Journals / Bakırköy Tıp Dergisi / 2020 / Cilt: 16 - Sayı: 1

Predictive Value of Neutrophil/Lymphocyte Ratios in the Diagnosis of Acute Appendicitis

Akut Apandisit Tanısında Nötrofil/Lenfosit Oranlarının Prediktif Değeri

Pages
76–84
Publication Date
2022-10-11
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Neutrophil count and neutrophil / lymphocyte ratio (NLR) were higher in Group 2(p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The debate on the value of laboratory tests in the diagnosis of acute appendicitis (AA) continues.
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Key Findings & Data:In this study, we aimed toevaluate the blood count parameters and the diagnostic value of neutrophil/lymphocyte ratio in the diagnosis of acute appendicitis.Method: 851 patients who underwent appendectomy under emergency conditions were included in the study.
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Conclusion & Impact:Neutrophil count and neutrophil / lymphocyte ratio (NLR) were higher in Group 2(p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The debate on the value of laboratory tests in the diagnosis of acute appendicitis (AA) continues. In this study, we aimed toevaluate the blood count parameters and the diagnostic value of neutrophil/lymphocyte ratio in the diagnosis of acute appendicitis.Method: 851 patients who underwent appendectomy under emergency conditions were included in the study. Patients were divided into 2groups; Group 1 was negative appendectomy and Group 2 was acute appendicitis. In addition, they were divided into subgroups as 18-39years, 40-59 years, and 60 years and older. Neutrophil, platelet, lymphocyte count and Neutrophil/lymphocyte ratio were compared in groupsand subgroups.Results: There were 146 patients (17.1%) in Group 1 (negative appendectomy group) and 705 patients (82.9%) in Group 2 (acute appendicitisgroup). Male sex was dominant in Group 2 (p=0.049). Neutrophil count and neutrophil / lymphocyte ratio (NLR) were higher in Group 2(p

Özet

Amaç: Bu çalışmada akut apandisit tanısı koymada kan sayımı parametreleri ve nötrofil/lenfosit oranının tanısal değerini değerlendirmeyi amaçladık. Yöntem: Acil şartlarda appendektomi yapılan 851 hasta çalışmaya dahil edildi. Postoperatif patoloji bulhusuna göre hastalar Grup 1 negatif appendektomi; Grup 2 akut apandisit olmak üzere iki gruba ayrıldı. Ayrıca 18-39, 40-59, 60 yaş ve üstü olmak üzere subgruplara ayrıldı. Nötrofil, platelet, lenfosit sayısı ve Nötrofil/lenfosit oranı gruplarda ve subgruplarda karşılaştırıldı. p

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Cite This Article

AKYÜZ, M., İSAOĞULLARI, Ş. Y., ÖZ, B., TOPAL, U., SÖZÜER, E. M., GÖK, M. (2022). Predictive Value of Neutrophil/Lymphocyte Ratios in the Diagnosis of Acute Appendicitis. Bakırköy Tıp Dergisi, Cilt: 16 - Sayı: 1, 76–84. https://ajindex.com/articles/453524

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References (14)

  1. Ünal Y. A new and early marker in the diagnosis of acute complicated appendicitis: immature granulocytes. Ulus Travma Acil Cerrahi Derg. 2018;24:434-9.
  2. Nshuti R, Kruger D, Luvhengo TE. Clinical presentation of acute appendicitis in adults at the Chris Hani Baragwanath Academic Hospital. Int J Emerg Med. 2014;7:12.
  3. Bulut T, Arduçoğlu Merter A. 2376 Apendektomi materyalinin retrospektif analizi. F.Ü. Sağ. Bil. Tıp Derg. 2017;31(3):105-9
  4. Birnbaum BA, Wilson SR. Appendicitis at the Millennium. Radiology. 2000;215:337-48.
  5. Öones K, Peña AA, Dunn EL, et al. Are negative appendectomies still acceptable? Am J Surg;188(6):748-54.
  6. Flum DR, Morris A, Koepsell T, Dellinger EP. Has misdiagnosis of appendicitis decreased over time?: A population-based analysis. JAMA. 2001;286(14):1748-53.
  7. Küçük E. The change of neutrophil lymphocyte ratio in acute appendicitis. Med-Science. 2015;4:2379-87.
  8. Eryılmaz R, Şahin M, Alimoğlu O, Baş G, Özkan OV. Negatif apendektomileri Önlemede c-reaktif protein lökosit sayımının değeri. Ulus Travma Acil Cerrahi Derg. 2011;7:142-5
  9. Sevinç MM, Kınacı E, Çakar E, Bayrak S, Özakay A, Aren A, et al. Diagnostic value of basic laboratory parameters for simple and perforated acute appendicitis: An analysis of 3392 cases. Ulus Travma Acil Cerrahi Derg. 2016;22:155-62.
  10. McGoran DR, Sims HM, Zia K, Uheba M, Shaikh IA. The value of biochemical markers in predicting a perforation in acute appendicitis. ANZ J Surg. 2013;83:79-83.
  11. Berridge MJ. Cell stress, inflammatory responses and cell death. BJ Signal. 2012;11:1-29
  12. Goodman DA, Goodman CB, Monk JS. Use of the neutrophil: Lymphocyte ratio in the diagnosis of appendicitis. Am Surg. 1995;61(3):257-9
  13. Kahramanca S, Ozgehan G, Seker D, et al. Neutrophil-tolymphocyte ratio as a predictor of acute appendicitis. Ulus Travma Acil Cerrahi Derg. 2014;20:19-22.
  14. Khan A, Riaz M, Kelly ME, Khan W, Waldron R, Barry K, et al. Prospective validation of neutrophil-to-lymphocyte ratio as a diagnostic and management adjunct in acute appendicitis. Ir J Med Sci. 2018;187(2):379-84. https://doi.org/10.1007/s