Vol. 6 No. 01 (2022)
Original Article

Comparative study between ALVARADO Score and RIPASA Score for the diagnosis of Acute Appendicitis

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Prodip Kumar Karmakar
Assist. Prof, Department of surgery, SBMC, Barishal.
Poly Rani Debnath
Assistant Professor, Department of Pharmacology & Therapeutics, Sher-E-Bangla Medical College, Barishal
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Mohammed Omar Farouque
Assistant Professor, Department of Surgery, Cox’s Bazar Medical College, Cox’s Bazar
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Md. Showkat Ali
Assistant Professor, Department of Surgery, Khulna Medical College, Khulna
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Md. Abdur Rahim
Assistant Professor, Department of Surgery, Sher-E-Bangla Medical College, Barishal
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Md. Rezaul Kabir
Assistant Professor, Department of Surgery, Sher-E-Bangla Medical College, Barishal
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Abstract

Background: Several scoring systems have been developed to assist physicians in diagnosing acute appendicitis. The study aimed to compare the ALVARADO score and RIPASA score for the diagnosis of acute appendicitis. Methods & Materials: This comparative study was conducted in Sher-e-Bangla Medical College (SBMC), Barisal, in the Department of Surgery, Unit 1. The study was conducted from 1st January 2021 to 31st December 2021. Data were collected via face-to-face interviews by convenient sampling technique. Informed written consent was taken from the respondents. Data were analyzed by SPSS (Statistical Package for the Social Science) 25 version. Results: Out of 62 respondents, ALVARADO scoring system had Mean ± SD 8.1±1.4, Cut value 8.5, AUC 0.853, Sensitivity 85%, Specificity 73%, PPV (Positive Predictive Value) 48%, NPV (Negative Predictive Value) 94%, Diagnostic accuracy 75%. RIPASA Scoring system had Mean ± SD 11.8±2.1, Cut value 12.75 AUC 0.845, Sensitivity 78%, Specificity 75%, PPV (Positive Predictive Value) 48%, NPV (Negative Predictive Value) 92%, Diagnostic accuracy 76%. Conclusion: Both ALVARADO & RIPASA Scoring system was good for the treatment of acute appendicitis.

 

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Published 15-08-2022

Keywords

  • ALVARADO Score,
  • RIPASA Score,
  • Acute Appendicitis,
  • Histopathology

How to Cite

1.
Karmakar PK, Debnath PR, Farouque MO, Ali MS, Rahim MA, Kabir MR. Comparative study between ALVARADO Score and RIPASA Score for the diagnosis of Acute Appendicitis. Planet (Barisal) [Internet]. 2022 Aug. 15 [cited 2023 Feb. 4];6(01):284-92. Available from: https://bdjournals.org/index.php/planet/article/view/156