ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2026
Comparison of the effectiveness of RIPASA and modified Alvarado scores in identifying perforated appendicitis.
Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute appendicitis is one of the most common emergency surgical conditions and may progress to perforation, sepsis, and mortality if not treated promptly. This study aimed to evaluate the effectiveness of the Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) score and the Modified Alvarado Scoring System (MASS) in identifying perforated acute appendicitis.
methodsThis study included 164 patients admitted to the General Surgery Department between June 2023 and December 2023 with a preliminary diagnosis of acute appendicitis. MASS and RIPASA scores, along with demographic data, were obtained from the Hospital Information Management System (HIMS) at the time of diagnosis.
resultsA total of 153 patients were included in the final analysis. The mean age was 35.2±14.1 years (range: 18-82 years). Perforation was identified in 15.8% of cases evaluated by ultrasonography (USG) and 6.1% of those assessed by computed tomography (CT). A RIPASA score >7 demonstrated a sensitivity of 71.1% and a specificity of 54.7% for detecting perforation. Patients with perforation had significantly higher RIPASA and MASS scores (both p<0.001) and longer hospital stays (p<0.001).
conclusionCompared with the MASS scoring system, the RIPASA score demonstrates higher sensitivity and specificity and is associated with greater inflammation when elevated. Its incorporation into routine clinical practice may facilitate faster, more efficient, and cost-effective management in emergency and general surgical settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.