicas de emergencia frecuente, el diagnóstico es principalmente clínico y en caso de ser tardío tiene alto riesgo de complicaciones. El presente estudio busca ver la Utilidad diagnostica de los criterios de Alvarado para apendicitis aguda en el Instituto Gastroenterológico Boliviano Japonés - La Paz durante el año 2019.  Material y Métodos: Se realizó un estudio prospectivo, descriptivo de corte transversal, en el IGBJ - La Paz, se desarrolló un cuestionario para una entrevista semiestructurada a pacientes internados con sospecha de apendicitis aguda.  Resultados: El estudio reunió 54 pacientes, de los cuales 64.8% varones y 35.2% varones. La prueba para diagnosticar apendicitis aguda con un valor mayor a 7, tuvo una sensibilidad de 90% y especificidad es de 50% por lo que no se permite descartar una apendicitis ya que el 50% es un valor bajo, con un valor predictivo positivo de 96% y valor predictivo negativo de 29%, al realizar un corte en 9 o más para diagnóstico de apendicitis aguda complicada tuvo una sensibilidad de 63% y especificidad de 67%, el valor predictivo positivo de 81%, valor predictivo negativo de 43%.  Conclusiones: Concluimos que los Criterios de Alvarado es una herramienta útil para el diagnóstico de casos de apendicitis complicada; pero no todas las variables nos sirven para el diagnóstico, las más representativas son el dolor en fosa iliaca derecha y rebote por lo tanto se recomienda el uso de la escala en los servicios de urgencias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT:  Introduction and Objective: Acute appendicitis is one of the frequent emergency surgical pathologies, the diagnosis is mainly clinical and if it is late it has a high risk of complications. The present study seeks to see the diagnostic utility of the Alvarado criteria for acute appendicitis at the Japanese Bolivian Gastroenterological Institute- La Paz during the year 2019.  Material and Methods: A prospective, descriptive cross-sectional study was carried out at the IGBJ - La Paz, a questionnaire was developed for a semi- structured interview with inpatients with suspected acute appendicitis.  Results: The study included 54 patients, of whom 64.8% were men and 35.2% were men. The test for acute appendicitis with a value greater than 7 had a sensitivity of 90% and a specificity of 50%, so appendicitis cannot be ruled out since 50% is a low value, with a positive predictive value of 96% and negative predictive value of 29%, when making a cut of 9 or more for diagnosis of complicated acute appendicitis had a sensitivity of 63% and specificity of 67%, positive predictive value of 81%, negative predictive value of 43%.  Conclusions: We conclude that the Alvarado Criteria is a useful tool for the diagnosis of cases of complicated appendicitis; but not all variables are useful for diagnosis, the most representative are pain in the right iliac fossa and rebound, therefore the use of the scale is recommended in emergency services.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Apendicitis]]></kwd>
<kwd lng="es"><![CDATA[valor predictivo de las pruebas]]></kwd>
<kwd lng="es"><![CDATA[enfermedad aguda.]]></kwd>
<kwd lng="en"><![CDATA[Appendicitis]]></kwd>
<kwd lng="en"><![CDATA[predictive Value of Tests]]></kwd>
<kwd lng="en"><![CDATA[acute disease.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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