Alvarado Score for Acute Appendicitis

MANTRELS Score
Clinical assessment tool to help early diagnosis of acute appendicitis
Click applicable items and the score will be automatically calculated.

※ Total Score : 10

– 7 points or more : High risk for appendicitis
– 5~6 points : CT scan and other tests recommended
– 4 points or less : Low possibility of appendicitis
*Sensitivity 96% for excluding appendicitis when 3~4 points or less
*Sensitivity 58~88% for diagnosing appendicitis when 6~7 points or more

Reference :
Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med. 1986 May;15(5):557-64. doi: 10.1016/s0196-0644(86)80993-3. PMID: 3963537.