{"id":2345,"date":"2015-05-14T11:29:05","date_gmt":"2015-05-14T11:29:05","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/cirap\/"},"modified":"2026-03-20T19:10:05","modified_gmt":"2026-03-20T19:10:05","slug":"cirap","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/cirap\/","title":{"rendered":"Sistema de Puntuaci\u00f3n Alvarado para Apendicitis Aguda"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>El uso del sistema de puntuaci\u00f3n de Alvarado, que incluye hallazgos de la exploraci\u00f3n cl\u00ednica y valores de laboratorio, es \u00fatil para descartar apendicitis. El rango de puntuaci\u00f3n va de 1 a 10, con una puntuaci\u00f3n m\u00e1s alta que indica un mayor riesgo de apendicitis. Cuando la puntuaci\u00f3n es inferior a 4, la apendicitis es poco com\u00fan, y las im\u00e1genes y otras intervenciones se pueden evitar.<br \/>\n<!--more--><br \/>\n<b>Sistema de Puntuaci\u00f3n Alvarado para Apendicitis Aguda<\/b><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr valign=\"TOP\">\n<td width=\"350\"><b>Componente Posible<\/b><\/td>\n<td style=\"text-align: center;\" width=\"142\"><b>Puntos<\/b><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" valign=\"TOP\" width=\"579\">S\u00edntomas<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"429\">Migraci\u00f3n del dolor al cuadrante inferior derecho<\/td>\n<td style=\"text-align: center;\" width=\"142\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"429\">Anorexia<\/td>\n<td style=\"text-align: center;\" width=\"142\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"429\">N\u00e1useas o v\u00f3mitos<\/td>\n<td style=\"text-align: center;\" width=\"142\">1<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" valign=\"TOP\" width=\"579\">Signos<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"429\">Sensibilidad en el cuadrante inferior derecho<\/td>\n<td style=\"text-align: center;\" width=\"142\">2<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"429\">Dolor a la descompresi\u00f3n<\/td>\n<td style=\"text-align: center;\" width=\"142\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"429\">Temperatura elevada<\/td>\n<td style=\"text-align: center;\" width=\"142\">1<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" valign=\"TOP\" width=\"579\">Hallazgos de laboratorio<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"429\">Leucocitosis<\/td>\n<td style=\"text-align: center;\" width=\"142\">2<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"429\">Desv\u00edo de la f\u00f3rmula a la izquierda\u2020<\/td>\n<td style=\"text-align: center;\" width=\"142\">1<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td width=\"429\">Puntuaci\u00f3n total<\/td>\n<td style=\"text-align: center;\" width=\"142\">10<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>* Los puntos se atribuyen a cada s\u00edntoma, signo, y hallazgo de laboratorio; los pacientes con una puntuaci\u00f3n de menos de 4 presentan baja probabilidad de apendicitis.<br \/>\n\u2020 Un desplazamiento a la izquierda es un aumento en los niveles de formas\u00a0inmaduras\u00a0de neutr\u00f3filos circulantes en la sangre perif\u00e9rica.<\/p>\n<p>&nbsp;<\/p>\n<p><b>Bibliograf\u00eda:<\/b><\/p>\n<ol>\n<li>Flum D. Acute Appendicitis: Appendectomy or the \u201cAntibiotics First\u201d Strategy.\u00a0N Engl J Med. 2015 May 14;372(20):1937-43.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25970051\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Ohle R, O\u2019Reilly F, O\u2019Brien KK, Fahey\u00a0T, Dimitrov BD. The Alvarado score for\u00a0predicting acute appendicitis: a systematic\u00a0review. BMC Med 2011;9:139.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22204638\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Alvarado A. A practical score for the\u00a0early diagnosis of acute appendicitis. Ann\u00a0Emerg Med 1986;15:557-64.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/3963537\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Kamal MM, Al Reshidi BM, Bedier HM, Albariqi AO, Almotrafie WA, Alshreef BS, Wahbi MO, Aly W, Alyami SA, Abdallah H, Alharbi SA. Diagnostic Accuracy of Point-of-Care Ultrasound (POCUS) for Suspected Acute Appendicitis in Pediatric and Adult Emergency Departments: A Systematic Review and Meta-Analysis. Cureus. 2026 Feb 12;18(2):e103503. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41841098\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado May 14, 2015.<br \/>\nActualizado Mar 20, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El uso del sistema de puntuaci\u00f3n de Alvarado, que incluye hallazgos de la exploraci\u00f3n cl\u00ednica y valores de laboratorio, es \u00fatil para descartar apendicitis. El rango de puntuaci\u00f3n va de 1 a 10, con una puntuaci\u00f3n m\u00e1s alta que indica un mayor riesgo de apendicitis. Cuando la puntuaci\u00f3n es inferior a 4, la apendicitis es [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[165],"tags":[231,230,806,807,808,450,494,507],"class_list":["post-2345","post","type-post","status-publish","format-standard","hentry","category-surgery","tag-acute","tag-aguda","tag-alvarado","tag-apendicitis","tag-appendicitis","tag-score","tag-sistema","tag-system"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2345","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2345"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2345\/revisions"}],"predecessor-version":[{"id":10723,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2345\/revisions\/10723"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2345"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2345"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}