Revista de gastroenterología de México
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Rev Gastroenterol Mex · Apr 2018
Comparative Study Observational StudyThe RIPASA score for the diagnosis of acute appendicitis: A comparison with the modified Alvarado score.
Acute appendicitis is the first cause of surgical emergencies. It is still a difficult diagnosis to make, especially in young persons, the elderly, and in reproductive-age women, in whom a series of inflammatory conditions can have signs and symptoms similar to those of acute appendicitis. Different scoring systems have been created to increase diagnostic accuracy, and they are inexpensive, noninvasive, and easy to use and reproduce. The modified Alvarado score is probably the most widely used and accepted in emergency services worldwide. On the other hand, the RIPASA score was formulated in 2010 and has greater sensitivity and specificity. There are very few studies conducted in Mexico that compare the different scoring systems for appendicitis. The aim of our article was to compare the modified Alvarado score and the RIPASA score in the diagnosis of patients with abdominal pain and suspected acute appendicitis. ⋯ The RIPASA score showed no advantages over the modified Alvarado score when applied to patients presenting with suspected acute appendicitis.