Title: Diagnostic Efficacy of Ripasa Scoring in Acute Appendicitis: A Tertiary Care Centre Study
Authors: Anilkumar S, Anilkumar A V, Shijina K, Unnikrishnan Govinda
DOI: https://dx.doi.org/10.18535/jmscr/v5i1.142
Abstract
Background: appendicitis is one of the most common surgical conditions attended by young surgeons worldwide in emergency room. To diagnose appendicitis accurately, needs good clinical acumen, keen observing power and Surgical practice. Due to failure in in diagnosing appendicitis accurately mainly due to pitfalls in scoring systems followed all around the world we conducted this study to find out the usefulness of RIPASA scoring system in diagnosing acute appendicitis compared to the histopathological findings as the gold standard.
Materials and Methods: All patients presenting to the casualty department in the department of surgery and paediatric surgery with right iliac fossa pain with clinical suspicion of acute appendicitis were eligible for the study. Patients of all age groups were included.
Result: The results of our study shows that RIPASA scoring with a cut off at 7.5 will help differentiating acute appendicitis which needs emergency appendicectomy from other conditions.
Discussion: The sensitivity and specificity of RIPASA scoring in diagnosing acute appendicitis in our study was 0.93 and 0.67 when the cut off for RIPASA was fixed at 7.5 as suggested by the ROC analysis.
Keyword: appendicitis, ripasa score, histopathology.
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