<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932019000400002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efectividad de la Escala RIPASA para el diagnóstico de apendicitis aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Effectiveness of the RIPASA Score for the diagnosis of Acute Appendicitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez Uria]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Craig Hall]]></surname>
<given-names><![CDATA[Edgar Elvis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Holguín  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Militar &#8220;Dr. Fermín Valdés Domínguez&#8221;  ]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>58</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932019000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932019000400002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932019000400002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La apendicitis aguda es la primera causa de atención quirúrgica en los servicios de urgencias de adultos en prácticamente todo el mundo, y la apendicectomía se ha establecido como el estándar de oro del tratamiento.  Objetivo: Evaluar la efectividad de la escala RIPASA para el diagnóstico de apendicitis aguda.  Métodos:  Se desarrolló un estudio observacional-prospectivo de serie de casos en los pacientes con diagnóstico de apendicitis aguda a los que, se les aplicó la escala de RIPASA.  Resultados: La escala de RIPASA presentó una efectividad del 90,38 % de los casos estudiados con diagnóstico de apendicitis aguda. En la muestra obtenida, se encontraron 8 mujeres (5,13 %) y 148 hombres (94,87 %). Se evidenció una mayor representatividad en las edades entre 18 y 20 años.  Conclusiones: Los sistemas clínicos de puntuación como, el usado en este estudio pueden ser una herramienta económica y de rápida aplicación en los servicios de urgencias para descartar la apendicitis aguda. Este sistema de puntuación es dinámico, lo que permite la observación y la reevaluación crítica de la evolución del cuadro clínico. Su aplicación mejora la precisión diagnóstica y, en consecuencia, reduce las apendicectomías negativas y la presentación de complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Acute appendicitis is the leading cause of surgical care in adult emergency services virtually worldwide. Appendectomy has been established as the gold standard of treatment.  Objective:  To evaluate the effectiveness of the RIPASA score for the diagnosis of acute appendicitis.  Methods:  An observational-prospective study of case series was carried out in patients diagnosed with acute appendicitis and who were applied the RIPASA score.  Results:  The RIPASA score showed an effectiveness of 90.38% of the cases studied with a diagnosis of acute appendicitis. The sample obtained consisted of eight women (5.13%) and 148 men (94.87%). Greater representativeness was evident in the ages between 18 and 20 years.  Conclusions:  Clinical scoring systems, such as the one used in this study, can be an inexpensive tool to be applied quickly in the emergency department to rule out acute appendicitis. This scoring system is dynamic, allowing critical observation and reassessment of the natural history of the condition. Its application improves diagnostic precision and, consequently, reduces negative appendectomies, as well as the onset of complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[escala RIPASA]]></kwd>
<kwd lng="en"><![CDATA[acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[RIPASA score]]></kwd>
</kwd-group>
</article-meta>
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