THE UTILIZATION OF ALVARADO, AIR AND RIPASA SCORING SYSTEMS IN ADULTS WITH ACUTE APPENDICITIS TREATED WITH LAPAROSCOPIC APPENDECTOMY

  • Ilija Milev Department of Surgery, Clinical Hospital-Shtip, Faculty of Medical Sciences, Goce Delchev University, Shtip, North Macedonia
  • Vesna Velikj Stefanovska Department of Epidemiology and Biostatistics, Faculty of Medicine, Ss.Cyril and Methodius University, Skopje, North Macedonia
  • Ognen Kostovski Clinic for Digestive Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
  • Aleksandar Mitevski Department of Surgery, Re-Medica General Hospital, Faculty of Medical Sciences, Goce Delcev University, Stip, North Macedonia
  • Panche Karagjozov Clinic for Digestive Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
  • Stefan Petrovski Department of Surgery, Clinical Hospital-Stip, Faculty of Medical Sciences, Goce Delcev University, Stip, St. Krste Misirkov, Republic of North Macedonia

Abstract

The purpose of this study is to evaluate the applicability of Alvarado, Appendicitis Inflammatory Response (AIR) and „Raja Isteri Pengiran Anak Saleha Appendicitis “(RIPASA) score in diagnosing acute appendicitis (AA) in our population, as well as the possibility for connection between certain values and the emergence of “adverse events” in relation to laparoscopic appendectomy (LA). We conducted a multicentric, prospective, cohort, clinical study on 75 patients with AA treated with LA. For all the patients, the values and corresponding group of the three scoring systems (Alvarado, AIR and RIPASA) were determined preoperatively. We registered the emergence of intraoperative complications and difficulties, reason for conversion and the presence of complications postoperatively. All the patients with some form of intraoperative complication or difficulties, patients on whom conversion to open approach was performed or patients with any kind of postoperative complication were placed in the group “with adverse events” and the rest in the group “without adverse events”. The RIPASA score had an insignificantly higher sensitivity (sens.=96% at a cut-off ˃7 and  sens.=68% at a cut-off ˃12) than Alvarado score (sens.=90.7% at a cut-off ≥7 and sens.=62.7% at a cut-off ≥9) and both had significantly higher sensitivity than AIR score (sens.=40% at a cut-off ≥9). Further analysis showed that there was no association between the emergence of adverse events and the corresponding group of the scoring system. The RIPASA scoring system had the highest sensitivity in our population, The investigated scoring systems Alvarado, AIR and RIPASA could not be used for predicting possible unwanted course in patients with AA treated with LA.


Keywords: scoring systems, sensitivity, laparoscopic appendectomy, adverse events.

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Published
2023-11-04
How to Cite
MILEV, Ilija et al. THE UTILIZATION OF ALVARADO, AIR AND RIPASA SCORING SYSTEMS IN ADULTS WITH ACUTE APPENDICITIS TREATED WITH LAPAROSCOPIC APPENDECTOMY. Journal of Morphological Sciences, [S.l.], v. 6, n. 2, p. 120-132, nov. 2023. ISSN 2545-4706. Available at: <http://www.jms.mk/jms/article/view/vol6no2-17>. Date accessed: 27 feb. 2024.
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Articles