Open AccessA STUDY TO VALIDATE RIPASA SCORE IN DIAGNOSIS OF ACUTE APPENDICITIS AMONG CLINICALLY SUSPECTED CASES.
Author(s) -
Sudhansu Sarkar,
Arpan Nandi
Publication year - 2021
Publication title -
paripex indian journal of research
Language(s) - English
DOI - 10.36106/paripex/9703095
Subject(s) - medicine , acute appendicitis , inclusion and exclusion criteria , predictive value , appendicitis , population , scoring system , surgery , pathology , environmental health , alternative medicine
The aim of this study is to evaluate the validity of RIPASA score – a new scoring system for diagnosis of acute appendicitis – in our local population.The study was conducted from May 2019 to August 2020, for a period of 18 months in Bankura Sammilani Medical College and Hospital, Bankura. The study was conducted in a group of 87 patients who underwent appendicectomy in the Department of General surgery of this institution after satisfying inclusion and exclusion criteria. The study involved applying of RIPASA in all 87 patients and findings were correlated with that of intra-operative and HPE findings. RIPASA score had sensitivity of 96.6%, specificity of 72.4%, positive predictive value of 87.5% and negative predictive value of 91.3%.These findings have suggested that RIPASA score is a good diagnostic scoring system in predicting acute appendicitis when applied in our local population. In addition there has been prediction of significant reduction in the number of negative appendicectomies, which will lead to less morbidity to the patient and also help in reducing unnecessary expenditure of health resources.