Escala RIPASA para el diagnóstico de apendicitis aguda: comparación con la escala de Alvarado modificada

Díaz-Barrientos, C.Z.; Aquino-González, A.; Heredia-Montaño, Mónica; Navarro-Tovar, Fernando; Pineda-Espinosa, M A; Santillana, Irene A. Espinosa de

doi:10.1016/j.rgmx.2017.06.002

Cited by 19 publications

(21 citation statements)

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“…There are many other scoring system like Fenyo-Lindberg score (FS), Lintula score (LS), Eskelinen score (ES), Teicher score (TS), and Christian score (CS) are used for diagnosis of appendicitis. The RIPASA score showed no advantages over the modified Alvarado score when applied to patients presenting with suspected acute appendicitis [15].…”

Section: Discussionmentioning

confidence: 86%

Evaluation of Alvarado score in the Early Diagnosis of Acute Appendicitis: A Prospective Study

Baitha¹

2018

jmscr

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Acute appendicitis is a common surgical emergency condition with difficulty in accurate diagnosis. Alvarado scoring system is useful tool for early diagnosis. Aim of this study: This study is to evaluation of Alvarado score system in the early diagnosis of acute appendicitis: a prospective study. Materials and Methods: All consecutive patients with diagnosis of acute appendicitis admitted and evaluated by scoring system described by Alvarado. Patient who had undergone surgery, the diagnosis of appendicitis was confirmed by histo-pathological examination and compared with previous clinical diagnosis on the basis of Alvarado score. Results: Accuracy of diagnosis in male patients was more sensitive then female patient in child bearing age.

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Section: Discussionmentioning

confidence: 86%

Evaluation of Alvarado score in the Early Diagnosis of Acute Appendicitis: A Prospective Study

Baitha¹

2018

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“…Al día de la fecha, cuatro grupos de estudio occidentales han puesto este sistema en práctica, tres en México 16,34 y otro en Irlanda 17 (ninguno en nuestro país hasta hoy). Malik y col., en Irlanda, logró aplicar la escala en 208 pacientes y obtuvo una sensibilidad del 85,39% con especificidad del 69,86% 17 .…”

Section: Discussionunclassified

“…At the present time, four Western study groups have put this system into practice, three in Mexico 16,34 and one in Ireland 17 (none in our country to date). In Ireland, Malik et al applied the score to 208 patients and obtained a sensitivity of 85.39% with a specificity of 69.86% 17 .…”

Section: Methodsmentioning

confidence: 99%

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Correlación diagnóstica de la escala RIPASA en pacientes intervenidos quirúrgicamente por apendicitis aguda

Gasque¹,

Moreno²,

Vigilante³

2020

Rev Argent Cirug

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Background: Acute appendicitis (AA) is the most common surgical emergency worldwide. Its correct and early diagnosis is essential to avoid unnecessary surgeries and complications associated with its natural history. Objective: The aim of this study was to determine the diagnostic sensitivity and specificity of the RIPASA score in patients with suspected AA. Material and methods: This analytical, cross-sectional, observational and retrospective study included appendectomy specimens of patients of both sexes > 18 years operated on with clinical diagnosis of AA between January 1 and December 31, 2017. The histopathological examination of the appendectomy specimens was considered the gold standard diagnostic test. A score of 7.5 for the RIPASA score was chosen as cut-off value. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated. Results: A total of 68 appendectomies were included; 57 (83.82%) specimens were positive for acute appendicitis. Mean age was 43.32 years. The histological diagnosis of AA was present in 32 (84.21%) men and in 25 (83.33%) women. For the RIPASA score, 54 patients had a true positive result (cut-off point ≥ 7.5 and positive histology for AA) with a sensitivity of 93%, specificity of 40%, PPV of 90%, NPV of 50%, positive likelihood ratio of 1.55 and negative likelihood ratio of 0.175. Conclusion: The RIPASA score has demonstrated excellent sensitivity and specificity for the clinical diagnosis of AA in a fast, simple and non-invasive fashion.

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“…Diaz-Barrientos et al [19], in Mexico, found that the RIPASA score showed no advantage over the Modified Alvarado score taking into consideration that the ROC curve area was 0.59 for the RIPASA score vs. 0.71 for the modified Alvarado score.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Scores in Acute Appendicitis

A¹

2018

Current Issues in the Diagnostics and Treatment of Acute Appendicitis

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Escala RIPASA para el diagnóstico de apendicitis aguda: comparación con la escala de Alvarado modificada

Abstract: The RIPASA score showed no advantages over the modified Alvarado score when applied to patients presenting with suspected acute appendicitis.

Cited by 19 publications

References 6 publications

Evaluation of Alvarado score in the Early Diagnosis of Acute Appendicitis: A Prospective Study

Evaluation of Alvarado score in the Early Diagnosis of Acute Appendicitis: A Prospective Study

Correlación diagnóstica de la escala RIPASA en pacientes intervenidos quirúrgicamente por apendicitis aguda

Diagnostic Scores in Acute Appendicitis

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