Role of Adnexal Torsion Predictive Tool Maintains Applicabil
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A scoring method that was previously published showed promise in detecting adnexal torsion in adolescents. The goal of the study was to see if this scoring method could be applied to a more diverse population, which was mostly African American and overweight.

Female patients aged 0 to 21 years old who were undergoing surgery for suspected ovarian torsion were included in the study. Laboratory research, imaging, surgery, and pathology records were checked for patients. Clinical and imaging results were evaluated for significance, and retrospective composite scores were measured for each participant based on the scoring system's recommendations.

Results:
--A total of 57 cases of suspected torsion were included.

--Approximately 60% of patients were African American, 10% Hispanic, and 30% Caucasian. Average BMI across ethnicities was 29.

--These findings significantly correlated with previously published predictors for all components.

--The presence of nausea/vomiting, leukocytosis, ovarian volume and ratio were found to be significant.

--The post hoc calculated composite score was applied to our cohort, and over 90% of confirmed torsion would have been identified.

Finally, these findings indicate that a previously reported composite score for measuring torsion can be successfully used to predict torsion in a more diverse setting than the original study population, potentially speeding up surgical treatment of patients with the disorder.

Source: https://www.jpagonline.org/article/S1083-3188(21)00204-7/fulltext?rss=yes
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