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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2014 / Cilt: 20 - Sayı: 6

The clinical value of leucocyte count and neutrophil percentage in diagnosing uncomplicated (simple) appendicitis and predicting complicated appendicitis

Nuri Alper ŞAHBAZ
Orhan BAT
Bülent KAYA
Suat Can ULUKENT
Özer İLKGÜL
Mehmet Yiğit ÖZGÜN
Özlem AKÇA
Pages
423–426
DOI
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On the other hand, increased leucocyte count and male gender was found to be a risk factor for complicated appendicitis

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Objective & Hypothesis:BACKGROUND: The aim of this study was to establish the diagnostic value of leucocyte count and neutrophil percentage in both diagnosing simple appendicitis and predicting complicated appendicitis.METHODS: The patients who underwent appendectomy with a clinical diagnosis of acute appendicitis (AA) between January 2011 and December 2012 were studied retrospectively.
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Key Findings & Data:Sensitivities and specificities of leucocyte count and neutrophil ratio were calculated.RESULTS: One hundred and fifty-nine patients, diagnosed with acute appendicitis, were operated.
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Conclusion & Impact:On the other hand, increased leucocyte count and male gender was found to be a risk factor for complicated appendicitis
🔬Design:Research Article
📍Scope:2011 Verileri
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: The aim of this study was to establish the diagnostic value of leucocyte count and neutrophil percentage in both diagnosing simple appendicitis and predicting complicated appendicitis.METHODS: The patients who underwent appendectomy with a clinical diagnosis of acute appendicitis (AA) between January 2011 and December 2012 were studied retrospectively. The data of total WBC count, neutrophil ratio, and physical findings were analyzed. Sensitivities and specificities of leucocyte count and neutrophil ratio were calculated.RESULTS: One hundred and fifty-nine patients, diagnosed with acute appendicitis, were operated. Simple appendicitis was detected in 82.4% of the patients and complicated appendicitis in 17.6%. Leucocyte count had low sensitivity and specificity for diagnosing acute appendicitis (67.5% and 36.3%, respectively). Neutrophil ratio had a sensitivity rate of 60.1% and specificity rate of 90.9%. Complicated appendicitis was more common in male patients. Leucocyte count was statistically higher in patients with complicated appendicitis.CONCLUSION: Two inflammatory markers, leucocyte count and neutrophil ratio, were evaluated for diagnosing acute appendicitis. Neutrophil ratio had higher sensitivity and specificity for acute appendicitis. On the other hand, increased leucocyte count and male gender was found to be a risk factor for complicated appendicitis

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Cite This Article

ŞAHBAZ, N. A., BAT, O., KAYA, B., ULUKENT, S. C., İLKGÜL, Ö., ÖZGÜN, M. Y., AKÇA, Ö. (2014). The clinical value of leucocyte count and neutrophil percentage in diagnosing uncomplicated (simple) appendicitis and predicting complicated appendicitis. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 20 - Sayı: 6, 423–426. https://ajindex.com/articles/323229

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