VALIDATION OF RIPASA SCORING SYSTEM FOR DIAGNOSIS OF ACUTE APPENDICITIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 32
Abstract
BACKGROUND Acute appendicitis is one of the frequently encountered surgical emergencies. Although common, due to a variety of other gynaecological and genitourinary inflammatory conditions presenting in a similar fashion, diagnosis of acute appendicitis remains a difficult task. USG and CT are good aids in confirming the diagnosis; however, their cost and inaccessibility can be a drawback in certain places. Therefore, several scoring systems have been developed to aid in the clinical diagnosis of appendicitis including Alvarado and modified Alvarado scoring system. However, several studies have shown reduced sensitivity and specificity of these scoring systems when applied to a population with a completely different ethnic origin as compared to western countries where they were initially applied. Hence, RIPASA scoring system was developed to help in the diagnosis of acute appendicitis in the Asian countries. The aim of this study is to validate the scoring system in our set-up. MATERIALS AND METHODS It is a descriptive study. Clinical data from 150 patients admitted at Basaveshwar Teaching and General Hospital with RIF pain and those who have undergone appendicectomy was collected to generate the parameters. P value was derived from the ROC curve. Sensitivity and specificity were calculated using the 2 * 2 table. RESULTS Out of the 150 patients included in our study, 111 patients were diagnosed with acute appendicitis. At the optimal cut-off threshold score of 7.5 derived from the ROC, the sensitivity, specificity, Positive Predictive Value (PPV) and Negative Predictive Value (NPV) of the RIPASA score was 95.5%, 89.7%, 95% and 89%. The sensitivity, specificity, PPV, NPV for Alvarado were 81.1%, 87.2%, 81% and 87%. CONCLUSION RIPASA scoring system is a good diagnostic tool in case of acute appendicitis. RIPASA score is superior to Alvarado score when used for the diagnosis of acute appendicitis.
Authors and Affiliations
Shanta B. Patil, Vishweshvarayya Vishweshvarayya
Keywords
Related Articles
- EP ID EP541193
- DOI 10.14260/jemds/2018/808
- Views 59
- Downloads 0
PROFILE OF LUNG CANCER PATIENTS AT TERTIARY CARE HOSPITAL OF NORTH INDIA
BACKGROUND Cancer is a leading cause of death worldwide and lung cancer is the most common cancer in men. The aim of this study was to study the profile of patients of lung or pleural tumour and their cyto-histopathologi...
EFFICACY OF COMBINATION THERAPY OF METHOTREXATE WITH HYDROXYCHLOROQUINE OR SULFASALAZINE IN RHEUMATOID ARTHRITIS PATIENTS IN KUMAON REGION: A COMPARATIVE STUDY
OBJECTIVE To Compare the Efficacy of combination therapy of Methotrexate (MTX) and Hydroxychloroquine (HCQ) with MTX and Sulfasalazine (SSZ) in Rheumatoid Arthritis (RA) patients of Kumaon region. METHODS RA...
EVALUATION ON ECG TRAINING PROGRAM FOR INTERNS AND POSTGRADUATES
BACKGROUND The electrocardiography is a basic and commonly used diagnostic test, which is really expected to know by the resident doctors and also by interns. There is no structured teaching methods for this. So, we inte...
UNUSUAL CASE- REVISITED- GRADENIGO’S SYNDROME
PRESENTATION OF CASE A 25-year-old male presented with 5 days history of double vision and a 4 days history of ear discharge and hearing loss. Patient was apparently normal 5 days ago after which he developed unilateral...
IMPORTANCE OF MEDICAL AUDIT IN A COMMUNITY OPHTHALMIC OUTREACH PROGRAM[b][/b]
Outreach delivery of health care is an important part of Community ophthalmology, especially for Cataract patients. Quality assurance in such programmes, which guarantees every patient of best possible outcom...