Evaluation of RIPASA score in the diagnosis of acute appendicitis

Abstract

Background: Acute appendicitis is one of the most common surgical emergencies. Despite being a common problem, it remains a difficult diagnosis to establish, particularly among the young, the elderly and females of reproductive age. The study aimed to compare the efficacy of RIPASA score in the diagnosis of acute appendicitis.Methods: In this cross sectional comparative study, 100 cases of pain in the right iliac fossa were admitted and evaluated clinically. RIPASA score was calculated for all. Ultrasound (USG) of abdomen and pelvis was done. A positive RIPASA score or USG finding was the criteria for open appendicectomy. The postoperative histopathological reports were compared with the RIPASA scores.Results: RIPASA score was positive in 90% cases. Histopathologically, appendicitis was present in 99% cases. One case of normal appendix histopathologically had a lower RIPASA score. This indicated that RIPASA score could correctly diagnose acute appendicitis in 90% cases.Conclusions: RIPASA score is an efficient score in the diagnosis of acute appendicitis. As compared with ultrasonography of abdomen and pelvis, the RIPASA score is more diagnostic in cases of acute appendicitis. Negative findings of acute appendicitis on ultrasonography of abdomen and pelvis are not the diagnostic test to rule out appendicitis.

Diagnostic Accuracy of the RIPASA Score in Suspected Acute Appendicitis in Adults: A Cross-sectional Study Comparing it with Histopathological Findings from Bagalkot, India

“…Nanjundaiah N et al, also demonstrated that the sensitivity of the RIPASA scoring system was higher than that of the Alvarado scoring system for the diagnosis of acute appendicitis, i.e., 96.2% and 58.9%, respectively [22]. According to Karapolat B, the RIPASA scoring system can accurately diagnose acute appendicitis, including the pathological stage, without the use of computed tomography [23]. Bhatnagar SP and Chavan S proved that RIPASA is more efficient [24].…”

Diagnostic Accuracy of the RIPASA Score in Suspected Acute Appendicitis in Adults: A Cross-sectional Study Comparing it with Histopathological Findings from Bagalkot, India

“…Nanjundaiah N et al, also demonstrated that the sensitivity of the RIPASA scoring system was higher than that of the Alvarado scoring system for the diagnosis of acute appendicitis, i.e., 96.2% and 58.9%, respectively [22]. According to Karapolat B, the RIPASA scoring system can accurately diagnose acute appendicitis, including the pathological stage, without the use of computed tomography [23]. Bhatnagar SP and Chavan S proved that RIPASA is more efficient [24].…”

Evaluation of the Ripasa Score: A New Scoring System for the Diagnosis of Acute Appendicitis in East of Sudan (Single Center Experience from January to June 2022)

“…These results emphasize again that a positive ultrasonography for appendicitis is in favthis of a diagnosis of acute appendicitis. However, a negative ultrasound is not sufficient to rule out the diagnosis of acute appendicitis [1][2][3][4][5][6][7][8][9][10][11].…”

“…Acute appendicitis is one of the most common surgical emergencies encountered in the world particularly among the young adults and children [1]. Surgeon's good clinical assessment is considered to be the most important requisite in the diagnosis of appendicitis.…”

“…Several other conditions can mimic this clinical condition. Only contrast enhanced computerized tomography (CECT) of abdomen can diagnose the condition with very high sensitivity and specificity but it is not feasible to have this investigation done for each patient suspected to have appendicitis, particularly in countries with limited resthisces [1]. Diagnosis of acute appendicitis is based purely on clinical history and examination combined with a few laboratory investigations such as elevated white cell count.…”