Alvarado A (2019) Improved Alvarado Score (MANTRELS) for the Early Diagnosis of Acute Appendicitis. Int J Surg Res Pract 6:098.


© 2019 Alvarado A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

REVIEW ARTICLE | OPEN ACCESSDOI: 10.23937/2378-3397/1410098

Improved Alvarado Score (MANTRELS) for the Early Diagnosis of Acute Appendicitis

Alfredo Alvarado, MD1,2,3,4,5*

1Alma mater: Universidad Nacional de Colombia

2Certified by the American Board of Surgery and the American Board of Emergency Medicine

3International College of Surgeons, Chicago IL, USA

4Society of Laparoscopic Surgeons, Chicago IL, USA

5American College of emergency Physicians, Irving TX, USA


After a careful analysis of various diagnostic scores on acute appendicitis I am introducing here an Improved Alvarado score (MANTRELS) that includes several substitute predictive factors aimed to obtain better clinical results.