{"id":"https://openalex.org/W4387411432","doi":"https://doi.org/10.52645/mjhs.2023.3.04","title":"Clinical effectiveness study of the new diagnostic score of acute appendicitis in the elderly","display_name":"Clinical effectiveness study of the new diagnostic score of acute appendicitis in the elderly","publication_year":2023,"publication_date":"2023-09-01","ids":{"openalex":"https://openalex.org/W4387411432","doi":"https://doi.org/10.52645/mjhs.2023.3.04"},"language":"en","primary_location":{"id":"doi:10.52645/mjhs.2023.3.04","doi":"https://doi.org/10.52645/mjhs.2023.3.04","is_oa":true,"landing_page_url":"https://doi.org/10.52645/mjhs.2023.3.04","pdf_url":"https://doi.org/10.52645/mjhs.2023.3.04","source":{"id":"https://openalex.org/S4387280783","display_name":"Moldovan Journal of Health Sciences","issn_l":"2345-1467","issn":["2345-1467"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Moldovan Journal of Health Sciences","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://doi.org/10.52645/mjhs.2023.3.04","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5145792661","display_name":"A.I. Gaitur","orcid":"https://orcid.org/0009-0005-0512-7515","observed_orcids":["https://orcid.org/0009-0005-0512-7515"]},"institutions":[{"id":"https://openalex.org/I4210124354","display_name":"Nicolae Testemi\u021banu State University of Medicine and Pharmacy","ror":"https://ror.org/03xww6m08","country_code":"MD","type":"education","lineage":["https://openalex.org/I4210124354"]}],"countries":["MD"],"is_corresponding":true,"raw_author_name":"Alexandr Gaitur","raw_affiliation_strings":["Nicolae Anestiadi Surgery Department No.1 , Nicolae Testemi\u0163anu State University of Medicine and Pharmacy , 165 \u0218tefan cel Mare \u0219i Sf\u00e2nt bd , Chisinau , Republic of Moldova , MD -2004","Surgery Department No. 1, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova",", Nicolae Testemi\u0163anu State University of Medicine and Pharmacy, 165 \u0218tefan cel Mare \u0219i Sf\u00e2nt bd, Chisinau, Republic of Moldova, MD-2004","Nicolae Anestiadi Surgery Department No"],"raw_orcid":"https://orcid.org/0009-0005-0512-7515","affiliations":[{"raw_affiliation_string":"Nicolae Anestiadi Surgery Department No.1 , Nicolae Testemi\u0163anu State University of Medicine and Pharmacy , 165 \u0218tefan cel Mare \u0219i Sf\u00e2nt bd , Chisinau , Republic of Moldova , MD -2004","institution_ids":["https://openalex.org/I4210124354"]},{"raw_affiliation_string":"Surgery Department No. 1, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova","institution_ids":["https://openalex.org/I4210124354"]},{"raw_affiliation_string":", Nicolae Testemi\u0163anu State University of Medicine and Pharmacy, 165 \u0218tefan cel Mare \u0219i Sf\u00e2nt bd, Chisinau, Republic of Moldova, MD-2004","institution_ids":["https://openalex.org/I4210124354"]},{"raw_affiliation_string":"Nicolae Anestiadi Surgery Department No","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5145792661"],"corresponding_institution_ids":["https://openalex.org/I4210124354"],"apc_list":null,"apc_paid":null,"fwci":0.2634,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.46826214,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"10","issue":"3","first_page":"25","last_page":"34"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11473","display_name":"Appendicitis Diagnosis and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11473","display_name":"Appendicitis Diagnosis and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12064","display_name":"Intraperitoneal and Appendiceal Malignancies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-appendicitis","display_name":"acute appendicitis","score":0.9990000128746033},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.968999981880188},{"id":"https://openalex.org/keywords/diagnostic-score","display_name":"diagnostic score","score":0.875},{"id":"https://openalex.org/keywords/alvarado-score","display_name":"Alvarado score","score":0.9670000076293945},{"id":"https://openalex.org/keywords/diagnosis","display_name":"diagnosis","score":0.6119999885559082},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.9440000057220459},{"id":"https://openalex.org/keywords/sensitivity-and-specificity","display_name":"sensitivity and specificity","score":0.8619999885559082},{"id":"https://openalex.org/keywords/emergency-department","display_name":"emergency department","score":0.414000004529953},{"id":"https://openalex.org/keywords/ultrasonography","display_name":"ultrasonography","score":0.4880000054836273},{"id":"https://openalex.org/keywords/missed-appendicitis","display_name":"missed appendicitis","score":0.6669999957084656},{"id":"https://openalex.org/keywords/diagnostic-criteria-validation","display_name":"diagnostic criteria validation","score":0.3889999985694885},{"id":"https://openalex.org/keywords/benchmarking-indicators","display_name":"benchmarking indicators","score":0.4399999976158142}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9069044589996338},{"id":"https://openalex.org/C2780016130","wikidata":"https://www.wikidata.org/wiki/Q121041","display_name":"Appendicitis","level":2,"score":0.7024925351142883},{"id":"https://openalex.org/C2777208144","wikidata":"https://www.wikidata.org/wiki/Q4737887","display_name":"Alvarado score","level":3,"score":0.6877799034118652},{"id":"https://openalex.org/C3018581240","wikidata":"https://www.wikidata.org/wiki/Q121041","display_name":"Acute appendicitis","level":2,"score":0.6377887725830078},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5116282105445862},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.4892237186431885},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.45600780844688416},{"id":"https://openalex.org/C3020132585","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic accuracy","level":2,"score":0.4330439567565918},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3026387691497803},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.267720103263855},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.52645/mjhs.2023.3.04","doi":"https://doi.org/10.52645/mjhs.2023.3.04","is_oa":true,"landing_page_url":"https://doi.org/10.52645/mjhs.2023.3.04","pdf_url":"https://doi.org/10.52645/mjhs.2023.3.04","source":{"id":"https://openalex.org/S4387280783","display_name":"Moldovan Journal of Health Sciences","issn_l":"2345-1467","issn":["2345-1467"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Moldovan Journal of Health Sciences","raw_type":"journal-article"},{"id":"pmh:oai:ibn.idsi.md:187986","doi":null,"is_oa":true,"landing_page_url":"https://ibn.idsi.md/vizualizare_articol/187986","pdf_url":null,"source":null,"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Revista de \u015etiin\u0163e ale S\u0103n\u0103t\u0103\u0163ii din Moldova (3) 25-34","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.52645/mjhs.2023.3.04","doi":"https://doi.org/10.52645/mjhs.2023.3.04","is_oa":true,"landing_page_url":"https://doi.org/10.52645/mjhs.2023.3.04","pdf_url":"https://doi.org/10.52645/mjhs.2023.3.04","source":{"id":"https://openalex.org/S4387280783","display_name":"Moldovan Journal of Health Sciences","issn_l":"2345-1467","issn":["2345-1467"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Moldovan Journal of Health Sciences","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4387411432.pdf","grobid_xml":"https://content.openalex.org/works/W4387411432.grobid-xml"},"referenced_works_count":25,"referenced_works":["https://openalex.org/W16389948","https://openalex.org/W1965166114","https://openalex.org/W1965593759","https://openalex.org/W1966647446","https://openalex.org/W1970315448","https://openalex.org/W2020255770","https://openalex.org/W2036400515","https://openalex.org/W2044181783","https://openalex.org/W2060920408","https://openalex.org/W2066302377","https://openalex.org/W2069768302","https://openalex.org/W2076082977","https://openalex.org/W2088703937","https://openalex.org/W2099848524","https://openalex.org/W2116593658","https://openalex.org/W2121591774","https://openalex.org/W2247273056","https://openalex.org/W2328473581","https://openalex.org/W2492766627","https://openalex.org/W2505307410","https://openalex.org/W2512162372","https://openalex.org/W2541661166","https://openalex.org/W2775893346","https://openalex.org/W3011886295","https://openalex.org/W4246049999"],"related_works":["https://openalex.org/W2328473581","https://openalex.org/W7217298149","https://openalex.org/W2886247746","https://openalex.org/W2775893346","https://openalex.org/W7217404018","https://openalex.org/W4303438156","https://openalex.org/W7142331118","https://openalex.org/W2141929819","https://openalex.org/W3135139434","https://openalex.org/W4387412367"],"abstract_inverted_index":{"Introduction.":[0],"Acute":[1,132],"appendicitis":[2,17,25,177,185,198,207,219,235,244,263,285,297,338,347,405],"is":[3,18,254,429],"among":[4],"the":[5,34,37,41,54,62,66,71,78,82,92,95,112,122,171,179,192,201,213,238,251,257,272,288,292,319,332,355,382,394,419,424],"three":[6],"most":[7],"frequent":[8],"surgical":[9],"diseases.":[10],"The":[11,21,143,159,209],"lifetime":[12],"likelihood":[13],"of":[14,23,36,50,65,94,98,111,125,146,161,170,175,191,196,212,217,232,242,261,283,291,295,336,385,413,431],"developing":[15],"acute":[16,24,99,126,176,184,197,206,218,234,243,262,284,296,337,346,388,404],"around":[19],"7%.":[20],"incidence":[22],"reduces":[26],"with":[27,121,359,387],"age":[28,145],"after":[29],"adolescence.":[30],"Several":[31],"studies":[32,51],"evaluated":[33],"relevance":[35],"current":[38],"scores":[39],"to":[40,60,76,90,108,163,200,278,340,354,373,415,418],"general":[42],"population,":[43],"mostly":[44],"children,":[45],"but":[46],"a":[47,229,280,322,411],"limited":[48],"number":[49,294],"have":[52,279],"studied":[53],"elderly":[55,72,349,407],"population.":[56,369],"This":[57,390],"study":[58,391],"aims":[59],"assess":[61],"clinical":[63,203,342,361,375,400,421],"effectiveness":[64,93],"new":[67,172,193,214,239,258,333],"diagnostic":[68,96,173,194,215,240,259,311,334,396,426],"score":[69,80,97,174,195,216,241,260,335,397],"for":[70,183,205,331],"population":[73],"in":[74,139,237,256,271,287,325,348,366,381,402,406],"comparison":[75],"both":[77],"Alvarado":[79,425],"and":[81,86,178,310,327,423,428,437],"non-standardized":[83,180,202,273,341],"score.":[84],"Material":[85],"methods.":[87],"In":[88],"order":[89],"evaluate":[91],"appendicitis,":[100],"we":[101],"examined":[102],"78":[103],"patients":[104,130,147,350,386],"who":[105],"were":[106],"admitted":[107],"emergency":[109],"unit":[110],"Saint":[113],"Archangel":[114],"Michael":[115],"Municipal":[116],"Clinical":[117],"Hospital":[118],"during":[119],"20182021":[120],"presumptive":[123],"diagnosis":[124,186],"appendicitis.":[127,389],"Of":[128],"all":[129],"admitted,":[131],"Appendicitis":[133],"was":[134,148,165,220,276,329,371],"confirmed":[135],"on":[136],"pathological":[137],"examination":[138,182],"22":[140],"(28.2%)":[141],"patients.":[142,408],"average":[144],"73.5\u00b113.5":[149],"years":[150],"(minimum":[151],"-":[152,156],"60":[153],"years,":[154],"maximum":[155],"87":[157],"years).":[158],"ratio":[160],"males":[162],"females":[164],"1:1.6.":[166],"Results.":[167],"Comparative":[168],"evaluation":[169],"clinical-echographic":[181],"showed":[187,313],"better":[188],"performance":[189],"indicators":[190,306],"compared":[199,339,417],"method":[204,422],"diagnosis.":[208,274,343],"high":[210],"sensitivity":[211,412],"statistically":[221,315],"demonstrated":[222],"(\u019b2":[223,245,264,299],"=":[224,246,265,300],"4.32;":[225,247],"p":[226,248,267,302],"<":[227,249,268,303],"0.05),":[228,250,269],"lower":[230,255,281],"rate":[231,282],"missed":[233],"cases":[236,286,298],"\u201egrey":[252,289],"area\u201d":[253,290],"5.28;":[266],"than":[270],"It":[275,370,409],"shown":[277],"total":[293],"4.9;":[301],"0.05).":[304],"Benchmarking":[305],"such":[307,434],"as":[308,435],"specificity":[309,326],"accuracy":[312,328],"no":[314],"significant":[316],"differences.":[317],"At":[318],"same":[320],"time,":[321],"definite":[323],"increase":[324],"observed":[330,365],"Conclusions.":[344],"Diagnosing":[345],"remains":[351],"challenging":[352],"due":[353],"numerous":[356],"potential":[357],"diagnoses":[358],"similar":[360],"manifestations":[362],"that":[363,378,393],"are":[364],"this":[367],"patient":[368],"necessary":[372],"utilize":[374],"risk-scoring":[376],"systems":[377],"could":[379],"aid":[380],"prompt":[383],"identification":[384],"concludes":[392],"New":[395],"has":[398,410],"higher":[399],"efficiency":[401],"diagnosing":[403],"up":[414],"93.15%,":[416],"unstandardized":[420],"score,":[427],"independent":[430],"\u201erisk":[432],"factors\u201d":[433],"obesity":[436],"atypical":[438],"vermiform":[439],"appendix":[440],"localization.":[441]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2023-10-07T00:00:00"}
