Home Bratislava Medical Journal 2016 Bratislava Medical Journal Vol.117, No.12, p.697-701, 2016

Journal info


 


Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345
 

Aims and Scope
Editorial Info
Submission Guidelines

Select Journal







Webshop Cart

Your Cart is currently empty.

Info: Your browser does not accept cookies. To put products into your cart and purchase them you need to enable cookies.

Bratislava Medical Journal Vol.117, No.12, p.697-701, 2016

Title: Laboratory in complicated appendicitis prediction and predictive value of monitoring
Author: O. U. Aydin, L. Soylu, O. Dandin, E. Uysal Aydin, S Karademir

Abstract:

OBJECTIVES: The purpose of the study was that monitoring, which is used in diagnosis of acute appendicitis, and laboratory values, were evaluated for verifying diagnosis of complicated appendicitis and these parameters revealed cut-off values in complicated acute/non-complicated appendicitis.
METHODS: 195 patients, who had had an operation for acute appendicitis between January 2012 and March 2015 and who were proved to have acute complicated/non-complicated appendicitis from the results of histopathology consideration, were included in this study. Patients’ age, preoperative serum, WBC, CRP, NLR and BT with USG results were evaluated.    
RESULTS: Among the groups, there were no meaningful differences in the sense of age. Meaningful difference was obtained in between (p > 0.05), WBC, NLR, CRP and appendix diameter values.

Serum in WBC >13800 (AUC = 0.614, p = 0.006, %95 GA: 0.541–0.682), in NLR > 4.87 (AUC = 0.641, p = 0.001, %95 GA: 0.569–0.708), in CRP > 5.98 (AUC = 0.651, p 11 mm (AUC = 0.630, p = 0.002, %95 GA: 0.558–0.698) values were obtained.

The values that were obtained, were confirmed to be descriptive in analysis of complicated appendicitis and non-complicated appendicitis.
According to the obtained cut-off values, serum WBC, diameter of appendicitis, NLR and CRP values’, (OR) ratios were calculated for complicated appendicitis by being classified (odds ratio respectively; 3.103 (1.713–5.621), 2.765 (1.496–5.109), 3.025 (1.665–5.494), 2.313 (1.295–4.130)).
CONCLUSION: It is important that treatment options are evaluated to be able to discriminate complicated appendicitis fast and with a high accuracy. In the case that serum WBC is higher than 13800. CRP is higher than 5.98, NLR is higher than 4.87 and appendicitis diameter is longer than 11mm, inflammation of appendicitis is complex with gangrene, perforation and abscess and it emphasizes the suggestion of surgical treatment option to patients (Tab. 4, Fig. 1, Ref. 28).



Keywords: appendicitis, leucocyte count, diameter, complicated
Published online: 28-Dec-2016
Year: 2016, Volume: 117, Issue: 12 Page From: 697, Page To: 701
doi:10.4149/BLL_2016_132


download file



© AEPress s.r.o
Copyright notice: For any permission to reproduce, archive or otherwise use the documents in the ELiS, please contact AEP.