THE CORRELATION OF ALVARADO AND RIPASA SCORING SYSTEMS WITH RADIOLOGICAL, INTRAOPERATIVE AND HISTOPATHOLOGICAL FINDINGS
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Keywords
Alvarado And Ripasa Scoring Systems, H Radiological, Intraoperative And Histopathological Findings
Abstract
The Alvarado score has been criticized for using the sum of the true-positive rate and true-negative rate to determine the diagnostic weight of each score item. Since Alvarado defined accuracy as the weighted average of the sensitivity and specificity using weights determined by the prevalence of appendicitis, it is problematic when the sensitivity and specificity of a score item are not equal, as the diagnostic weight is directly proportional to disease prevalence. All cases satisfying the inclusion criteria were chosen and informed consent was taken from the patients. Data was collected with the help of a proforma containing following details age, gender ,mode of presentation of illness, details of clinical examination, and results of relevant investigations. On comparison of RIPASA score with Operative finding it was found that the comparison between the two is statistically significant in diagnosing acute appendicitis. On comparison of RIPASA score with Histopathological finding it was found that the comparison between the two is statistically significant in diagnosing acute appendicitis. On comparison of Alvarado score with operative finding it was found that the comparison between the two is statistically insignificant.
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Dr. Bhushan M
Assistant Professor, Department Of General Surgery ,Chikkamagaluru Institute Of Medical Sciences, Chikkamagaluru
Dr. Harini V.
Senior Resident, Department Of Pediatrics, Mysore Medical College And Research Institute, Mysuru
Dr. Gowtham M.
Assistant Professor , Department Of General Surgery, Chamarajanagara Institute Of Medical Sciences, Chamarajanagara
Dr. Ramakrishna M
Senior Resident, Department Of General Surgery, JSS Academy Of Higher Education And Research, Mysuru