International Journal of Medicine Research

International Journal of Medicine Research


International Journal of Medicine Research
Vol. 5, Issue 2 (2020)

Comparison between modified Alvarado scoring systems and RIPASA scoring systems as diagnostic tool of acute appendicitis


Solin K Kamal, Halgourd F Ahmed, Haval F Muhamad

Background: Early detection of acute appendicitis in emergency department is essential in saving lives. Diagnosis of acute appendicitis is difficult needing many screening tests in appropriate validity findings to help the physicians in quick surgical intervention and to avoid false positive cases useless surgical operations. Aim of study: To compare the validity findings of Modified Alvarado score with validity findings of RIPASA score in diagnosis of acute appendicitis. Patients and Methods: A prospective cross sectional study conducted in Rozhhalat Emergency Hospital in Erbil city through a period of nine months from 1st of May 2019 to 1st of February 2020 on a sample of 100 acute appendicitis patients. Ultrasonography-fine needle aspiration. All the suspected cases were subjected to a questionnaire which was derived from both Modified Alvarado score and the Raja Isteri Pengiran Anak Saleha Appendicitis score systems simultaneously. Results: The validity results of Raja Isteri Pengiran Anak Saleha Appendicitis score in comparison to histopathology findings for diagnosis of acute appendicitis were sensitivity (92.2%), specificity (65.2%), positive predictive value (89.9%), negative predictive value (71.4%) and accuracy (86%), while validity findings of Modified Alvarado score comparison to histopathology findings for diagnosis of acute appendicitis were sensitivity (67.5%), specificity (65.2%), positive predictive value (86.7%), negative predictive value (37.5%) and accuracy (67%). Conclusions: The Raja Isteri Pengiran Anak Saleha Appendicitis score is better than Modified Alvarado score in screening and diagnosis of acute appendicitis in emergency department.
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