Correlation of Ultrasound and RIPASA scoring system in the diagnosis of acute appendicitis.
Objective: Correlation of Ultrasound and RIPASA scoring system in the diagnosis of acute appendicitis. Study Design: 50 patients presenting to emergency underwent ultrasound and evaluation as per RIPASA scoring system followed by emergency appendicectomy. The sensitivity, specificity, positive and negative predictive value calculated for each goups. Results: The sensitivity, specificity, Positive Predictive Value and Negative Predictive Value for ultrasound were 75.51%, 100%, 100% and 7.69% respectively and that for RIPASA scoring system were 93.9%, 100% 100% and 25% respectively. The negative appendicectomy rate was 2%. Conclusion: RIPASA scoring system may be used for correctly diagnosing acute appendicitis but low sensitivity of ultrasound precludes its routine use and may be used as a complementary tool in diagnosing acute appendicitis. Keywards: Acute Appendictis, RIPASA, Ultrasound.
Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendicectomy in United States. Am J Epidemiology; 132: 910-25.
Flum DR, Koepsell T. The clinical and economic correlates of misdiagnosed appendicitis: Nationwide analysis Arch Surg 2002; 137(7): 799-804.
Mardan MAA, Mufti TS, Khattak IU, Chikunda N, Alshayeb AA, Mohammad AM et al. Role of Ultrasound in acute appendicitis. J Ayub Med Coll 2007; 19(3): 72-9.
Chong CF, Adil MIW, Thien A, Suyoi A, Mackie AJA, Tin AS et al. Development of the RIPASA score: A new appendicitis scoring system for the diagnosis of acute appendicitis. Singapore Med J 2010; 51: 220-5.
Sarang R, Ali I, Bawa A, Singh G, Mishra S, Nongmaithem M. Evaluation of Raja Isteri Pengiran Anak Saleah Appendicitis Score: Anew appendicitis scoring System. Med J DY Patil Univ 2015;8:744-9.
Chong CF, Thien A, Mackie AJA, Tin AS, Tripathi S, Ahmad Ma et al. Comparison of RIPASA and Alvarado scores for the diagnosis of acute appendicitis. Singapore Med J 2011; 52(5): 340-5.
Parsijani JP, Zarandi PN, Abbasi HR, Bolandparvaz S. Accuracy of Ultrasonography in Diagnosisng Acute Appendicitis. Bull Emerg Trauma 2013; 1(4):158-63.
Malik MU, Connelly TM, Awan F, Pretorius F, Fiuza-Castineira C, Faedy OE et al. The RIPASA score is sensitive and specific for the diagnosis of acute appendicitis in a western population. Int J Colorectal Dis 2017;32(491):2713-4.
Khadda S, Yadav AK, Ali A, Parmar A, Sakrani JK, Beniwal H. Clinical study to evaluate the RIPASA scoring system in the diagnosis of acute appendicitis. American Journal of Advanced Medical Surgical Research 2015;1(2):67-73.
Pulayert JB. Acute Appendicitis: US evaluation using graded compression. Radiology 1986; 158(2): 355-60.
Taj-Adean KAH. Sensitivity, Specificity and predictive values of ultrasonography in the diagnosis of acute appendicitis. Medical Journal of Babylon 2008; 5(3-4): 595-600.
Giljaca V, Nadarevic T, Poropat G, Nadarevic VS, Stimac D. Diagnostic Accuracy of Abdominal Ultrasound for Diagnosis of Acute Appendicitis: Systematic Review and Meta-analysis. World J Surg 2017; 41: 3792-7.
Subash KC, De A, Pathak M, Sathian B. Diagnostic role of Ultrasonography in acute appendicitis: A study at a tertiary care hospital. American Journal Public Health Research 2015; 3: 23-8.
Sharma R, Kasliwal DK, Sharma RG. Evaluation of negative appendicectomy rate in cases of suspected acute appendicitis and to study the usefulness of ultrasonography in improving the diagnostic accuracy. Indian J Surg 2007;69:194-7.
Nasiri S, Mohebbi F, Sodagari N, Hedayat A. Diagnostic values of ultrasound and the Modified Alvarado Scoring System in acute appendicitis. Int J Emerg Medicine 2012;5:26.
Peixoto RDO, Nunes TAN, Gomes CA, TCBC-MG. Indices of diagnostic abdominal ultrasonography in acute appendicitis, Influence of gender and physical constitution, time evolution of the disease and experience of the radiologist. Col Bras Cir 2011;38(2):105-11.
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 3.0 License.