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Original Research

RMJ. 2022; 47(2): 346-349


Comparison between RIPASA and modified Alvarado score in the diagnosis of acute appendicitis: A prospective observational study.

Hina Abdul Qayoom Khan, Saima Sagheer, Rabeeaa Farrukh, Mujeeb Ur Rehman Abbasi, Amjad siraj Memon, summaya saeed.




Abstract

Objective: To determine the diagnostic accuracy of RIPASA score in acute appendicitis compared to modified Alvarado score.
Methodology: The study included 65 patients who underwent appendectomy. The histopathological assessment was done and compared with the scores for diagnostic accuracy.
Results: The sensitivity of RIPASA score was 98.3%, with specificity of 100%, a positive predictive value of 100%, and negative predictive value of 80%. The Alvarado score had sensitivity and specificity of 65.6% and 75.0%, respectively.
Conclusion: We found that RIPASA was a better scoring system in our population when compared to modified Alvarado for the diagnosis of acute appendicitis.

Key words: RIPASA, modified Alvarado, acute appendicitis, appendectomy.






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