A Comparitive Study of Alvarado Score And Ripasa Score in the Diagnosis Of Acute Appendicitis

Abstract

Acute Appendicitis is one of the most common surgical emergencies in clinical practice with estimated life time prevalence approximately 1 in 7.[1] The incidence is 1.5 to 1.9 per 1000 and is approximately 1.4 times greater in men then in women. [2] Aim

Comparative Study between RIPASA Scoring System and ALVARADO Scoring System in Diagnosing Acute Appendicitis in Adults

“…Diagnostic accuracy of RIPASA score was (89.5%) while ALVARADO score was (79%). The results of this study agreed with the following studies, R.S Raikwar et al study which is done in Indore, India 2017 [1], Shuaib A et al study which is done in Jabriya, Kuwait 2016 [4], Chong CF et al study which is done in Brunei, Darussalam 2011 [5], Pasumarthi V et al study which is done in Karnataka, India 2017 [6], Nanjundaiah N et al study which is also done in Karnataka, India 2012 [7], Subramani B et al study which is done in Chennai, India 2015 [11], Ismail Alnjadat and Baha Abdallah study which is also done in Aqaba, Jordan 2013 [12]. By comparing between the RIPASA and ALVARADO scores for patients who have acute appendicitis and those who don't have in this study, we found that (70.5%) of patients had acute appendicitis and (19%) of them didn't have and there was a statistical significant difference between these two scores with p value < 0.001which reflects fair accuracy.…”

“…In this study, regarding to the frequency of symptoms and signs of acute appendicitis, the most frequent symptoms were right iliac fossa pain and tenderness. so it is worth mentioning that both frequent symptoms are identical with R.S Raikwar et al study which is done in Indore, India 2017 [1], H. Mazeh et al study 2007 [8], Sabir S. et al study which is done in Rawalpindi, Pakistan 2017 [9], and Rodrigues & Sindhu study which is done in Tamil Nadu, India 2015 [10] respectively. This study compared the widely used ALVARADO score with the RIPASA score in the study sample.…”

“…Acute Appendicitis is one of the most common surgical emergencies in clinical practice with estimated life time prevalence approximately one in seven. The incidence of occurrence is nearly 1.4 times greater in men than in women [1].…”

“…However, the decision to perform appendectomy is based solely on clinical evaluation supported by laboratory data. Ultrasonography and computed tomography scan are used nowadays to decrease the incidence of negative laparotomies [3].Therefore, scoring systems have been made to overcome these problems, due to their good sensitivity and specificity and acceptable negative appendectomies on exploration [1]. Raja Isteri Pengiran Anak Saleha Appendicitis [RIPASA] score is a new diagnostic scoring system developed for the diagnosis of acute appendicitis and has been shown significantly higher sensitivity, specificity and diagnostic accuracy than that reported for the ALVARADO scoring system, particularly when the latter score is applied to an Asian or Middle-East patients [5].…”