A scoring model developed from a study of 171 patients undergoing appendectomy demonstrates effective prediction of gangrenous appendicitis. Key independent predictors include a CT value of ≥24 Hu, an appendiceal diameter of ≥12 mm, presence of cecal mucosal edema, and C-reactive protein level of ≥5.4 mg/dl. The model classifies patients into three risk categories, indicating probabilities of 0%, 15%, and 97% for low, moderate, and high risk, respectively, facilitating surgical decision-making.
Journal Article by Suzuki T, Matsumoto A (…) Matsumoto H et 2 al. in Scand J Surg