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212592

THE RAJA ISTERI PENGIRAN ANAK SALEHA APPENDICITIS (RIPASA) VERSUS ALVARADO SCORING SYSTEM IN DIAGNOSIS OF ACUTE APPENDICITIS

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Surgery

Abstract

Background: Multiple scoring systems have been developed in order to identify patients who need emergency appendectomy and those who are unlikely to have acute appendicitis. The Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) and Alvarado scoring systems are two of these systems. The aim of this article was to compare both systems in terms of diagnostic accuracy. Objective: To compare RPASA and Alvarado scoring systems in terms of diagnostic accuracy for acute appendicitis. Patients and Methods: This prospective comparative study was conducted over a period of six months, from May 2020 to November 2020, on 150 patients presented with right iliac fossa pain that was highly suggestive of acute appendicitis in Bab-EL-Sharia Hospital and included 150 patients of suspected acute appendicitis. RIPASA and Alvarado scores were performed for all. However, patients above 14 years in who decision to operate was made already by independent surgeons. Sensitivity, specificity, predictive values and accuracy were calculated. Data were analyzed using Statistical Package for Social Science (IBM SPSS) version 20. Results: Sensitivity of RIPASA score in confirmed positive histology group was 83.0%, specificity 86.0%, PPV 85.0%, NPV 86.5% and total accuracy 84.5. Sensitivity of Alvarado score in Confirmed positive histology group was 77.0%, specificity 42.0%, PPV 78.0%, NPV 43.0% and total accuracy 59.5%. Conclusion: RIPASA score is more sensitive and specific in diagnosing of acute appendicitis than Alvarado score.

DOI

10.21608/amj.2022.212592

Keywords

acute appendicitis, RIPASA score, Alvarado Score

Authors

First Name

Khalifa

Last Name

Hassan Khalifa Agwider

MiddleName

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Affiliation

Department of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

khalifahassan322@gmail.com

City

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Orcid

-

First Name

Magdy

Last Name

Mahmoud Moustafa

MiddleName

-

Affiliation

Department of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

-

City

-

Orcid

-

First Name

Osama

Last Name

Fathy Ibrahim El-Mezaien

MiddleName

-

Affiliation

Department of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

-

City

-

Orcid

-

Volume

51

Article Issue

1

Related Issue

29633

Issue Date

2022-01-01

Receive Date

2022-01-04

Publish Date

2022-01-01

Page Start

159

Page End

168

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_212592.html

Detail API

https://amj.journals.ekb.eg/service?article_code=212592

Order

14

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

THE RAJA ISTERI PENGIRAN ANAK SALEHA APPENDICITIS (RIPASA) VERSUS ALVARADO SCORING SYSTEM IN DIAGNOSIS OF ACUTE APPENDICITIS

Details

Type

Article

Created At

22 Jan 2023