Andalkan Pediatric Appendicitis Risk Calculator untuk Diagnosis Appendicitis pada Anak

Oleh :

dr. Sonny Seputra, Sp.B, M.Ked.Klin, FINACS

Penelitian terbaru menunjukkan bahwa pediatric appendicitis risk calculator atau pARC merupakan sistem skoring yang dapat diandalkan untuk membantu diagnosis appendicitis pada anak. Dengan menggunakan pARC, klinisi dapat menilai kemungkinan terjadinya appendicitis pada anak yang datang dengan nyeri abdomen.

Apendisitis merupakan penyakit kegawatdaruratan yang cukup sering menjadi penyebab anak berkunjung ke instalasi gawat darurat. Biasanya, penegakan diagnosis appendicitis pada anak bergantung pada kombinasi temuan klinis dan pencitraan diagnostik seperti Computed Tomography scan (CT-scan) dan ultrasonografi (USG) abdomen.[1–4]

Penggunaan CT-scan abdomen ini sering menjadi dilema. Hal ini disebabkan oleh pemeriksaan ini mempunyai paparan radiasi ionisasi, sedangkan USG abdomen memiliki keterbatasan lain yaitu tergantung dengan keahlian operator.[1–4]

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

1. Rasmussen T, Fonnes S, Rosenberg J. Long-term complications of appendectomy: a systematic review. Scand J Surg. 2018; 107: 189–196. https://journals.sagepub.com/doi/10.1177/1457496918772379
2. Kobayashi E, Johnson B, Goetz K et al. Does the implementation of a pediatric appendicitis pathway promoting ultrasound work outside of a children's hospital?. Am J Surg. 2018; 215: 917–920. https://www.sciencedirect.com/science/article/abs/pii/S0002961017316057#:~:text=Conclusions,no%20missed%20cases%20of%20appendicitis.
3. Miglioretti DL, Johnson E, Williams A et al. The use of computed tomography in pediatrics and the associated radiation exposure and estimated cancer risk. JAMA Pediatr. 2013; 167: 700–707. https://jamanetwork.com/journals/jamapediatrics/fullarticle/1696279
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5. Cotton DM et al. Validation of the Pediatric Appendicitis Risk Calculator (pARC) in a Community Emergency Department Setting. Ann Emerg Med. 2019 Oct;74(4):471-480. https://pmc.ncbi.nlm.nih.gov/articles/PMC8364751/
6. Kharbanda AB, Vazquez-Benitez G, Ballard DW et al. Development and validation of a novel pediatric appendicitis risk calculator (pARC). Pediatrics. 2018; 14: e20172699. https://pmc.ncbi.nlm.nih.gov/articles/PMC5869337/
7. Bachur RG, Hennelly K, Callahan MJ et al. Diagnostic imaging and negative appendectomy rates in children: effects of age and gender. Pediatrics. 2012; 129: 877–884. https://publications.aap.org/pediatrics/article-abstract/129/5/877/73790/Diagnostic-Imaging-and-Negative-Appendectomy-Rates?redirectedFrom=fulltext
8. Mandeville K, Pottker T, Bulloch B et al. Using appendicitis scores in the pediatric ED. Am J Emerg Med. 2011; 29: 972–977. https://www.sciencedirect.com/science/article/abs/pii/S0735675710002007?via%3Dihub
9. MDCalc. Pediatric Appendicitis Risk Calculator (pARC). Available from: https://www.mdcalc.com/pediatric-appendicitis-risk-calculator-parc
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