Accuracy of RIPASA and Lintula Scores in Diagnosing Acute Appendicitis Using Surgical Findings as the Gold Standard

Naeem, Muhammad Saulat; Sadiq, Zoya; Awais, Muhammad; Rafi, Minhaj; Javeed, Sundas; Ahmed, Itfaque; Farooq, Shahid; Ali, Abrar Ashraf

doi:10.7759/cureus.31297

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…2.6% and this was greatly different from Naem et al who reported a mean RIPASA score of 7.721±3.23. However, the current reported score was close to the Score reported by Mousa et al-who reported a mean score of 9.70 ± 2.12 and this variability can be explained by the different cut off values for diagnostic accuracy and subsequent enrollment of patients with mild cases of query appendicitis [12,14].…”

Section: Discussionsupporting

confidence: 81%

“…In the current study-taking into consideration a cut off value of 7.5 for the diagnosis of acute appendicitis-90.15% of cases confirmed acute appendicitis by histopathology, matching the results of Verma et al-who used the same cut off value. But this was higher than the confirmed cases of AA by Naeem et alwho reported only 46.5 % showed +ve histopathological findings of AA and this simply can be explained by inclusion of cases with mild iliac fossa pain in their study [14].…”

Section: Discussioncontrasting

confidence: 57%

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Accuracy and Sensitivity of RIPASA Score in Diagnosis of Acute Appendicitis

Abourizk,

Abdel-Hafez,

Abdelrahman

et al. 2024

Benha Medical Journal

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Background:The most frequent ailment requiring immediate surgical intervention is acute appendicitis. Up to 20% of patients had appendicular perforation, which raises the death and morbidity rates from 3% to 47%. Consequently, even in situations when there is even a low degree of suspicion, the appendix is routinely removed, which results in needless surgery for up to 40% of patients. Objective: To evaluate the sensitivity and diagnostic accuracy of Raja Isteri Pengiran Anak Saleha appendicitis(RIPASA)scoring systems of acute appendicitis in correlation with intra-operative findings. Patients and Methods: This prospective study included 193 patients with acute appendicitis. All items of RIPASA score were reported with a cut off value of 7.5 and correlated to the postoperative histopathology. Results: Mean RIPASA Score was 10.2 ± 2.3. 9.85% were negative histologically for acute appendicitis. True positive was 170 cases. True Negative cases were 13 patients. The sensitivity of RIPASA score was 96.5%, while the specificity was 76.4%. Diagnostic Accuracy was 94.8%. Conclusion:The RIPASA score is an accurate, practicable, and reliable diagnostic tool for acute appendicitis (AA) that also has a high sensitivity, positive predictive value, and diagnostic accuracy. Using a RIPASA score as a reliable diagnostic tool for acute appendicitis (AA), in Egyptians is possible when using a cutoff value of 7.5.

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Section: Discussionsupporting

confidence: 81%

Section: Discussioncontrasting

confidence: 57%

Accuracy and Sensitivity of RIPASA Score in Diagnosis of Acute Appendicitis

Abourizk,

Abdel-Hafez,

Abdelrahman

et al. 2024

Benha Medical Journal

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Evaluation of RIPASA versus modified ALVARADO score in the diagnosis of acute appendicitis

Rahul,

Kumari,

Jha

et al. 2024

YJOM

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The diagnosis of Acute Appendicitis is mostly clinical through different scores; comparative assessment of Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) score against modified ALVARADO score for the diagnosis of Acute Appendicitis would reveal the better score for clinical use.Evaluation of RIPASA score against modified ALVARADO score as a diagnostic score for Acute Appendicitis.A prospective study was conducted on all cases of suspected Appendicitis at a tertiary center from January 2021 to June 2022. Each patient was scored by both RIPASA and modified ALVARADO scores and Histopathological report for Appendicitis was taken as the gold standard. Both the scores were evaluated for their diagnostic ability.80 patients with suspected Acute Appendicitis with a mean age of 21.36years and with female predominance were scored by both RIPASA and modified ALVARADO scores. Sensitivity, specificity, Positive and Negative predictive values, Positive and Negative likelihood ratio, and area under ROC curve for RIPASA score (at 7.5 cutoff) were 94.74, 82.61, 93.10, 86.36, 5.45, 0.06 and 0.93; corresponding values for modified ALVARADO score (at 7.0 cutoff) were 59.65, 82.61, 89.47, 45.24, 3.43, 0.49 and 0.89 respectively. Both the scores had positive correlation when diagnosing an Acute appendicitis patient.RIPASA Score (at 7.5 cut-off) is a better diagnostic tool than modified ALVARADO Score (at 7 cut-off) due to better sensitivity, Positive and Negative predictive values, and higher area under the fitted ROC curve.

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Accuracy of RIPASA and Lintula Scores in Diagnosing Acute Appendicitis Using Surgical Findings as the Gold Standard

Cited by 2 publications

References 14 publications

Accuracy and Sensitivity of RIPASA Score in Diagnosis of Acute Appendicitis

Accuracy and Sensitivity of RIPASA Score in Diagnosis of Acute Appendicitis

Evaluation of RIPASA versus modified ALVARADO score in the diagnosis of acute appendicitis

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