Evaluation of the Ripasa Score: A New Scoring System for the Diagnosis of Acute Appendicitis in East of Sudan (Single Center Experience from January to June 2022)

Abstract

Introduction: Acute appendicitis is one of the most common surgical emergencies. Despite being a common problem, it remains a difficult diagnosis to establish, particularly among the young, the elderly and females of reproductive age the study aimed to compare the efficacy of RIPASA score in the diagnosis of acute appendicitis. We recently developed a scoring system for diagnosis of acute appendicitis. This study prospectively evaluates the Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) score for the diagnosis of acute appendicitis in patients presenting to the Accident and Emergency department or the Surgical wards with right iliac fossa pain. Materials and Methods: From January to June 2022 consecutive patients presenting to the Accident and Emergency department or the surgical wards with right iliac fossa pain were recruited for the study. The RIPASA score was applied but the decision for radiological investigations or emergency appendicectomy was made based on clinical judgment.