The RIPASA score in comparison to the ALVARADO score for diagnosis of acute appendicitis.

Abstract

Objective: To compare the efficacy of RIPASA score with Alvarado Score in terms of diagnosing acute appendicitis. Study Design: Comparative study. Setting: Surgical Unit V, Faisalabad Medical University, Faisalabad. Period: January 2018 to January 2019. Material & Methods: We recruited 100 consecutive patients who presented in surgical emergency ward with complain of pain right iliac fossa having suspicion of acute appendicitis. All patients underwent routine blood investigation, USG abdomen was performed. Then they were scored on the basis of Alvarado and RIPASA scoring system. Per operative findings were noted and confirmed by histopathological examination. Results of RIPASA and Alvorado score were tabulated using appropriate statistical analysis. Results: in our study, 94 cases had RIPASA score of 7 and above while 31 cases had ALVARADO score more than 7. Histopathology report was positive in 93 case while 07 cases turned out to be normal. Sensitivity of RIPASA score 95.69% and ALVARADO 32.25%. Specificity of RIPASA was 33.33 % while of ALVARADO 85.71%. Conclusion: Our study concludes that RIPASA score stands better as compared to Alvarado score for diagnosis of acute appendicitis.