International Journal of Science and Research (IJSR)
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Research Paper | Surgery | India | Volume 9 Issue 5, May 2020

Study on RIPASA Scoring in Clinical Diagnosis of Acute Appendicitis

Dr. Prashant Mukadam | Dr. Vineet Shukla | Dr. Virinchi Dabbir | Dr. Dip Joshi

Abstract: Background: The RIPASA Score is a new diagnostic scoring system developed for the diagnosis of Acute Appendicitis which showed higher sensitivity, specificity and diagnostic accuracy compared to other scoring systems, particularly when applied to Asian population [1]. Here author wants to study RIPASA score by applying them to the patients attending the hospital with right iliac fossa pain that could probably be acute appendicitis. Methods: A prospective analysis of 100 cases admitted with RIF pain during a 2 years period was performed. Patients between 15-60 years were scored as per Alvarado and RIPASA scoring system. Histopathological reports of the cases were collected and compared with the scores. Results: The sensitivity of ALVARADO score is estimated to be 73 % for a cut off of 6. The specificity is 78 %, positive predictive value is 92, negative predictive value is 35. The Diagnostic accuracy of ALVARADO scoring is found to be 74 %. The sensitivity, specificity, positive predictive value and negative predictive values of RIPASA scoring system in our study are 95.5 %, 84.9 %, 92.5 %, 90.3 %. The diagnostic accuracy of RIPASA score is 92 %. Conclusions: The difference in the diagnostic accuracy between ALVARADO and RIPASA scoring system is significant indicating that the RIPASA score is a much better diagnostic tool for the diagnosis

Keywords: Acute appendicitis, ALVARADO score, Diagnostic accuracy, Histopathology, RIPASA score

Edition: Volume 9 Issue 5, May 2020,

Pages: 1393 - 1396

Study on RIPASA Scoring in Clinical Diagnosis of Acute Appendicitis

How to Cite this Article?

Dr. Prashant Mukadam, Dr. Vineet Shukla, Dr. Virinchi Dabbir, Dr. Dip Joshi, "Study on RIPASA Scoring in Clinical Diagnosis of Acute Appendicitis", International Journal of Science and Research (IJSR), https://www.ijsr.net/get_abstract.php?paper_id=SR20520211349, Volume 9 Issue 5, May 2020, 1393 - 1396, #ijsrnet

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