Appendicitis Clinical Practice Guidelines

Appendicitis is the most common surgical emergency in children. At many centers, this has led to a heavy reliance on CT for diagnosis. Overuse of CT carries substantial risks due to exposure to radiation and potential delays in operative care, without a decrease in negative appendectomy or perforation rates. One promising strategy to improve and standardize the evaluation of children with possible appendicitis is to stratify their care by risk for appendicitis.

Within this website you will find two validated appendicitis clinical prediction guidelines. These rules can be used to stratify a child's risk for appendicitis based on elements of the patient's history, physical exam and laboratory findings. The goal of these guidelines is to reduce our reliance on CT while maintaining safe and efficient care for children with acute abdominal pain.