A COMPARATIVE STUDY OF ALVARADO WITH RIPASA SCORE IN THE DIAGNOSIS OF ACUTE APPENDICITIS

Abstract

Acute appendicitis is the commonest cause of Acute Surgical Abdomen. Appendicectomy is the most frequently performed urgent abdominal operation and is often the first major procedure performed by a surgeon in training. The clinical presentation of acute appendicitis varies from mild symptoms, like lower abdomen pain with associated fever to severe diffuse peritonitis and sepsis. The most common complaint is right lower quadrant abdominal pain. A total of 100 patients admitted with a provisional diagnosis of acute appendicitis in the surgical department were  included in the study. They were then assessed using the Alvarado and RIPASA scoring systems. Additionally, a preoperative ultrasound of the abdomen was done. In our study, 24 patients had Alvarado score of <5, 36 patients had 5-6 and 40 patients had >7. In our study, 19 patients had Alvarado score of 5-7, 46 patients had 7.5-11 and patients had >12. On comparison of RIPASA and ALVARADO scoring system among our study population it was found that the chi square statistic was 6.498 and p value of .165. there is no statistically significant difference in the scoring systems.