Can RIPASA Scoring System Predict the Pathological Stage of Acute Appendicitis?

Table 1

The RIPASA scoring system and its interpretation based on the scores calculated.

(a)

Patients characteristics	Score
Female	0.5
Male	1
Age <40 years	1
Age >40 years	0.5
Right iliac fossa pain	0.5
Pain migration to right iliac fossa	0.5
Anorexia	1
Nausea and vomiting	1
Duration of symptoms <48 hours	1
Duration of symptoms >48 hours	0.5
Right iliac fossa tenderness	1
Guarding	2
Rebound tenderness	1
Rovsing’s sign	2
Fever	1
Raised WCC	1
Negative urinalysis	1
Total	16.5

(b)

RIPASA score	Diagnosis of acute appendicitis
5.0 >	Acute appendicitis is not possible
5-7.0	Low probability of acute appendicitis
7.5- 11.5	High probability of acute appendicitis
12 <	Absolutely acute appendicitis