Key result
The RIPASA score demonstrated higher diagnostic accuracy (97% vs 93%) and sensitivity (98.7% vs 94.3%) compared to the Alvarado score for diagnosing acute appendicitis.
Why the study?
Does the RIPASA score improve diagnostic accuracy compared to the ALVARADO score in patients presenting with right iliac fossa pain?
Observational (n=176)
No
Does the RIPASA score improve diagnostic accuracy compared to the ALVARADO score in patients presenting with right iliac fossa pain?
Absolute Event Rate: 97% vs 93%
The RIPASA score is more sensitive and accurate than the Alvarado score for diagnosing acute appendicitis in this local population, potentially reducing missed cases and unnecessary CT scans.
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RIPASA may outperform Alvarado in Indian cohorts; leaves open need for prospective validation before changing practice.
Kumar et al. (2021) conducted an observational in Acute appendicitis (n=176). RIPASA score vs. Alvarado score was evaluated on Diagnostic accuracy. The RIPASA score demonstrated higher diagnostic accuracy (97% vs 93%) and sensitivity (98.7% vs 94.3%) compared to the Alvarado score for diagnosing acute appendicitis.
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