Evaluating the Diagnostic Accuracy of the RIPASA Score in Acute Appendicitis Detection

Abstract

Background: It might be challenging to diagnose acute appendicitis, despite its prevalence. To avoid complications and unproductive exploratory procedures, a prompt and accurate diagnosis is of the utmost importance.

Objective: The objective was to ascertain how well the RIPASA score could diagnose acute appendicitis.

Methods:This A cross-sectional comparative study was comprised of 180 patients with age 18-70 years. Patients experiencing pain in the right iliac fossa (RIF) were chosen in a sequential fashion. Each patient was evaluated using RIPASA and ALVARADO scores, with histopathology serving as the gold standard. The statistical analysis was carried out using SPSS version 24.

Results: The mean age of the presented cases was31.16±9.43 years. Frequency of males were 107 (59.4%) and females were 73 (40.6%). Frequency of RIPASA score for diagnosing acute appendicitis was 160 (90%), ALVARADO score in 26 (14.4%) cases and histopathological findings in 171 (95%) cases.The RIPASA score fared better than the ALVARADO score (p < 0.005) in terms of diagnostic accuracy, sensitivity, specificity, positive predictive value, and negative predictive value.

Conclusion: We found that compared to the ALVARADO score, the RIPASA score is better in predicting cases of acute appendicitis.