{"id":"https://openalex.org/W3133660552","doi":"https://doi.org/10.18203/2349-2902.isj20210920","title":"RIPASA score or Alvarado score: diagnosing acute appendicitis","display_name":"RIPASA score or Alvarado score: diagnosing acute appendicitis","publication_year":2021,"publication_date":"2021-02-25","ids":{"openalex":"https://openalex.org/W3133660552","doi":"https://doi.org/10.18203/2349-2902.isj20210920","mag":"3133660552"},"language":"en","primary_location":{"id":"doi:10.18203/2349-2902.isj20210920","doi":"https://doi.org/10.18203/2349-2902.isj20210920","is_oa":true,"landing_page_url":"https://doi.org/10.18203/2349-2902.isj20210920","pdf_url":"https://www.ijsurgery.com/index.php/isj/article/download/7034/4498","source":{"id":"https://openalex.org/S2764418376","display_name":"International Surgery Journal","issn_l":"2349-2902","issn":["2349-2902","2349-3305"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Surgery Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.ijsurgery.com/index.php/isj/article/download/7034/4498","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5019230281","display_name":"Talabadi Parmeshwar","orcid":"https://orcid.org/0009-0002-9639-1247","observed_orcids":["https://orcid.org/0009-0002-9639-1247"]},"institutions":[{"id":"https://openalex.org/I2802985673","display_name":"Cooper Hospital","ror":"https://ror.org/02ry07h90","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2802985673"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Talabadi Parmeshwar","raw_affiliation_strings":["Department of General Surgery, HBT Medical College and Dr. R. N. Cooper Hospital, Juhu, Vile-Parle, Mumbai, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Surgery, HBT Medical College and Dr. R. N. Cooper Hospital, Juhu, Vile-Parle, Mumbai, Maharashtra, India","institution_ids":["https://openalex.org/I2802985673"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017308184","display_name":"Geeta Sandeep Ghag","orcid":"https://orcid.org/0000-0001-5561-362X","observed_orcids":["https://orcid.org/0000-0001-5561-362X"]},"institutions":[{"id":"https://openalex.org/I2802985673","display_name":"Cooper Hospital","ror":"https://ror.org/02ry07h90","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2802985673"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Geeta Sandeep Ghag","raw_affiliation_strings":["Department of General Surgery, HBT Medical College and Dr. R. N. Cooper Hospital, Juhu, Vile-Parle, Mumbai, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Surgery, HBT Medical College and Dr. R. N. Cooper Hospital, Juhu, Vile-Parle, Mumbai, Maharashtra, India","institution_ids":["https://openalex.org/I2802985673"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091752818","display_name":"Vipul Versi Nandu","orcid":"https://orcid.org/0000-0002-3366-5610","observed_orcids":["https://orcid.org/0000-0002-3366-5610"]},"institutions":[{"id":"https://openalex.org/I2802985673","display_name":"Cooper Hospital","ror":"https://ror.org/02ry07h90","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I2802985673"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Vipul Versi Nandu","raw_affiliation_strings":["Department of General Surgery, HBT Medical College and Dr. R. N. Cooper Hospital, Juhu, Vile-Parle, Mumbai, Maharashtra, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Surgery, HBT Medical College and Dr. R. N. Cooper Hospital, Juhu, Vile-Parle, Mumbai, Maharashtra, India","institution_ids":["https://openalex.org/I2802985673"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2802985673"],"apc_list":null,"apc_paid":null,"fwci":0.4768,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.59346186,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"8","issue":"3","first_page":"879","last_page":"879"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11473","display_name":"Appendicitis Diagnosis and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11473","display_name":"Appendicitis Diagnosis and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12064","display_name":"Intraperitoneal and Appendiceal Malignancies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11855","display_name":"Gastrointestinal disorders and treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-appendicitis","display_name":"acute appendicitis","score":0.9950000047683716},{"id":"https://openalex.org/keywords/ripasa-score","display_name":"RIPASA score","score":0.9950000047683716},{"id":"https://openalex.org/keywords/alvarado-score","display_name":"Alvarado score","score":0.9959999918937683},{"id":"https://openalex.org/keywords/clinical-scoring-systems","display_name":"clinical scoring systems","score":0.9850000143051147},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.9629999995231628},{"id":"https://openalex.org/keywords/sensitivity-and-specificity","display_name":"sensitivity and specificity","score":0.7960000038146973},{"id":"https://openalex.org/keywords/right-iliac-fossa-pain","display_name":"right iliac fossa pain","score":0.8159999847412109},{"id":"https://openalex.org/keywords/histopathological-correlation","display_name":"histopathological correlation","score":0.699999988079071}],"concepts":[{"id":"https://openalex.org/C2777208144","wikidata":"https://www.wikidata.org/wiki/Q4737887","display_name":"Alvarado score","level":3,"score":0.9547637701034546},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9165303707122803},{"id":"https://openalex.org/C3018581240","wikidata":"https://www.wikidata.org/wiki/Q121041","display_name":"Acute appendicitis","level":2,"score":0.7434729933738708},{"id":"https://openalex.org/C2984538763","wikidata":"https://www.wikidata.org/wiki/Q2260590","display_name":"Scoring system","level":2,"score":0.6107403039932251},{"id":"https://openalex.org/C2780016130","wikidata":"https://www.wikidata.org/wiki/Q121041","display_name":"Appendicitis","level":2,"score":0.6039794683456421},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.42702099680900574},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.4152890145778656},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2813977003097534},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.24279072880744934},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.18203/2349-2902.isj20210920","doi":"https://doi.org/10.18203/2349-2902.isj20210920","is_oa":true,"landing_page_url":"https://doi.org/10.18203/2349-2902.isj20210920","pdf_url":"https://www.ijsurgery.com/index.php/isj/article/download/7034/4498","source":{"id":"https://openalex.org/S2764418376","display_name":"International Surgery Journal","issn_l":"2349-2902","issn":["2349-2902","2349-3305"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Surgery Journal","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.18203/2349-2902.isj20210920","doi":"https://doi.org/10.18203/2349-2902.isj20210920","is_oa":true,"landing_page_url":"https://doi.org/10.18203/2349-2902.isj20210920","pdf_url":"https://www.ijsurgery.com/index.php/isj/article/download/7034/4498","source":{"id":"https://openalex.org/S2764418376","display_name":"International Surgery Journal","issn_l":"2349-2902","issn":["2349-2902","2349-3305"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Surgery Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3133660552.pdf","grobid_xml":"https://content.openalex.org/works/W3133660552.grobid-xml"},"referenced_works_count":6,"referenced_works":["https://openalex.org/W2058168371","https://openalex.org/W2090648482","https://openalex.org/W2234384920","https://openalex.org/W2409298595","https://openalex.org/W2904366020","https://openalex.org/W6820804645"],"related_works":["https://openalex.org/W2981719434","https://openalex.org/W4396862422","https://openalex.org/W2997764460","https://openalex.org/W3120260881","https://openalex.org/W2257371350","https://openalex.org/W2794174596","https://openalex.org/W2915543420","https://openalex.org/W4229456968","https://openalex.org/W7214312828","https://openalex.org/W2618202673"],"abstract_inverted_index":{"Background:":[0],"Appendicitis":[1],"is":[2,81,87],"a":[3,26,113],"much":[4],"studied":[5],"about":[6],"topic":[7],"since":[8],"the":[9,14,59,71,77,82,133,137,153,157,160,170,182,185,198,244],"early":[10],"years.":[11],"Even":[12],"with":[13,100,121,144,176,179,210],"advances":[15],"in":[16,70,128,192,242],"imaging":[17],"techniques,":[18],"appendicitis":[19,109],"still":[20],"relies":[21],"upon":[22],"clinical":[23,67],"examination":[24],"as":[25],"main":[27],"resort":[28],"of":[29,63,65,73,107,115,135,162,184,195,237],"diagnosis.":[30],"To":[31],"aid":[32],"this,":[33],"several":[34],"scoring":[35,68,84,91,127,138,171,239],"systems":[36,69,139,172],"have":[37,53],"been":[38,54],"developed":[39],"taking":[40],"into":[41],"account":[42],"various":[43],"symptoms,":[44],"signs":[45],"and":[46,61,103,125,142,201,227,248],"some":[47],"basic":[48],"laboratory":[49],"investigations.":[50,252],"Many":[51],"studies":[52],"done":[55,120],"worldwide":[56],"to":[57,123,151,181,232],"check":[58],"sensitivity":[60,226],"specificity":[62],"each":[64,177],"these":[66,130],"diagnosis":[72,95,183],"acute":[74,108],"appendicitis.":[75],"Though":[76],"most":[78],"famous":[79],"one":[80],"Alvarado":[83,126,202,233],"system,":[85],"there":[86],"none":[88],"universally":[89],"accepted":[90],"system":[92],"used":[93],"for":[94,112,156],"so":[96],"far.Methods:":[97],"100":[98],"patients":[99],"RIF":[101],"pain":[102],"who":[104],"were":[105,110,140,149],"suspected":[106],"evaluated":[111],"period":[114],"24":[116],"months.":[117],"Evaluation":[118],"was":[119,165,204],"regards":[122],"RIPASA":[124,199,222,238],"all":[129],"patients.":[131],"All":[132],"results":[134],"both":[136,169,213],"reported":[141],"correlated":[143],"histopathological":[145],"findings.":[146],"Statistical":[147],"test":[148],"applied":[150],"calculate":[152],"p":[154],"value":[155,188,229],"association":[158],"between":[159,197],"variables":[161],"studied.Results:":[163],"There":[164],"definitive":[166],"agreement":[167],"that":[168],"are":[173,215],"positively":[174],"correlating":[175],"other":[178],"respect":[180],"disease":[186],"(p":[187],"0.0001).":[189],"The":[190,235],"difference":[191],"diagnostic":[193,228],"accuracy":[194],"25%":[196],"score":[200,203,223],"statistically":[205],"significant":[206,216],"(p<0.0001).":[207],"On":[208],"analysis":[209],"chi-square":[211],"test,":[212],"scores":[214],"at":[217],"level":[218],"1":[219],"(p=0.0001).":[220],"But":[221],"has":[224],"higher":[225],"when":[230],"compared":[231],"score.Conclusions:":[234],"use":[236],"would":[240],"help":[241],"decreasing":[243],"unwarranted":[245],"patient":[246],"admissions":[247],"also":[249],"expensive":[250],"radiological":[251]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1}],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2021-03-15T00:00:00"}
