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Acta médica Grupo Ángeles
versión impresa ISSN 1870-7203
Resumen
ARAUJO RAMIREZ, Pedro Josué; SANABRIA TRUJILLO, Ricardo; HERNANDEZ AGUILAR, Sergio y HERNANDEZ HERNANDEZ, Francisco Javier. Modification of the diagnostic efficacy of the RIPASA scale in patients with acute appendicitis and consumption of non-steroidal analgesics. Acta méd. Grupo Ángeles [online]. 2023, vol.21, n.2, pp.123-127. Epub 20-Oct-2023. ISSN 1870-7203. https://doi.org/10.35366/110257.
Objective:
to compare the efficacy of the RIPASA scale in adults with suspected acute appendicitis, with and without prior treatment with nonsteroidal analgesics, and to establish whether there is a change in their score due to prior medication.
Material and methods:
80 patients between 18-65 years old were included. A suspected acute appendicitis treated at the Nuevo Sanatorio Durango was evaluated using the RIPASA scale; they were assigned to two groups according to the history of previous treatment or not with non-steroidal analgesics.
Results:
in 82.5% of the cases, the diagnosis of acute appendicitis was confirmed. In the group with premedication, acute appendicitis was ruled out in 27.5% vs 7.5% of patients without medication. Acute appendicitis had a higher prevalence (92.5%) in the group without NSAIDs vs 72.5% in the medicated group p ≤ 0.019. Nausea/vomiting, migration of pain, and anorexia presented statistically significant differences between both groups, being more prevalent for those with pharmacological therapy p ≤ 0.05.
Conclusions:
premedication with NSAIDs alters the RIPASA scale score in patients with suspected acute appendicitis.
Palabras llave : acute appendicitis; RIPASA; self-medication; non-steroidal anti-inflammatory drugs.