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CTRI Number  CTRI/2020/06/025831 [Registered on: 12/06/2020] Trial Registered Prospectively
Last Modified On: 12/06/2020
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Diagnostic Accuracy Study 
Study Design  Single Arm Study 
Public Title of Study   RIPASA, AIR and MASS Scoring Systems In Acute Appendicitis  
Scientific Title of Study   Evaluation of Alvarado scoring, RIPASA scoring and AIR scoring systems in acute appendicitis 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Meer M Chisthi 
Designation  Associate Professor 
Affiliation  Government Medical College, Thiruvananthapuram. 
Address  Department of General Surgery, Government Medical College, Thiruvananthapuram.

Thiruvananthapuram
KERALA
695011
India 
Phone    
Fax    
Email  meerchisthi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Meer M Chisthi 
Designation  Associate Professor 
Affiliation  Government Medical College, Thiruvananthapuram. 
Address  Department of General Surgery, Government Medical College, Thiruvananthapuram.


KERALA
695011
India 
Phone    
Fax    
Email  meerchisthi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Meer M Chisthi 
Designation  Associate Professor 
Affiliation  Government Medical College, Thiruvananthapuram. 
Address  Department of General Surgery, Government Medical College, Thiruvananthapuram.


KERALA
695011
India 
Phone    
Fax    
Email  meerchisthi@gmail.com  
 
Source of Monetary or Material Support  
None 
 
Primary Sponsor  
Name  Government Medical College 
Address  Thiruvananthapuram 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Meer M Chisthi  Government Medical College  General Surgery department
Thiruvananthapuram
KERALA 
9446560110

meerchisthi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Human Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K358||Other and unspecified acute appendicitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  12.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Patients undergoing emergency appendicectomy for suspected appendicitis, defined as acute (1 week or less) non traumatic right iliac fossa pain consistent with a diagnosis of appendicitis (pain associated with nausea, anorexia, vomiting and fever along with clinical signs as tenderness and rebound tenderness in right iliac fossa, with or without ultrasound findings suggestive of appendicitis) 
 
ExclusionCriteria 
Details  Pregnant females, patients with a right iliac fossa mass, patients with a previous history of urolithiasis or pelvic inflammatory disease, 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Estimate the predictive accuracy of Alvarado score and AIR score and RIPASA score against the reference standard of histopathology in patients undergoing emergency Appendicectomy  4 weeks after appendicectomy 
 
Secondary Outcome  
Outcome  TimePoints 
Find correlation between RIPASA, AIR and MASS  4 weeks after surgery 
 
Target Sample Size   Total Sample Size="107"
Sample Size from India="107" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/06/2020 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

This is a Diagnostic Accuracy study which was carried out on 107 studies to find the predictive accuracy of Modified  Alvarado Scoring System (MASS) and two new systems namely Appendicitis Inflammatory Response (AIR) score and Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) score. Histopathology was set as the gold standard. We found that AIR and RIPASA scores had better diagnostic accuracy as compared to MASS.

 
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