Diagnostic accuracy of Alvarado, RIPASA and Tzanakis scoring system in acute appendicitis: A prospective observational study

Trop Doct. 2021 Jul 14:494755211030165. doi: 10.1177/00494755211030165. Online ahead of print.ABSTRACTOur prospective observational study, enrolling 167 patients undergoing emergency appendicectomy, served to evaluate the Alvarado, Tzanakis and RIPASA diagnostic scores. The latter was found to be a better scoring system because of its higher diagnostic accuracy. At centres with limited expertise in ultrasonography, RIPASA outperforms the Tzanakis score. Although easy to use, the Alvarado score was useful only to 'rule in' cases with AA with significant accuracy but at the cost of low sensitivity. It cannot be effectively used in triaging.PMID:34259099 | DOI:10.1177/00494755211030165
Source: Tropical Doctor - Category: Tropical Medicine Authors: Source Type: research