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Comparison between ripasa and alvarado score in the diagnosis of acute appendicites

Author: 
Bhabatosh, D., Gojen Singh, Kh, Sambhaji, L., Lekshmipriya, Ramesh Singh, L. and Lekhachandra Sharma, K.
Subject Area: 
Health Sciences
Abstract: 

Acute Appendicitis is one of the most common surgical emergencies. A delay in performing an appendicectomy in order to improve its diagnostic accuracy increases the risk of appendicular perforation and sepsis, which in turn increases morbidity and mortality. Diagnostic accuracy can be further improved through the use of ultrasonography or computed tomography imaging. However, these modalities are costly and may not be easily available when they are required. This study was conducted to compare the available scoring system like RIPASA Score’s performance and Alvarado Score for the diagnosis of acute appendicitis. The study conducted was a prospective study among 60 suspected patients of appendicitis in the department of Surgery, RIMS during October 2013 to September 2015. Approval from Institutional Ethics Committee and informed consent was taken. Taken were entered in IBM SPSS version 16 and checked for correctness before analysis. Analysis was done using Chi-square test and ANOVA. On histopathological examination appendicitis was confirmed in 86.7% of cases. So this study gives a negativity rate of 13.3%. This gives a sensitivity of 98.1% in RIPASA score and 96.2% in Alvarado score. Specificity was 98.1% and 96.2% by using RIPASA score and Alvarado score respectively. Positive predictive value, negative predictive and accuracy for RIPASA score and Alvarado score were 98.1%, 87.5% and 96.6% and 94%, 71.4% and 91.6% respectively. RIPASA was better in all the parameters compared in this study. So, RIPASA is a better indicator than Alvarado score in diagnosing acute appendicitis.

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