Introduction:
The Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) scoring
system was established specifically for Asian populations. Chong CF in
his retrospective study consisting of 312 patients who had an emergency
appendectomy at Raja Isteri Pengiran Anak Saleha Hospital, Brunei,
concluded that optimal cut-off threshold score for negative appendectomy
was 7.5.