TY - JOUR AU - Sania Sabir , Shahroz Saud Ahmed , Maria Zafar, PY - 2018/03/30 Y2 - 2024/03/29 TI - Evaluation of RIPASA and ALVARADO Score for Diagnosis of Acute Appendicitis JF - Journal of Rawalpindi Medical College JA - JRMC VL - 22 IS - 1 SE - Articles DO - UR - http://journalrmc.com/index.php/JRMC/article/view/845 SP - AB - <p>Background:To evaluate RIPASA and<br>ALVARADO scores for the diagnosis of acute<br>appendicitis.<br>Methods : In this cross sectional study, patients<br>presenting with features suggestive of acute<br>appendicitis and who had undergone<br>appendectomy, were included. All those patients<br>whose follow up was not possible with<br>histopathology reports were excluded .Sampling<br>technique was non probability random sampling<br>technique.Frequencies , percentages were calculated<br>for categorical variables i.e. different parameters of<br>RIPASA and ALVARDO scoring system. Sensitivity<br>and specificity of both scoring system was checked<br>keeping histopathology reports as gold standard .<br>Results :Mean age was 20.2 years. Minimum<br>RIPASA score was 5.5 , maximum 14 ,mean 10.64 and<br>range turned out to be 8.50 with standard deviation<br>of 1.639. P value for RIPASA score was 0.015 . 155<br>cases had RIPASA score of 7.5 and above . Maximum<br>ALVARADO score was 9 and minimum 2 , mean of<br>8.13 and standard deviation of 1.48. Majority<br>(92.5%) had ALVARADO score more than 5 . P value<br>for ALVARADO score was 0.001 .The gold standard<br>for diagnosing acute appendicitis was<br>histopathology report which was positive in<br>90.6%.Sensitivity of RIPASA score 95 %<br>ALVARADO 88 % .Specificity of RIPASA was 21 %<br>while of ALARADO 42 %.<br>Conclusion: RIPASA score &gt;7 and ALVARADO &gt;<br>6 are significant for diagnosing appendicitis<br>.RIPASA is more sensitive but less specific than<br>ALVARADO score for diagnosing acute<br>appendicitis.</p> ER -