Evaluation of the effectiveness of scales used in the diagnosis of acute appendicitis in elderly and senile people

Acute appendicitis ranks first among urgent abdominal diseases and accounts for 70% of all operated patients. Diagnostic errors in diagnosing acute appendicitis occur in 12-31% of cases, and at the pre-hospital stage (primary health care) this figure reaches 70%. To improve diagnostics, many research scales have been developed, they are simple and non-invasive. Objective of the study: Improving the diagnostics of acute appendicitis in the elderly using various diagnostic scales. Materials and methods. During the study, all clinical signs were prospectively determined according to the criteria of the scales used in the diagnosis of acute appendicitis, and laboratory tests were performed in all elderly and senile patients with suspected acute appendicitis. The total number of patients was 252 patients. A retrospective study of the case histories of 82 patients who were diagnosed with acute appendicitis and who underwent surgical treatment was conducted. Results. As a result of the study, the coincidence of the criteria of the scales used in the diagnosis of acute appendicitis is at different levels - from 81.7 to 93.9 percent. Conclusion. The RIPAS scale is a useful indicator for the diagnosis of acute appendicitis in elderly and senile people