Highlights Giant bladder uric acid stone cases are rare. Open suprapubic cystolithotomy is the best method to extract giant bladder stones. The most important factors were the climate and dietary habits. Benign prostatic hyperplasia was not found. Uric acid stone is common in Southeast Asia, with a multifactorial pathogenesis.
Appendisitis akut merupakan kasus bedah emergensi yang paling sering ditemukan dan apabila tidak segera dilakukan penanganan akan menimbulkan komplikasi lanjut. Keterbatasan sarana prasarana dalam diagnostic menjadi kendala pada negara berkembang terutama di daerah-daerah, sehingga diperlukan cara lain untuk membantu diagnosis yaitu dengan menggunakan sistem skoring klinis. Tujuan penelitian ini ingin membandingkan skor RIPASA dan skor Labeda pada tingkat keparahan morfologi appendisitis akut dengan mengetahui tingkat akurasi, sensitivitas, spesifisitas, nilai duga positif, nilai duga negative, serta angka appendektomi negatif. Penelitian ini merupakan penelitian observasional dengan rancangan Cross sectional study. Dari 59 sampel, 39 (66.1%) apendisitis akut komplikata, 20 (33,9%) apendisitis akut non komplikata. Dari pengelompokan skor RIPASA dan skor Labeda, hasil uji Chi-square menunjukan hubungan yang signifikan (p=<0.001) terhadap tingkat keparahan morfologi apendisitis akut. Berdasarkan hasil uji statistik tersebut dapat disimpulkan bahwa nilai sensitifitas, spesifisitas, prediksi positif dan prediksi negatif antara skor RIPASA dan skor Labeda sama terhadap tingkat keparahan morfologi apendisitis akut.
BACKGROUND: Acute appendicitis is the most common emergency surgical case, leading to further complications if not treated immediately. Limited diagnostics infrastructure is an obstacle in developing countries, especially in the regions. Therefore, alternatives such as clinical scoring systems are required to assist in diagnosis. AIM: This study aimed to compare the use of the RIPASA and Labeda scores to assess the severity of acute appendicitis morphology by determining the accuracy, sensitivity, specificity, positive predictive value, negative predictive value, and negative appendectomy rate. METHODS: This was a cross-sectional study designed to assess the severity of morphology of intra-operative acute appendicitis in Dr. Chasan Boesoirie Hospital and network hospitals in Ternate, North Maluku, Indonesia. Data regarding patient characteristics, leukocytes, and acute appendicitis severity were collected and analyzed alongside RIPASA and Labeda scores using the Chi-square test. p < 0.05 were considered statistically significant. RESULTS: Of 59 cases, 39 (66.1%) were complicated acute appendicitis and 20 (33.9%) were noncomplicated acute appendicitis. Chi-square test results showed that there was a significant relationship (p ≤ 0.001) between RIPASA/Labeda scores and the severity of acute appendicitis morphology. CONCLUSION: RIPASA and Labeda scores had the same accuracy, sensitivity, specificity, positive predictive value, and negative predictive value for acute appendicitis severity. Thus, RIPASA and Labeda scores can be used by physicians to help establish a diagnosis of acute appendicitis and determine the need for emergency surgery, as well as predict the possibility of morbidity/complications in patients.
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