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Revista Venezolana de Cirugía
versão impressa ISSN 0378-6420versão On-line ISSN 2665-0401
Resumo
CASTRO PINTO, Andrea Gabriela; PADRON SANABRIA, Johnny Alexander e MORALES FREITES, Aliuba Lisbeth. SENSITIVITY AND SPECIFICITY OF THE DIAGNOSTIC SCALES IN ACUTE APPENDICITIS. PROSPECTIVE STUDY. RevVenezCir [online]. 2023, vol.76, n.1, pp.54-58. Epub 09-Maio-2024. ISSN 0378-6420. https://doi.org/10.48104/rvc.2023.76.1.11.
Acute Appendicitis manifests when there is inflammation of the cecal appendix, representing one of the most notable causes of acute abdomen with surgical prognosis in the world. There are scoring systems that have been generated for verification, using non-invasive techniques that are easy to apply and reproduce; highlighting among them the scales of ALVARADO, RIPASA, AIR, among others.
Objective:
To compare the sensitivity and specificity of the AIR Vs. RIPASA scales for the diagnosis of Acute Appendicitis at the National General Hospital “Dr. Ángel Larralde”, period January 2020 - December 2022.
Materials:
Observational, descriptive and evaluative, prospective and cross-sectional study. Sample was intentional, non-probabilistic, meeting the inclusion criteria. For data collection, direct observation was used as a technique and the AIR and RIPASA scales as instruments.
Results:
Sample made up of 192 patients, with no gender predisposition. Sensitivity, specificity, positive predictive value, negative predictive value, and AIR diagnostic accuracy: 70%; 58.33%; 73.68%; 53.84%; 65.62%; RIPASE: 88.88%; 42.85%; 66.66%; 75%; 68.75%.
Conclusions:
The diagnostic accuracy for the RIPASA scale was slightly higher than for AIR (68.75% vs. 65.62%), allowing us to affirm that, in the study group, the application of the RIPASA scale was more convenient in healthy patients for the correct diagnosis of Acute Appendicitis.
Palavras-chave : Acute appendicitis; diagnostic scales; RIPASA scale; AIR scale; sensitivity; specificity; positive predictive value; negative predictive value.
