Casado MPR, Santos FRS, Rosabal EJE, Méndez JO, Ferrer MCE, Trevín FG

Language: Spanish
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ABSTRACT

Introduction: Acute appendicitis is the illness demanding the greatest amount of surgeries worldwide.
Objective: To establish the diagnostic effectiveness of the RIPASA scoring system in the clinical files of patients discharged with a diagnosis of acute appendicitis.
Method: A cross-sectional study of assessment of diagnostic test was performed in a universe of 271 clinical files of patients with discharge after diagnosis of acute appendicitis in Carlos Manuel de Céspedes Hospital and Celia Sánchez Hospital of Granma Province. The inclusion criterion was the description of each reagent of the scoring system in this files. The RIPASA scoring system was applied, and the data were processed in the system SPSS version 21.
Results: The patients' average age was 31.79 years, with a prevalence of the male sex (56.83%). 98.15% of the patients had a histological diagnostic of acute appendicitis. 54.98% of the patients presented high probability of acute appendicitis, while 28.89% of them had a diagnosis of acute appendicitis based on the scoring system. The analysis of the results of the RIPASA scoring system produced a scale sensibility at 87%.
Conclusions: In the Cuban population, the RIPASA scoring system showed values of diagnostic sensibility consistent with what is reported in the scientific literature, a reason why its use is recommended for the diagnosis of acute appendicitis.