Iftikhar Ahmed1*, Nazzuk Shahid2 and Shahid Mahmood3
1Assistant Professor Surgery, HBS Medical and Dental College, Islamabad, Pakistan
2House Officer, Railway Hospital, Rawalpindi, Pakistan
3Professor of Surgery, Unit II, Fizaia Hospital, Islamabad, Pakistan
*Corresponding Author: Iftikhar Ahmed, Assistant Professor Surgery, HBS Medical and Dental College, Islamabad, Pakistan.
Received: February 14, 2020; Published: February 24, 2020
Background: Commonest operation done by general surgeons all over the world is appendectomy. Usually these patients were operated on the same day of admission with a view to avoid perforation of appendix and decrease the morbidity associated with this disease. Histopathology shows that percentage of removal of normal appendix is 15-40%. There are different scoring systems and diagnostic tools available like Alvarado scoring system and computerized tomography (CT) scan for the diagnosis of acute appendicitis pre operatively. Investigations like CT scan are expensive and not suitable/affordable for everybody in a third world country like Pakistan.
Objectives: The aim and objective of this study is to assess the diagnostic accuracy of a cheap, accurate and easily applicable scoring system like Raja Isteri Pengiran Anak Saleha Appendicitis (Brunei Darussalam and named after hospital name, RIPASA) in our hospitals.
Methodology: All the patients who were >12 years old and operated for appendectomy were included in this study. These patients were divided into two groups. Group 1 includes those with RIPASA score > 7.5 and those with score < 7.5 were included in group 2. History, physical examination with other routine blood and urine tests were done to fulfill the scoring system. RIPASA scoring was calculated. Ultrasound with pelvic examination was done in all female patients. SPSS 21 was used to analyze the Data.
Results: Out of 140 patients, 60% were male and 99% of total patients were below the age of 40 years. 87% of patients presented within 48 hours of initiation of pain and 88% had tenderness and rebound tenderness in right iliac fossa (RIF). 89.56% of patients had positive histopathology report for acute appendicitis with RIPASSA score of more than 7.5 while only 12% of patients with RIPASSA score of less than 7.5, histopathologist was able to identify signs of acute inflammation under the microscope.
Keywords: RIPASA Score; Acute Appendicitis; Pain Right Iliac Fossa
Citation: Iftikhar Ahmed., et al. “Diagnostic Accuracy of RIPASA Scoring System in Acute Appendicitis". Acta Scientific Medical Sciences 4.3 (2020): 01-04.
Copyright: © 2020 Iftikhar Ahmed., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.