Comparative Analysis of Role of Adult Appendicitis Score (AAS) and Appendicitis Inflammatory Response (AIR) Score in the Diagnosis of Acute Appendicitis

Dr. Asmitha Niloshini A, Dr. Nandha Gopala Krishnan, Dr. P Ganesh Kumar, Dr. T Tamilselvan

Abstract: This study compares the Adult Appendicitis Score (AAS) and the Appendicitis Inflammatory Response (AIR) score to determine their reliability in diagnosing acute appendicitis. Conducted at a tertiary care hospital with 150 participants, the study found that AAS, with a specificity of 92.18%, is more reliable for patients with severe symptoms, while AIR, with a sensitivity of 91.86%, effectively identifies low-risk cases. Using ROC curve analysis, the study highlights the potential of these scores in reducing unnecessary imaging and negative appendectomy rates. This research underscores the value of clinical scoring systems for risk stratification and personalized patient management.

Keywords: Acute appendicitis, Adult Appendicitis Score, Appendicitis Inflammatory Response, negative appendectomy, abdominal pain, acute appendicitis, diagnostic accuracy, clinical scoring systems