Heiranizadeh Naeimeh, Mousavi Beyuki Seyyed Mohammad Hossein, Kargar Saeed, Abadiyan Aryana, Mohammadi Hamid Reza
Department of Surgery Shahid Sadoughi University of Medical Sciences Yazd Iran.
Department of Surgery Tehran University of Medical Sciences Yazd Iran.
Health Sci Rep. 2023 Jan 19;6(1):e1078. doi: 10.1002/hsr2.1078. eCollection 2023 Jan.
Acute appendicitis is one of the most common causes of lower abdominal pain, which is considered a general surgical emergency worldwide. The present study aimed to compare the diagnostic value of Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) and Alvarado score systems in diagnosing acute appendicitis.
A prospective cross-sectional study was conducted at Shahid Sadoughi and Shahid Rahnemoon Hospitals in Yazd between September 2020 and February 2020. The statistical population consisted of all of the patients referred to the Accident and Emergency department with right iliac fossa (RIF) pain. All patients were scored using Alvarado and RIPASA scoring system. sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were computed by using SPSS statistical software. An receiver operating characteristic curve were plotted.
In present study, one hundred suspected patients with appendicitis who underwent appendectomy were evaluated. The mean age of our study population was 25.2 ± 12.1 years, and the gender distribution was 57% males and 43% females. The sensitivity, specificity, PPV and NPV of RIPASA were 86.6%, 66.7%, 92.2%, and 52.2%, respectively. The sensitivity, specificity, PPV and NPV of Alvarado score were 67.1%, 72.2%, 91.7%, 32.5%, respectively. The diagnostic accuracy was 68% for Alvarado score and 83% for RIPASA. The area under the curve for RIPASA (0.87) was more than that for Alvarado score (0.77).
The RIPASA score system had higher sensitivity, PPV, NPV, and accuracy than the Alvarado one. It is recommended for the physician and surgeon to evaluate patients with RIF pain using the RIPASA score.
急性阑尾炎是下腹部疼痛最常见的病因之一，在全球范围内被视为普通外科急症。本研究旨在比较拉贾伊斯特里·彭吉兰·阿娜克·萨利哈阑尾炎（RIPASA）和阿尔瓦拉多评分系统在诊断急性阑尾炎中的价值。
2020年9月至2020年2月期间，在亚兹德的沙希德·萨杜希医院和沙希德·拉赫内穆恩医院进行了一项前瞻性横断面研究。统计人群包括所有因右下腹（RIF）疼痛转诊至急诊科的患者。所有患者均使用阿尔瓦拉多和RIPASA评分系统进行评分。使用SPSS统计软件计算敏感性、特异性、阳性预测值（PPV）和阴性预测值（NPV）。绘制受试者工作特征曲线。
在本研究中，对100例接受阑尾切除术的疑似阑尾炎患者进行了评估。我们研究人群的平均年龄为25.2±12.1岁，性别分布为男性57%，女性43%。RIPASA的敏感性、特异性、PPV和NPV分别为86.6%、66.7%、92.2%和52.2%。阿尔瓦拉多评分的敏感性、特异性、PPV和NPV分别为67.1%、72.2%、91.7%、32.5%。阿尔瓦拉多评分的诊断准确率为68%，RIPASA为83%。RIPASA的曲线下面积（0.87）大于阿尔瓦拉多评分（0.77）。
RIPASA评分系统比阿尔瓦拉多评分系统具有更高的敏感性、PPV、NPV和准确性。建议内科医生和外科医生使用RIPASA评分对RIF疼痛患者进行评估。
