Scoring Systems in Acute Appendicitis - A Review

Mundada, Aditya; Lamture, Yashwant; Yeola, Meenakshi

doi:10.14260/jemds/2020/850

Cited by 3 publications

(1 citation statement)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These scoring systems can aid in diagnosing patients who present with lower abdominal pain and reduce the complications of acute appendicitis. (1) The world society of emergency surgeons in their guidelines in 2020 recommended the use of clinical scoring systems to diagnose low risk patients, decrease the need for imaging and negative surgical exploration. The Alvarado score was the first scoring system that was introduced, and it has been extensively studied.…”

Section: Introductionmentioning

confidence: 99%

Clinical scoring systems in acute appendicitis-Current perspectives-Review article

Hari Rajah,

Menon

2023

Int. j. integr. med. res.

View full text Add to dashboard Cite

Clinical scoring systems have been used in the diagnosis of acute appendicitis and they have had varying degrees of success. The most common scoring system is the Alvarado scoring system followed by other scoring systems like the RIPASA and AIR systems. Most of the scoring systems are good at ruling out appendicitis or selecting patients who may require further imaging like ultrasound or computerized tomography. On their own most clinical scoring systems are not used to solely diagnose acute appendicitis and we have conducted this review article to look at the common scoring systems that are being used and its sensitivity and specificity.

show abstract

Section: Introductionmentioning

confidence: 99%

Clinical scoring systems in acute appendicitis-Current perspectives-Review article

Hari Rajah,

Menon

2023

Int. j. integr. med. res.

View full text Add to dashboard Cite

show abstract

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

Rahul,

Kumari,

Jha

et al. 2024

YJOM

View full text Add to dashboard Cite

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.

show abstract

Tzanakis Score as a Tool to Diagnose Acute Appendicitis.

NR¹,

Srinivasan²,

Sreeramulu³

et al. 2022

ijsr

View full text Add to dashboard Cite

Background:Appendicitis presents with pain in the right lower quadrant of the abdomen which radiates to other parts which varies with degree of inammation.1 It is one of the most common emergencies in surgery. The accurate diagnosis of acute appendicitis is approximately 70 to 87% and misdiagnosis are common which may result in occurrence of perforation 20% and negative appendectomy 2% to 30%.2 For diagnosis of acute appendicitis it depends on clinical history, presentation, examination and laboratory investigations along with early appendectomy can avoid complications arising from perforation, mass formation, peritonitis. Along with this Ultra sonogram is also tagged with the clinical examination in this condition3. Appendectomy is one of the most commonly performed surgical emergency operations which can mimic other acute conditions of the abdomen in the right iliac fossa pain mainly among the young, the elderly and females. Appendicitis is a common surgical condition in department of surgery, its diagnosis always doubtful and is mainly diagnosed with clinical presentation and laboratory investigation such as total leukocyte count, CRPetc. USG and CTAbdomen and Pelvis also have high sensitivity and specicity but is not cost effective hence results in delay of treatment leading to complication. To reduce such circumstances and to reduce the cost many scorings systems are introduced based on blood investigations, clinical presentation and radiological ndings are performed to diagnose this condition4. Raja IsteriPengiranAnakSaleha Appendicitis (RIPASA) 5, Alvarado6, Tzanakis 1 are most commonly used scoring systems to diagnose acute appendicitis. The aim of this study is to determine the accuracy of three scores in accurate diagnose of acute appendicitis by correlating them with the gold standard of histopathological conrmed appendicitis. Objectives: The objective was to compare the TZANAKIS,Raja IsteriPengiranAnakSaleha Appendicitis (RIPASA), Alvarado, scores in patients with right iliac fossa pain to diagnose acute appendicitis and obtain best scoring system out of these in RL jalappa hospital in cost effective way. Materials And Methods: A.Retrospective descriptive B.Total number of study subjects-135 All patients treated at the RLJalappa Hospital for acute appendicitis between January 2021 and April 2022 were identied through a computer-generated search through the Medical Records Department. Data were extracted retrospectively from hospital records. All patients were evaluated and graded using TZANAKIS, Raja IsteriPengiranAnakSaleha Appendicitis (RIPASA), Alvarado score. Conclusion TZANAKIS score was better in predicting appendicitis in RL Jalappa Hospital compared to other RIPASA and ALVARADO scoring system. It had better sensitivity and specicity than the other two scoring system. It overall reduced negative appendectomy rate and is cost effective with limited characteristics.

show abstract

Scoring Systems in Acute Appendicitis - A Review

Cited by 3 publications

References 22 publications

Clinical scoring systems in acute appendicitis-Current perspectives-Review article

Clinical scoring systems in acute appendicitis-Current perspectives-Review article

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

Tzanakis Score as a Tool to Diagnose Acute Appendicitis.

Contact Info

Product

Resources

About