Max appendicitis score: a new diagnostic score for diagnosing acute appendicitis


  • Vidur Jyoti Department of General Surgery, Max Superspeciality Hospital, Gurgaon, Haryana, India
  • Akhilesh Kumar Department of Internal Medicine, Max Superspeciality Hospital, Gurgaon, Haryana, India
  • Preeti Yadav Department of General Surgery, Max Superspeciality Hospital, Gurgaon, Haryana, India
  • Vaibhav Kapoor Department of General Surgery, Max Superspeciality Hospital, Gurgaon, Haryana, India



Acute appendicitis, Alvarado scoring system, Max appendicitis score, Negative appendicectomy


Background: Scoring systems are valuable and valid for discriminating between acute appendicitis and nonspecific abdominal pain. Alvarado scoring is classical and different modifications of Alvarado score have been introduced but none is ideal and negative appendicectomy rate is still high. The aim of the study is to design a more reliable scoring system which is cost effective, simple, easy to learn, high accuracy, which can be applied by any doctor at any health care facility.

Methods: Retrospective study of 160 patients hospitalized with abdominal pain suggestive of acute appendicitis and subsequently operated over a period of 5 year from January 2012 to January 2017 at Max Super Speciality Hospital, Gurgaon.

Results: In the present study based on six clinically most significant variables, a diagnostic accuracy of 96.25% was achieved while the same was 85% for classical Alvardo Score. This significantly increased the diagnostic accuracy and lowered the negative appendicectomy rate.

Conclusions: Max Appendicitis Score is perfect scoring system for diagnosing appendicitis, it can be specially very handy in peripheral health centers where radiological facilities are sparse.


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