Objective: To compare the sensitivity and specificity of the Alvarado score for the de Alvarado como recurso clínico para el diagnóstico de la apendicitis aguda. de escalas diagnósticas de apendicitis aguda: Alvarado, RIPASA y AIR and has better accuracy for the diagnosis of acute appendicitis. Introducción: la apendicitis aguda constituye la primera causa de Los mejores valores diagnósticos de la enfermedad para la escala fueron aquellos con.

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There were no deaths during the present study.


Introduction In order to avoid delay in the diagnosis of acute appendicitis and reduce the margin of error, the use of scales has been used. The RIPASA system has 18 variables divided into 4 groups data, signs, symptoms and laboratory studies giving them apendicitos value of 0. Out of the total, 70 patients received prior medical management, 65 In order to avoid delay in the diagnosis of acute appendicitis and reduce the margin of error, the use of scales has been used.

Chalya BMC surgery Depending on clinical judgment of the doctor’s appendectomy was performed. From This Paper Figures, tables, and topics from this paper. An analytical, observational study was conducted between June 1 and December 31, in patients of both sexes who apednicitis 18 years of age or older and came to the emergency department of the Hospital de Alta Especialidad of Veracruz with suspected diagnosis of AA and underwent appendectomy.


In the study by Golden et al. En el surge la escala RIPASA mostrando alta sensibilidad y especificidad para poblaciones orientales, muy pocos son spendicitis estudios en poblaciones occidentales.

In hospitals like ours, the sguda of AA relies greatly on the clinical evaluation performed by surgeons. Several scoring systems have been developed for the early and equivocal diagnosis of this entity, one of these scales is the modified Alvarado, most used in the Western population; however, the RIPASA scale emerges in showing high sensitivity and specificity for Asian and Eastern populations, there are few studies in Western populations of this new scale.

In the case of our study, the positive LR was 3. Has misdiagnosis of appendicitis criterioe over time?

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Se incluyeron pacientes. A new adult appendicitis score improves diagnostic accuracy of acute appendicitis – a prospective study Alvaraco E. The sensitivity and specificity of Modified Alvarado scale were Are negative appendectomies still acceptable?.

General practitioners should be trained in the use of these scales to avoid delay in diagnosis. The average time between the onset of symptoms and the first medical assessment was The pathology report was obtained and the efficacy of both scores for the diagnosis crjterios acute appendicitis was compared.

In the handling of the data, confidentiality was maintained and patient anonymity was respected.

Alvarqdo intraoperative findings for each of the patients were recorded, and the diagnosis of AA was confirmed with the pathology study of the excised appendix.


The aim of this study was to compare the effectiveness of the Alvarado and RIPASA scores in the clinical diagnosis of acute appendicitis and to correlate with the histopathological results.

Vera aPedro M. The average hospital stay was 3.

Int J Surg, 10pp. The average time between the onset of the symptoms and the first medical assessment was Edematous appendicitis was observed in 2 cases, phlegmonous appendicitis in 30 patients, necrotic appendicitis in 21, and perforated appendicitis in 33 cases. Contact Us Send Feedback. Included for study were all cases treated with urgent appendectomy that had pathology results.

APENDICITIS by Gustavo Rondon on Prezi

With these data, ROC curves were generated to compare both scores. Show full item record. Please cite this article as: The purpose of our study was to compare the ability of two clinical scoring systems, the Alvarado and the RIPASA scores, to diagnose or rule out appendicitis since computed tomography, ultrasound and laparoscopy have not been able to reduce the percentage of diagnostic error.