DIAGNOSTIC PROFICIENCY OF FENYO-LINDBERG SCORING IN PATIENTS OF ACUTE APPENDICITIS

Abstract

Background: Acute appendicitis, a prevalent surgical emergency, demands timely and accurate diagnosis to avert complications. Despite technological advances, misdiagnosis rates remain significant. This study aimed to assess the diagnostic efficacy of the Fenyo-Lindberg (FL) scoring system in acute appendicitis cases.

 Methods: Conducted over one year, the cross-sectional study involved 100 patients with suspected acute appendicitis. Patients were categorized into two groups based on FL scores, and comparisons were made with histopathological diagnoses. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated.

 Results: Among the 100 patients, 54 exhibited acute appendicitis on histopathology. The FL scoring system demonstrated a sensitivity of 72%, specificity of 71%, PPV of 75%, and NPV of 68%. Vomiting, TLC >14,000, and pain progression were prevalent among appendicitis cases.

 Conclusion: The FL scoring system, relying on clinical and basic investigative parameters, emerged as a moderately effective tool for acute appendicitis diagnosis. While comparable to established systems, the study emphasizes the need for larger cohorts to validate findings and potential refinements to enhance diagnostic accuracy. This study contributes valuable insights, particularly in resource-limited settings, and further research can optimize the FL scoring system's utility in diverse populations.