Effectivity of raja isteri pengiran anak saleha appendicitis scoring system for diagnosing acute appendicitis

Background: Acute appendicitis is a very common cause of acute abdomen, particularly associated with the young and middle age groups. Its diagnosis and management are primarily based on the clinical signs and symptoms. Many scoring systems have been made collaborating the signs and symptoms but do not cater to all population. The Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) scoring system is a relatively newer clinical scoring system, which has been used worldwide with good efficacy in the quick diagnosis of acute appendicitis. Methods: Research was done on 50 patients whose signs and symptoms were clinically suggestive of acute appendicitis. The patients were evaluated using RIPASA scores primarily on admission and were operated on the basis of the surgeon's decision. The scores were compared with the histopathological analysis, and efficacy was analyzed. Results: The sensitivity of the RIPASA score was 94.11%, specificity was 93.75%, positive predictive value was 96.96%, the negative predictive value of RIPASA score was 88.23%, and the diagnostic accuracy of RIPASA score was 94%. Conclusion: RIPASA scoring system is a simple and effective scoring system, which can be used in a bedside manner for an accurate diagnosis of appendicitis.