<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032023000200123</article-id>
<article-id pub-id-type="doi">10.35366/110257</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Modificación de la efectividad diagnóstica de la escala RIPASA en pacientes con apendicitis aguda y consumo de analgésicos no esteroideos]]></article-title>
<article-title xml:lang="en"><![CDATA[Modification of the diagnostic efficacy of the RIPASA scale in patients with acute appendicitis and consumption of non-steroidal analgesics]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araujo Ramírez]]></surname>
<given-names><![CDATA[Pedro Josué]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanabria Trujillo]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Aguilar]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Hernández]]></surname>
<given-names><![CDATA[Francisco Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Nuevo Sanatorio Durango  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Nuevo Sanatorio Durango  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Nuevo Sanatorio Durango  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>21</volume>
<numero>2</numero>
<fpage>123</fpage>
<lpage>127</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032023000200123&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032023000200123&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032023000200123&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  comparar la efectividad de la escala RIPASA en adultos con sospecha de apendicitis aguda, con y sin tratamiento previo con analgésicos no esteroideos y establecer si hay modificación en su puntaje por la medicación previa.  Material y métodos:  se incluyeron 80 pacientes entre 18-65 años de edad, con sospecha de apendicitis aguda atendidos en el Nuevo Sanatorio Durango, quienes fueron evaluados mediante la escala RIPASA; se asignaron a dos grupos en relación al antecedente de tratamiento previo o no con analgésicos no esteroideos.  Resultados:  en 82.5% de los casos se confirmó el diagnóstico de apendicitis aguda. En el grupo con premedicación se descartó apendicitis aguda en 27.5 versus 7.5% en pacientes sin medicación. La apendicitis aguda tuvo mayor prevalencia (92.5%) en el grupo sin medicamentos antiinflamatorios no esteroideos (AINE) versus 72.5% en el grupo medicado p &#8804; 0.019. La náusea/vómito, migración del dolor y anorexia presentaron diferencias estadísticamente significativas entre ambos grupos, siendo más prevalentes en aquéllos con terapia farmacológica p &#8804; 0.05.  Conclusiones:  la premedicación con AINE altera el puntaje de la escala RIPASA en pacientes con sospecha de apendicitis aguda.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  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 &#8804; 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 &#8804; 0.05.  Conclusions:  premedication with NSAIDs alters the RIPASA scale score in patients with suspected acute appendicitis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[RIPASA]]></kwd>
<kwd lng="es"><![CDATA[automedicación]]></kwd>
<kwd lng="es"><![CDATA[medicamentos antiinflamatorios no esteroideos]]></kwd>
<kwd lng="en"><![CDATA[acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[RIPASA]]></kwd>
<kwd lng="en"><![CDATA[self-medication]]></kwd>
<kwd lng="en"><![CDATA[non-steroidal anti-inflammatory drugs]]></kwd>
</kwd-group>
</article-meta>
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