Introducere: Apendicita acutã (AA) este una din cele mai frecvente urgenåe abdominale, cu o ratã de 1/500 pânã la 1/2000 gravide. În pofida dezvoltãrii noilor tehnologii radio-imagistice æi a disponibilitãåii multor teste de laborator æi sisteme de scoruri, diagnosticul de AA la gravide rãmâne o provocare. Scopul studiului a fost studierea informativitãåii a scorurilor Karaman æi RIPASA în AA la gravide. Metode: Retrospectiv a fost examinata baza de date a 29 cazuri de AA la gravide, operate în IMSP IMU (aa.2013-2020). Rezultate: Vârsta medie a gravidelor – 26.4±0.9 ani (95% CI: 24.40-28.23), termenul de gestaåie în mediu a constituit 15.8±1.3 sãptãmîni (95% CI: 13.10-18.45). A predominat numãrul gravidelor în al II-lea trimestru (n=15), în trimestru I (n=10) æi trimestru III (n=4). Timpul de la debut în mediu a constituit 12.3±2.1 ore (95% CI: 8.043-16.59). Scorul Karaman conform curbei ROC s-a obåinut AUC= 0.9109 (95% CI: 0.8365-0.9852) (p<0.0001), punctajul mediu a constituit 9.1?0.5, este alcãtuit din 6 parametri, la pragul cut off al scorului Karaman în valuoare ≥9, s-a stabilit sensibilitatea (Se) 97%, specificitate (Sp) 62%, valoarea predictive pozitivã (PPV) 92.1% æi valoarea predictive negative (NPV) 45.8%. Pentru scorul RIPASA conform curbei ROC s-a obåinut AUC=0.930 (95% CI:0.872-0.989) (p<0.0001), punctajul mediu a constituit – 9.2±0.3, la pragul cut off în valuare ≥9 cu Se 93%, Sp 44%, PPV 92.4% æi NPV 44.8%. Concluzie: Scorul RIPASA și Karaman sunt utile în diagnosticul AA la gravide, determinânduse cu o sensibilitate, specificitate și valuare predictive pozitivã impunãtoare, mai mare pentru scorul Karaman, pentru a distinge apendicectomia negativa æi simplitatea parametrilor incluæi.

Introduction: Acute appendicitis (AA) is one of the most common abdominal emergencies, with a rate of 1/500 to 1/2000 in pregnant women. Despite the development of new radio-imaging technologies and the availability of many laboratory tests and scoring systems, the diagnosis of AA in pregnant women remains a challenge. The aim of the study was to study the informativeness of Karaman and RIPASA scores in AA in pregnancy. Methods and materials: Retrospective study of a 29 cases pregnant women with AA operated in the Institute of Emergency Medicine (2013-2020). Results: The average age 26.4±0.9 years (95% CI: 24.40-28.23), the average gestation period was 15.8±1.3 weeks (95% CI: 13.1018.45). The predominating gestation age – second trimester (n = 15), in the first trimester (n = 10) and in the third trimester (n = 4). The mean time to onset was 12.3±2.1 hours (95% CI: 8,043-16.59). The Karaman score according to the ROC curve was obtained AUC = 0.9109 (95% CI: 0.8365-0.9852) (p <0.0001), the average score was 9.1 ± 0.5, it consists of 6 parameters, at the cut off threshold of the Karaman score in values ≥9 , sensitivity (Se) 97%, specificity (Sp) 62%, positive predictive value (PPV) 92.1% and negative predictive value (NPV) 45.8% were established. For the RIPASA score according to the ROC curve, AUC = 0.930 (95% CI: 0.872-0.989) was obtained (p <0.0001), the average score was - 9.2±0.3, at the cut off threshold in value ≥9 with Se 93%, Sp 44 %, PPV 92.4% and NPV 44.8%. Conclusion: The Karaman and Ripasa scores are usefull in the diagnostic of the AA in pregnancy, with a more imposing sensitivity, specificity and predictive value for Karaman score.