scholarly journals A new decision making model for diagnosing acute appendicitis among non-pregnant women and its comparison with alvarado scoring system

2021 ◽  
Author(s):  
Maliheh Arab ◽  
Behzad Nemati Honar ◽  
Behnaz Ghavami ◽  
Robabeh Ghodssi-Ghassemabadi ◽  
Mahsa Aghaei ◽  
...  
Keyword(s):  
Decision Making ◽  
Acute Appendicitis ◽  
Pregnant Women ◽  
Scoring System ◽  
Decision Making Model

Is There Need a Specific Scoring System for Acute Appendicitis During Pregnancy?

2020 ◽  
Author(s):  
Baris Mantoglu ◽  
Emre Gonullu ◽  
Yesim Akdeniz ◽  
Merve Yigit ◽  
Necattin Firat ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Pregnant Women ◽  
Predictive Value ◽  
Scoring System ◽  
Scoring Systems ◽  
Gestation Period ◽  
Categorical Variables ◽  
Scoring Methods ◽  
Scoring Method ◽  
In Pregnancy

Abstract BackgroundAcute appendicitis is the most common non-gynecological emergency during pregnancy. The diagnosis of appendicitis during pregnancy is challenging due to both physiological and laboratory changes. As such, the surgeon needs additional guidance, other than imaging methods, before deciding a surgical intervention. Various scoring methods have been defined and evaluated for the diagnosis of acute appendicitis for a long time. There is no definition of a score for the gestation period, and the comparison of the currently applied scoring methods during the gestation period is not available in the literature.The purpose of our study is to evaluate the efficacy of the most popular scoring systems applied in the diagnosis of acute appendicitis in pregnancy and the tips for introduction to a scoring method for the pregnancy period.MethodsThis single-center retrospective study consists of 79 pregnant patients who were admitted to the emergency department with abdominal pain between May 2014, May 2019 and were diagnosed with acute appendicitis and underwent an appendectomy together with 79 non-pregnant control group who underwent appendectomy for the last 1.5 years. Both laboratory and examination findings required for the scoring methods of the patients were obtained and calculated separately for each patient. Negative appendectomy rates were evaluated according to pathology results. Categorical variables were compared by the Chi-Square test. Categorical variables were presented as a count and percentage. A p-value <0.05 was considered significant. Receiver operator characteristic (ROC) curve analysis was used to identify the best cut-off value and assess the performance of the test score for appendicitis.ResultsThe Tzanakis Score is the strongest among the scoring systems used in non-pregnant women. The positive predictive value (PPV = 90.60) of the Tzanakis Score is 90.6% while the negative predictive value (NPV = 46.7) is 46.7%. RIPASA seems to be the strongest among the scoring systems used in pregnant women. While PPV of this scoring method is 94.40%, NPV is 44%, its sensitivity and specificity are 78.46% and 78.57%, respectively.ConclusionsAlthough the RIPASA score is considerable effective in pregnancy in the diagnosis of acute appendicitis among all scoring systems, a specific scoring system is necessitated for the gestation period.

Applying the Multi-Criteria Decision Making Model for Ranking Commercial Banks: The Case of Vietnam

2019 ◽  
pp. 125-133
Author(s):  
Duong Truong Thi Thuy ◽  
Anh Pham Thi Hoang
Keyword(s):  
Decision Making ◽  
Commercial Banks ◽  
Decision Model ◽  
Business Models ◽  
Multi Criteria Decision Making ◽  
Ideal Solution ◽  
Topsis Method ◽  
Decision Making Model

Banking has always played an important role in the economy because of its effects on individuals as well as on the economy. In the process of renovation and modernization of the country, the system of commercial banks has changed dramatically. Business models and services have become more diversified. Therefore, the performance of commercial banks is always attracting the attention of managers, supervisors, banks and customers. Bank ranking can be viewed as a multi-criteria decision model. This article uses the technique for order of preference by similarity to ideal solution (TOPSIS) method to rank some commercial banks in Vietnam.

Multi-Attribute Decision-Making Model by Applying Grey Numbers

Informatica ◽  
2009 ◽  
Vol 20 (2) ◽  
pp. 305-320 ◽  
Author(s):  
Edmundas Kazimieras Zavadskas ◽  
Arturas Kaklauskas ◽  
Zenonas Turskis ◽  
Jolanta Tamošaitienė
Keyword(s):  
Decision Making ◽  
Multi Attribute Decision Making ◽  
Decision Making Model

Application of a Scoring System to the Diagnosis of Acute Appendicitis

2010 ◽  
Vol 26 (1) ◽  
pp. 34
Author(s):  
June Young Kim ◽  
Seok Ho Choi ◽  
Jin Woo Cha ◽  
Chang Kyu Byun ◽  
Young Taek Koh ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Scoring System
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