DIAGNOSTIC ACCURACY OF RIPASA SCORE IN DETECTING ACUTE APPENDICITIS
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Keywords
Acute appendicitis, RIPASA score, diagnostic accuracy, sensitivity, specificity, appendectomy.
Abstract
Introduction: Appendicitis stands for one of the most common surgical emergencies, and there is a great need to make sure about the diagnosis in order to avoid complications. There are various proposed diagnostic scores, and among those, the RIPASA score was established as one of the most efficient.
Objectives: The aim of this study is to establish the reliability of the RIPASA score in diagnosing acute appendicitis and to analyse existing diagnostic methods in a Pakistani hospital.
Materials and Methods: This study was conducted at Khyber Teaching Hospital Peshawar, Pakistan from January 2024 to June 2024. 150 patients in the study had been admitted with suspected acute appendicitis for the computation of the RIPASA score.
Results: According to the findings of the study, using the above formula, the accuracy of RIPASA score in identifying appendicitis is very high with the sensitivity being at 92% and specificity at 85% as compared to ultrasound and CT scan.
Conclusion: The variables included in the RIPASA score also help diagnose acute appendicitis, spare patients from further imaging, and exclude negative appendectomy.
References
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Dr Aamna Nazir
Senior Registrar Surgery, Holy Family Hospital Rawalpindi
Dr Maria Sana
Trainee General Surgery, Surgical A Ward, Khyber Teaching Hospital Peshawar, Pakistan
Dr Fahad Abbas
FCPS General Surgery, Assistant Professor, Continental Medical College Raiwind Road, Lahore, Pakistan.
Dr Rizwan Ali Qaiser
Assistant Professor, Kishwar Fazal Teaching Hospital Sheikhupura, Pakistan
Dr Shehroze Sikandar
Resident General Surgery, Sheikh Zayed Hospital Lahore, Pakistan
Dr Naeemullah Khan
Assistant Professor, Kishwar Fazal Teaching Hospital, Pakistan