AI Article Synopsis

  • The study involved 167 patients who underwent emergency appendectomy to assess three diagnostic scoring systems: Alvarado, Tzanakis, and RIPASA.
  • RIPASA demonstrated the highest diagnostic accuracy, especially in centers with less experience in ultrasound diagnostics, outperforming the Tzanakis score.
  • While the Alvarado score was easy to use and could accurately confirm appendicitis in some cases, it was not sensitive enough for effective triaging.

Article Abstract

Our 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.

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Source
http://dx.doi.org/10.1177/00494755211030165DOI Listing

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