Comparison of Efficacy of Ripasa Scoring System with Modified Alvarado Scoring System in Diagnosing Acute Appendicitis
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 10
Abstract
Background: Acute appendicitis is one of the commonest surgical emergencies. Different scoring systems are postulated to arrive at a diagnosis. A new scoring system named RIPASA scoring system was developed to aid in the diagnosis of acute appendicitis in the Asian countries. We have prospectively compared diagnostic accuracy of RIPASA scoring and modified Alvarado scoring system. Materials & Methods: This observational study was done in Rajah Muthiah Medical College and Research Institute between June 2015 and August 2016 in patients with clinical diagnosis of acute appendicitis and undergoing appendicectomy were included in the study. After obtaining their consent study were conducted. Both Alvarado score and RIPASA score were calculated for all the patients. The operative findings and postoperative histopathology report were compared with the two scoring systems. Receiver operating curve (ROC), sensitivity, specificity & diagnostic accuracy were calculated. Results: One hundred and fifty patients satisfying inclusion and exclusion criteria were analysed. At optimal cut-off point of 7.5 derived from ROC curve for RIPASA, the sensitivity & specificity was 99.25% and 55 % respectively. At the cut-off thresh-hold of 7.0 derived from ROC curve for modified Alvarado score the sensitivity and specificity is 78.46% and 59.09% respectively. The diagnostic accuracy of RIPASA was 5.4% better than Modified Alvarado score.
Authors and Affiliations
Ashwin Muthukumar
Keywords
Related Articles
- EP ID EP529491
- DOI -
- Views 94
- Downloads 0
Esophagus Associated Lung Diseases- A Retrospective Study
Introduction: Structural diseases of oesophagus such as trache-oesophageal fistula, achalasia and esophageal diverticula are frequent causes of aspiration related respiratory morbidity. In this retrospective hospital dat...
A Syndromic Approach to Identify Cases of Vaginal Discharge in Females of central India
Background: Vaginal discharge is a common symptom of Pelvic inflammatory disease among women. Studies have shown that of women seeking care in the primary and secondary health care setting, 11% to 38.4% in India, and 34%...
Bacteriological profile in various types of ulcers -A comparative study from a tertiary care centre in North Kerala
Ulcers especially chronic ulcers pose a significant health care burden worldwide. The non- healing of such ulcers could be due to multiple factors among which bacterial infections are the forerunners. The present study w...
A Case of Male SLE with unusual presentation
Abstract
Detection of Airway colonization and Invasive Fungal Infections in Cases presenting with Respiratory Diseases in a Tertiary Care Hospital
The respiratory tract is frequently colonized by fungi and bacteria. Candida and Aspergillus species are the common fungi implicated but frequency of different species varies according to geographical areas. Such coloniz...