E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Acute appendicitis: A comparison of role of RIPASA and modified ALVARADO score in accurate diagnosis

Hitesh Patel, Murtaza Akhtar, Mahendra Chauhan, Swanand Chaudhary.

Abstract
Background: Acute appendicitis is the most common surgical emergency traditionally diagnosed clinically with laboratory and imaging methods with a negative appendicectomy rate of 15-20%.These facts lead to the development of multiple scoring systems of them two commonly used RIPASA and Modified Alvarado score are being compared in the present study.
Methods: In a hospital based longitudinal study, clinically suspected cases of acute appendicitis that underwent appendicectomy were included as cases. Pre-operative assessment Modified Alvarado score and RIPASA score were study factors. And Histopathology of the appendix was the outcome factor. Apart from descriptive statistic, diagnostic accuracy was calculated for both scores with validation of cut off score were carried out by plotting of ROC curve.
Results: Total 129 patients with a mean age of 319.71, male to female ratio of 1.8:1 were enrolled. Negative appendicectomy rate was 6.2% and accuracy of the RIPASA score was 80.5% and Modified Alvarado score was 50.39%. The validated cut off for both scores was >7.5.
Conclusions: RIPASA scoring system has higher sensitivity and specificity compared to Modified Alvarado score. It also has higher diagnostic accuracy and a better scoring system for accurate diagnosis of acute Appendicitis in the local population.

Key words: Acute Appendicitis, RIPASA Score, Modified Alverado Score, Diagnostic Accuracy


 
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How to Cite this Article
Pubmed Style

Patel H, Akhtar M, Chauhan M, Chaudhary S. Acute appendicitis: A comparison of role of RIPASA and modified ALVARADO score in accurate diagnosis. Int J Surg Med. 2020; 6(4): 8-12. doi:10.5455/ijsm.acute-appendicitis-hitesh


Web Style

Patel H, Akhtar M, Chauhan M, Chaudhary S. Acute appendicitis: A comparison of role of RIPASA and modified ALVARADO score in accurate diagnosis. http://www.ejos.org/?mno=99459 [Access: September 19, 2020]. doi:10.5455/ijsm.acute-appendicitis-hitesh


AMA (American Medical Association) Style

Patel H, Akhtar M, Chauhan M, Chaudhary S. Acute appendicitis: A comparison of role of RIPASA and modified ALVARADO score in accurate diagnosis. Int J Surg Med. 2020; 6(4): 8-12. doi:10.5455/ijsm.acute-appendicitis-hitesh



Vancouver/ICMJE Style

Patel H, Akhtar M, Chauhan M, Chaudhary S. Acute appendicitis: A comparison of role of RIPASA and modified ALVARADO score in accurate diagnosis. Int J Surg Med. (2020), [cited September 19, 2020]; 6(4): 8-12. doi:10.5455/ijsm.acute-appendicitis-hitesh



Harvard Style

Patel, H., Akhtar, . M., Chauhan, . M. & Chaudhary, . S. (2020) Acute appendicitis: A comparison of role of RIPASA and modified ALVARADO score in accurate diagnosis. Int J Surg Med, 6 (4), 8-12. doi:10.5455/ijsm.acute-appendicitis-hitesh



Turabian Style

Patel, Hitesh, Murtaza Akhtar, Mahendra Chauhan, and Swanand Chaudhary. 2020. Acute appendicitis: A comparison of role of RIPASA and modified ALVARADO score in accurate diagnosis. International Journal of Surgery and Medicine, 6 (4), 8-12. doi:10.5455/ijsm.acute-appendicitis-hitesh



Chicago Style

Patel, Hitesh, Murtaza Akhtar, Mahendra Chauhan, and Swanand Chaudhary. "Acute appendicitis: A comparison of role of RIPASA and modified ALVARADO score in accurate diagnosis." International Journal of Surgery and Medicine 6 (2020), 8-12. doi:10.5455/ijsm.acute-appendicitis-hitesh



MLA (The Modern Language Association) Style

Patel, Hitesh, Murtaza Akhtar, Mahendra Chauhan, and Swanand Chaudhary. "Acute appendicitis: A comparison of role of RIPASA and modified ALVARADO score in accurate diagnosis." International Journal of Surgery and Medicine 6.4 (2020), 8-12. Print. doi:10.5455/ijsm.acute-appendicitis-hitesh



APA (American Psychological Association) Style

Patel, H., Akhtar, . M., Chauhan, . M. & Chaudhary, . S. (2020) Acute appendicitis: A comparison of role of RIPASA and modified ALVARADO score in accurate diagnosis. International Journal of Surgery and Medicine, 6 (4), 8-12. doi:10.5455/ijsm.acute-appendicitis-hitesh