Structural methodological analysis of diagnostic scores of acute appendicitis in the elderly (literature review)

Abstract

Acute appendicitis in the elderly was considered a rare disease, later it was observed that the incidence of acute appendicitis does not decrease with age. Destructive forms of AA (acute appendicitis) are detected in the elderly more frequently than in young people (60.7-73% of cases), of which 36% of patients have perforative AA. Since the first description of AA in 1839, by Bright and Addison, until now, the main diagnostic method of AA has remained the clinical one, which is based on the collection of anamnesis and the determination of local signs of the disease. The diagnostic scores applied in the diagnosis of AA are very different both in the indications and clinical manifestations addressed in the scores and in the scoring assigned and interpretation. We can mention with certainty that it is a necessity to study the organizational and legal aspects of SD (diagnostic scores) use in AA in current surgical practice, to achieve a scientifically based formulation of the unified methodological principles for their creation and comparative evaluation, the goal being the development of a clinical-ultrasound diagnostic score of AA,
targeted at the diagnosis of destructive forms of AA.