To Study the Pattern of RIPASA (Raja Isteri Pengiran Anak Saleha Appendicitis) Score in Acute Appendicitis
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Acute appendicitis is the most common cause of an acute abdomen requiring surgery, with a lifetime risk of about 7%. Various scoring systems are used to aid the diagnosis. One of them is Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) score. Present study was done to study the pattern of RIPASA in cases of acute appendicitis Material and Methods: This study was a prospective study conducted in 100 patients reporting to surgery department with complaint of pain in right iliac fossa, suspected for acute appendicitis. RIPASA score was calculated preoperatively in all these patients and diagnosis further confirmed through operative findings Results: Out of 100, 70 patients were males and 30 pateints were females. Majority of patients (76%) in this study group presented within first 48 hours of symptoms while 24% patients presents late after 48 hours of onset of symptoms. In this study out of 100 cases ultrasound was able to diagnose 90 cases while rest of 10 cases were diagnosed by CT scan. The sensitivity and specificity of RIPASA score were 90% and92.22% respectively Conclusion: RIPASA score is simple and valuable tool for diagnosis of acute appendicitis and can help the surgeons to reduce the rate of negative appendicectomy.
Authors and Affiliations
Ajay Singh, Amarjit Singh Kuka, Sabarjeet Singh, Pushpinder Singh Kuka
Keywords
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