Bibliographic citations
Rivera, A., (2024). Validez diagnóstica de los predictores clínicos preoperatorios de asge y chisholm para coledocolitiasis en pacientes con diagnóstico de colecistitis litiásica del hospital Alta Complejidad Virgen de la Puerta [Tesis, Universidad Privada Antenor Orrego]. https://hdl.handle.net/20.500.12759/33412
Rivera, A., Validez diagnóstica de los predictores clínicos preoperatorios de asge y chisholm para coledocolitiasis en pacientes con diagnóstico de colecistitis litiásica del hospital Alta Complejidad Virgen de la Puerta [Tesis]. PE: Universidad Privada Antenor Orrego; 2024. https://hdl.handle.net/20.500.12759/33412
@misc{renati/378924,
title = "Validez diagnóstica de los predictores clínicos preoperatorios de asge y chisholm para coledocolitiasis en pacientes con diagnóstico de colecistitis litiásica del hospital Alta Complejidad Virgen de la Puerta",
author = "Rivera Montero, Ana Sophia Betzabe",
publisher = "Universidad Privada Antenor Orrego",
year = "2024"
}
To determine the diagnostic validity of the ASGE preoperative predictive score versus the CHISHOLM score for choledocholithiasis in patients diagnosed with calculous cholecystitis in ‘Hospital De Alta Complejidad Virgen De La Puerta – EsSalud¨. Materials and Methods: An observational, analytical, retrospective study of diagnostic test type was conducted in patients with calculous cholecystitis treated at the ‘Hospital De Alta Complejidad Virgen De La Puerta - EsSalud’ in the period January 2019 to December 2023. All patients with choledocholithiasis diagnosed by magnetic resonance cholangiography were registered in the medical records and evaluated with both Asge and Chisholm predictor scores, in order to distinguish which score is more predictive. Sensitivity, specificity, positive predictive value and negative predictive value of both predictor scores were analysed . Results: 225 patients with calculous cholecystitis participated, of which 32 (14.2%) had choledocholithiasis by magnetic resonance cholangiography. The sensitivity, specificity, positive predictive value and negative predictive value of the ASGE preoperative choledocholithiasis predictive score in patients with calculous cholecystitis are 90.6%, 46.70%, 81.77% and 65.91% respectively. The specificity, sensitivity, positive and negative predictive value of the Chisholm preoperative predictive score for choledocholithiasis in patients with calculous cholecystitis is 82.20%, 70.90%, 88.16% and 60.27% respectively. After comparing both results, we observed that the highest validity index was obtained by the Chisholm score with 79.11% and the highest positive likelihood ratio was obtained by the Chisholm score with 2.83%. The intervening variables associated with the diagnosis of choledocholithiasis were: common bile duct diameter greater than or equal to 6 mm according to ultrasound (p < 0.05), female sex 62.5% (p < 0.05) . Conclusions: The CHISHOLM Score has greater prognostic validity than the ASGE Score for the diagnosis of choledocholithiasis in patients with calculous cholecystitis
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