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Original Research Open Access
RMJ. 2013; 38(2): 147-151


Alvarado versus RIPASA score in diagnosing acute appendicitis

Ismail Alnjadat, Baha Abdallah.

Abstract
Background: Multiple scoring systems have been developed in order to identify patients who need emergency appendicectomy and those who are unlikely to have acute appendicitis.RIPASA and Alvarado scoring systems are two of these systems. The aim of this article was to compare both systems in terms of diagnostic accuracy.
Methods: The study was carried out in the period from August 2010 to January 2012.RIPASA and Alvarado scores were performed for all patients above 14 years in whom decision to operate was already made by independent surgeons. Sensitivity,specificity,predictive values and accuracy were calculated. Data analyzed using SPSS 16 and STATA 11.
Results: 600 patients were included with mean age 26.52 years. Negative appendicectomy rate was 17%.Sensitivity for RIPASA and Alvarado scores were 93.2 and 73.7,respectively(P value

Key words: Acute appendicitis, negative appendicectomy, RIPASA score, Alvarado score


 
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REFERENCES
1. I Chamisa.A Clinicopathological Review of 324 Appendices Removed for Acute Appendicitis in Durban, South Africa: A Retrospective Analysis. Ann R Coll Surg Engl. 2009 November; 91(8): 688–692.
2. Subhajeet Dey et al. Alvarado Scoring in Acute Appendicitis—A Clinicopathological Correlation. Indian J Surg. 2010 August; 72(4): 290–293
3. Anshuman Sengupta, George Bax, and Simon Paterson-Brown. White Cell Count and C-Reactive Protein Measurement in Patients with Possible Appendicitis. Ann R Coll Surg Engl. 2009 March; 91(2): 113–115.
4. Boudewijn R et al.Routine Ultrasound and Limited Computed Tomography for the Diagnosis of Acute Appendicitis. World J Surg. 2010 October; 34(10): 2278–2285.
5. Gamal Khairy. Acute Appendicitis: Is Removal of a Normal Appendix Still Existing and Can We Reduce Its Rate?. Saudi J Gastroenterol. 2009 July; 15(3): 167–170.
6. Chong CF et al. Development of the RIPASA score: a new appendicitis scoring system for the diagnosis of acute appendicitis. Singapore Med J. 2010; 51(3):220-5
7. PG Vaughan-Shaw et al. Normal inflammatory markers in appendicitis: evidence from two independent cohort studies. JRSM Short Rep. 2011 May; 2(5): 43.
8. Emmanuel S Kanumba,Joseph B Mabula,Peter Rambau,and Phillipo L Chalya. Modified Alvarado Scoring System as a diagnostic tool for Acute Appendicitis at Bugando Medical Centre, Mwanza, Tanzania. BMC Surg. 2011; 11: 4. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
9. Khurram Siddique, Paramita Baruah, Santosh Bhandari, Shirin Mirza, and Gandra Harinath. Diagnostic accuracy of white cell count and C-reactive protein for assessing the severity of paediatric appendicitis. JRSM Short Rep. 2011 July; 2(7): 59.
10. Abdul Samad et al. Appropriate cut-off value of Alvarado scores for patients undergoing appendectomy at Isra University Hospital,Hyderabad. ISRA MEDICAL JOURNAL Volume 1 Issue 2 August 2009
11. Schneider C, Kharbanda A, Bachur R. Evaluating appendicitis scoring systems using a prospective pediatric cohort. Ann Emerg Med. 2007 Jun;49(6):778-84.
12. Niramol Tantemsapya, Mongkol Laohapensang, Suthipol Udompunturak. Validation of Clinical Scoring System in the Primary Care of Children with Suspected appendicitis.Sirraj Medical Journal . Volume 57, Number 11, 2005.
13. Kharbanda AB, Taylor GA, Fishman SJ, Bachur RG. A clinical decision rule to identify children at low risk for appendicitis. Pediatrics. 2005;116(3):709–716. [DOI via Crossref]    [Pubmed]   
14. Alvarado A .A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med. 1986 May;15(5):557-64
15. Ikramullah Khan, Ata ur Rehman. Application of Alvarado scoring system in diagnosis of acute appendicitis . J Ayub Med Coll Abbottabad 2005;17(3)
16. Chong CF et al. Comparison of RIPASA and Alvarado scores for the diagnosis of acute appendicitis. Singapore Med J 2011; 52(5) : 340
17. Shahnam Askarpour, Ferdos Forouzesh Pour, Soraya Kkhaje Rezaei. Accuracy of Diagnosis of Appendicitis and Its Relation to Perforation in Hospitalized Children in Surgery Department of Imam Khomeini Hospital-Ahwaz. Annals of Pediatric Surgery, Vol 4, No 3,4 July-October, 2008 PP 74-77
18. Ohmann C, Franke C, Kraemer M, Yang Q. Status report on epidemiology of acute appendicitis. Chirurg 2002;73:769-76. [Abstract]
19. Körner H et al. Incidence of acute nonperforated and perforated appendicitis: age-specific and sex-specific analysis. World J Surg 1997;21:313-7. [DOI via Crossref]    [Pubmed]   
20. Ohene-Yeboah M, Togbe B. An audit of appendicitis and appendicectomy in Kumasi, Ghana. West Afr J Med 2006;25:138-43.
21. Barlas SULU et al. Epidemiological and demographic features of appendicitis and influences of several environmental factors. Turkish Journal of Trauma & Emergency Surgery 2010;16 (1):38-42
22. Chan MY, Teo BS, Ng BL. The Alvarado score and acute appendicitis. Ann Acad Med Singapore. 2001 Sep;30(5):510-2
23. Jawaid A et al. Clinical scoring system: a valuable tool for decision making in cases of acute appendicitis. J Pak Med Assoc. 1999 Oct;49(10):254-9.
24. Denizbasi A, Unluer EE. The role of the emergency medicine resident using the Alvarado score in the diagnosis of acute appendicitis compared with the general surgery resident. Eur J Emerg Med. 2003;10(4):296–301 [DOI via Crossref]   
25. Kalan M, Talbot D, Cunliffe WJ, Rich AJ. Evaluation of the modified Alvarado score in the diagnosis of acute appendicitis: a prospective study. Ann R Coll Surg. 1994;76:418–9.
26. Jeerapata. The Modified Alvarado score versus Alvarado score for the diagnosis of acute appendicitis. The THAI journal of Surgery. 2005;26:69–72.

How to Cite this Article
Pubmed Style

Alnjadat I, Abdallah B. Alvarado versus RIPASA score in diagnosing acute appendicitis. RMJ. 2013; 38(2): 147-151.



Web Style

Alnjadat I, Abdallah B. Alvarado versus RIPASA score in diagnosing acute appendicitis. www.scopemed.org/?mno=28231 [Access: September 26, 2017].



AMA (American Medical Association) Style

Alnjadat I, Abdallah B. Alvarado versus RIPASA score in diagnosing acute appendicitis. RMJ. 2013; 38(2): 147-151.



Vancouver/ICMJE Style

Alnjadat I, Abdallah B. Alvarado versus RIPASA score in diagnosing acute appendicitis. RMJ. (2013), [cited September 26, 2017]; 38(2): 147-151.



Harvard Style

Alnjadat, I. & Abdallah, B. (2013) Alvarado versus RIPASA score in diagnosing acute appendicitis. RMJ, 38 (2), 147-151.



Turabian Style

Alnjadat, Ismail, and Baha Abdallah. 2013. Alvarado versus RIPASA score in diagnosing acute appendicitis. Rawal Medical Journal, 38 (2), 147-151.



Chicago Style

Alnjadat, Ismail, and Baha Abdallah. "Alvarado versus RIPASA score in diagnosing acute appendicitis." Rawal Medical Journal 38 (2013), 147-151.



MLA (The Modern Language Association) Style

Alnjadat, Ismail, and Baha Abdallah. "Alvarado versus RIPASA score in diagnosing acute appendicitis." Rawal Medical Journal 38.2 (2013), 147-151. Print.



APA (American Psychological Association) Style

Alnjadat, I. & Abdallah, B. (2013) Alvarado versus RIPASA score in diagnosing acute appendicitis. Rawal Medical Journal, 38 (2), 147-151.




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