• Hasan Erdem, Süleyman Çetinkünar, Koray Daş, Enver Reyhan, Cumhur Değer, Mehmet Aziret, Hilmi Bozkurt, Selçuk Uzun, Selim Sözen, and Oktay İrkörücü.
• Hasan Erdem, Süleyman Çetinkünar, Koray Daş, Enver Reyhan, Cumhur Değer, Mehmet Aziret, Hilmi Bozkurt, Selçuk Uzun, Selim Sözen, Oktay İrkörücü, Department of General Surgery, Adana Numune Training and Research Hospital, Adana 01240, Turkey.
• World J. Gastroenterol. 2013 Dec 21; 19 (47): 9057-62.

AimTo assess the reliability and practical applicability of the widely used Alvarado, Eskelinen, Ohhmann and Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) scoring systems in patients with suspected acute appendicitis.MethodsPatients admitted to our tertiary center due to suspected acute appendicitis constituted the study group. Patients were divided into two groups. appendicitis group (Group A) consisted of patients who underwent appendectomy and were histopathologically diagnosed with acute appendicitis, and non-appendicitis group (Group N-A) consisted of patients who underwent negative appendectomy and were diagnosed with pathologies other than appendicitis and patients that were followed non-operatively. The operative findings for the patients, the additional analyses from follow up of the patients and the results of those analyses were recorded using the follow-up forms.ResultsOne hundred and thirteen patients with suspected acute appendicitis were included in the study. Of the 113 patients (62 males, 51 females), the mean age was 30.2 ± 10.1 (range 18-67) years. Of the 113 patients, 94 patients underwent surgery, while the rest were followed non-operatively. Of the 94 patients, 77 patients were histopathologically diagnosed with acute appendicitis. Our study showed a sensitivity level of 81% for the Alvarado system when a cut-off value of 6.5 was used, a sensitivity level of 83.1% for the Ohmann system when a cut-off value of 13.75 was used, a sensitivity level of 80.5% for the Eskelinen system when a cut-off value of 63.72 was used, and a sensitivity level of 83.1% for the RIPASA system when a cut-off value of 10.25 was used.ConclusionThe Ohmann and RIPASA scoring systems had the highest specificity for the diagnosis of acute appendicitis.

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