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Comparison between the Alvarado score and RIPASA score for Diagnosis of Acute Appendicitis in Patients Attending to Emergency Departmentin Suez Canal University Hospital

Ahmed Elsayed AbouZeid,Zaynab Mohammed El Sayed,Sara Ahmed Fouda,Mohamed Saleh Mostafa.




Abstract
Cited by 2 Articles

Appendicitis is one of the most frequently experienced abdominal surgery. The acute appendicitis diagnosis is primarily in the form of symptoms and signs. Symptoms of acute appendicitis at an early stage of presentation overlap with other conditions that make the diagnosis an extremely difficult task. The Alvarado score and RIPASA score allow for risk stratification of abdominal pain patients, which links the likelihood of appendicitis to recommendations for discharge, observation, surgery.Methods: In one hundred patients with an apparent clinical picture of acute apendicitis aged 18 to 60 years, both sexes were included, diagnostic analysis was carried out in the form of a descriptive prospective study. Excluded from the study were pregnant women. Results: the sample age ranged from 22 to 60 years. The Alvarado scoring system's sensitivity and specificity were 91,7% and 48,14% respectively. The RIPASA scoring system was 96.3 and 68.4 percent respectively in terms of its sensitivity and specificity. Conclusion: The RIPASA score is currently a better diagnostic diagnostic scoring system than the Alvarado score with a higher sensitivity, specificity, positive prediction, negative prediction and diagnostic correctness.

Key words: Alvarado score,Ripasa score, Acute Appendicitis






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