Evaluation of RIPASA Score Compared to Modified Alvarado Score in the Diagnosis of Acute Appendicitis
Authors/Creators
- 1. Senior Resident, General Surgery IGIMS, Patna, Bihar, India
- 2. Junior Resident Department of General Surgery, Katihar Medical College, Al-Karim University, Katihar, Bihar, India
- 3. Professor, General Surgery, Katihar Medical College, Al-Karim University, Katihar, Bihar, India
Description
Objective: The diagnosis of acute appendicitis is still a challenge because it is a common yet difficult surgical illness. Since there are numerous clinical mimics and the diagnosis is mostly based on clinical criteria, clinical scoring systems have developed to help identify the correct diagnosis. This study aims to evaluate the diagnosis precision in acute appendicitis with a lower rate of negative appendectomy; by comparing the RIPASA score with the modified Alvarado score on patients undergoing emergency appendectomy. Material and Methods: Over a two-and-a-half-year period, we prospectively compared the two scoring systems in 103 patients undergoing an emergency appendectomy to treat acute appendicitis. Statistical analysis was comparatively done by ANOVA utilizing statistical software (SPSS), Microsoft Excel datasheets, and calculation of statistical significance using the McNemar Chi square test. Results: The RIPASA scale was more appropriate than the modified ALVARADO scale, according to the diagnostic accuracy results, which were 95.15% for the RIPASA score and 64.08% for the Modified Alvarado score. Conclusion: Thus based on the greater sensitivity, the RIPASA score is a better tool in the evaluation of suspected appendicitis in the South Asian population.
Abstract (English)
Objective: The diagnosis of acute appendicitis is still a challenge because it is a common yet difficult surgical illness. Since there are numerous clinical mimics and the diagnosis is mostly based on clinical criteria, clinical scoring systems have developed to help identify the correct diagnosis. This study aims to evaluate the diagnosis precision in acute appendicitis with a lower rate of negative appendectomy; by comparing the RIPASA score with the modified Alvarado score on patients undergoing emergency appendectomy. Material and Methods: Over a two-and-a-half-year period, we prospectively compared the two scoring systems in 103 patients undergoing an emergency appendectomy to treat acute appendicitis. Statistical analysis was comparatively done by ANOVA utilizing statistical software (SPSS), Microsoft Excel datasheets, and calculation of statistical significance using the McNemar Chi square test. Results: The RIPASA scale was more appropriate than the modified ALVARADO scale, according to the diagnostic accuracy results, which were 95.15% for the RIPASA score and 64.08% for the Modified Alvarado score. Conclusion: Thus based on the greater sensitivity, the RIPASA score is a better tool in the evaluation of suspected appendicitis in the South Asian population.
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IJPCR,Vol15,Issue6,Article191.pdf
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Additional details
Dates
- Accepted
-
2023-06-20
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue6,Article191.pdf
- Development Status
- Active
References
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