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. Author manuscript; available in PMC: 2017 May 24.
Published in final edited form as: Emerg Med J. 2016 Mar 2;33(7):458–464. doi: 10.1136/emermed-2015-205301
Alvarado Score Modified Alvarado Score RIPASA Score
Score Sensitivity Specificity Positive
Predictive
Value
Negative
Predictive
Value
Sensitivity Specificity Positive
Predictive
Value
Negative
Predictive
Value
Sensitivity Specificity Positive
Predictive
Value
Negative
Predictive
Value
1 1
(1–1)
0.01
(0–0.02)
0.34
(0.29–0.39)
1
(1–1)
1
(1–1)
0.01
(0–0.02)
0.34
(0.29–0.39)
1
(1–1)
2 1
(1–1)
0.02
(0–0.04)
0.34
(0.28–0.4)
1
(1–1)
1
(1–1)
0.02
(0–0.04)
0.34
(0.28–0.4)
1
(1–1)
3 0.99
(0.97–1)
0.07
(0.03–0.11)
0.35
(0.29–0.41)
0.93
(0.8–1)
0.99
(0.97–1)
0.07
(0.03–0.11)
0.35
(0.29–0.41)
0.93
(0.8–1)
1
(1–1)
0
(0–0)
0.34
(0.28–0.4)
0
(0–0)
4 0.94
(0.89–0.99)
0.23
(0.17–0.29)
0.38
(0.32–0.44)
0.88
(0.79–0.97)
0.92
(0.86–0.98)
0.24
(0.18–0.3)
0.38
(0.32–0.44)
0.85
(0.75–0.95)
1
(1–1)
0.01
(0–0.02)
0.34
(0.28–0.4)
1
(1–1)
5 0.85
(0.78–0.92)
0.45
(0.38–0.52)
0.44
(0.37–0.51)
0.86
(0.79–0.93)
0.83
(0.76–0.91)
0.47
(0.4–0.54)
0.44
(0.37–0.51)
0.85
(0.78–0.92)
0.99
(0.97–1)
0.04
(0.01–0.07)
0.34
(0.28–0.4)
0.89
(0.68–1.1)
6 0.73
(0.64–0.82)
0.6
(0.53–0.67)
0.48
(0.4–0.56)
0.81
(0.75–0.87)
0.69
(0.6–0.78)
0.63
(0.56–0.7)
0.49
(0.41–0.57)
0.8
(0.74–0.86)
0.97
(0.93–1)
0.13
(0.08–0.18)
0.36
(0.3–0.42)
0.89
(0.77–1.01)
7 0.59
(0.49–0.69)
0.73
(0.67–0.79)
0.53
(0.44–0.62)
0.78
(0.72–0.84)
0.46
(0.36–0.56)
0.81
(0.75–0.87)
0.54
(0.43–0.65)
0.75
(0.69–0.81)
0.84
(0.77–0.92)
0.3
(0.23–0.37)
0.38
(0.31–0.45)
0.79
(0.69–0.89)
8 0.42
(0.32–0.52)
0.85
(0.8–0.9)
0.58
(0.46–0.7)
0.74
(0.68–0.8)
0.19
(0.11–0.27)
0.93
(0.89–0.97)
0.58
(0.41–0.75)
0.7
(0.64–0.76)
0.73
(0.64–0.82)
0.49
(0.42–0.56)
0.42
(0.34–0.5)
0.78
(0.7–0.86)
9 0.18
(0.1–0.26)
0.94
(0.91–0.97)
0.61
(0.43–0.79)
0.69
(0.63–0.75)
0.01
(0–0.03)
0.99
(0.98–1)
0.33
(0–0.86)
0.67
(0.62–0.72)
0.7
(0.61–0.79)
0.63
(0.56–0.7)
0.49
(0.4–0.58)
0.81
(0.75–0.87)
10 0.01
(0–0.03)
0.99
(0.98–1)
0.33
(0–0.86)
0.67
(0.62–0.72)
0
(0–0)
1
(1–1)
0
(0–0)
0.67
(0.62–0.72)
0.46
(0.36–0.56)
0.74
(0.68–0.8)
0.47
(0.37–0.57)
0.73
(0.67–0.79)
11 0.39
(0.29–0.49)
0.84
(0.79–0.89)
0.55
(0.43–0.67)
0.73
(0.67–0.79)
12 0.23
(0.15–0.32)
0.93
(0.89–0.97)
0.64
(0.48–0.8)
0.7
(0.64–0.76)
13 0.09
(0.03–0.15)
0.97
(0.95–0.99)
0.62
(0.36–0.88)
0.68
(0.62–0.74)
14 0.04
(0–0.08)
0.99
(0.98–1)
0.8
(0.45–1)
0.67
(0.61–0.73)
15 0
(0–0)
1
(1–1)
0
(0–0)
0.66
(0.6–0.72)
Physician-Estimated Likelihood
Score Sensitivity Specificity Positive
Predictive
Value
Negative
Predictive
Value
<40% 1
(1–1)
0
(0–0)
0.33
(0.28–0.38)
0
(0–0)
40–60% 0.89
(0.83–0.95)
0.34
(0.27–0.41)
0.4
(0.33–0.47)
0.86
(0.78–0.94)
60–80% 0.69
(0.6–0.78)
0.7
(0.64–0.76)
0.54
(0.45–0.63)
0.82
(0.76–0.88)
>80% 0.23
(0.15–0.32)
0.95
(0.92–0.98)
0.71
(0.55–0.87)
0.71
(0.65–0.77)

Results are reported as point estimates with 95% confidence intervals.