THE COMPARISON OF DIAGNOSTIC VALUE OF MODIFIED ALVARADO SCORE VS RIPASA SCORE IN ACUTE APPENDICITIS AMONG YOUNG POPULATION VISITING TERTIARY CARE CENTER.

Muhammad Ahsan  Mustafa; Muhammad Saeed  Akhtar; Khurram  Niaz; Sajjad Ahmad Ansari; Wasif Idris Ahmed; Erisha Komal

doi:10.51253/pafmj.v76iSUPPL-1.11121

Authors

Muhammad Ahsan Mustafa Department of Surgery, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
Muhammad Saeed Akhtar Department of Surgery, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
Khurram Niaz Department of Surgery, Sheikh Zayed Medical College & Hospital, Rahim Yar Khan Pakistan
Sajjad Ahmad Ansari Department of Surgery, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
Wasif Idris Ahmed Department of Surgery, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) Pakistan
Erisha Komal Department of Surgery, Combined Military Hospital, Bahawalpur/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-1.11121

Keywords:

Appendicitis, Modified Alvarado score, Population, RIPASA, Young

Abstract

Objective: To determine the diagnostic accuracy of the RIPASA score in acute appendicitis compared to the modified
Alvarado score, improving diagnosis and reducing negative appendectomies.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Surgery, Combined Military Hospital, Bahawalpur Pakistan, from Nov 2023 to
Jul 2024.

Methodology: A total of 110 patients were included. Young patients from 18 years to 40 years undergoing appendectomy were
included. A histopathology of the sample was sent. Cut-off values of scores ≥7 and ≥7.5, were set for Alvarado and RIPASA
scores, respectively. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were calculated.

Results: Patients whose Modified Alvarado score was ≥7 were 66 whereas in RIPASA score 92 patients had scores ≥7.5. A
significant association was found in both the scoring system and the histopathology findings. Sensitivity, specificity, negative
predictive, positive predictive values, and accuracies for modified Alvarado score were found to be 65.31%, 83.33%, 22.73%,
96.97%, and 67.27%, while that of RIPASA was 92.86%, 91.69%, 61.11%, 98.91 %, and 92.73%, respectively.

Conclusion: The sensitivity, specificity, positive predictive value, negative predictive value, accuracy, and predicting negative
appendectomy rates of the RIPASA scoring system as compared to Alvarado scoring are better when applied to the young
Pakistani population.

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