Journals / Eurasian Journal of Medical Investigation / 2020 / Cilt: 4 - Sayı: 3

A new Predictive Factor for Complicated Appendicitis: Hyponatremia

Pages
401–404
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

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

The mean age was 40 years and 28 years in Group 1 and Group 2, respectively (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Acute appendicitis is the most common abdominal surgical procedure, which is associated with a high riskof perforation.
📊
Key Findings & Data:Thepresent study investigated whether hyponatremia could be a predictive factor for complicated appendicitis.Methods: The study included 295 patients operated due to acute appendicitis, and retrospectively evaluated operation records, pathology results, serum levels of Na, CRP, WBC count, neutrophil count, lymphocyte count and NLR (neutrophil/lymphocyte) values.
💡
Conclusion & Impact:The mean age was 40 years and 28 years in Group 1 and Group 2, respectively (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: Acute appendicitis is the most common abdominal surgical procedure, which is associated with a high riskof perforation. Perforation may lead to intraabdominal abscess and sepsis, resulting in complicated appendicitis. Thepresent study investigated whether hyponatremia could be a predictive factor for complicated appendicitis.Methods: The study included 295 patients operated due to acute appendicitis, and retrospectively evaluated operation records, pathology results, serum levels of Na, CRP, WBC count, neutrophil count, lymphocyte count and NLR (neutrophil/lymphocyte) values. Patients were divided into two groups as complicated appendicitis (Group 1) and noncomplicated appendicitis (Group 2) for comparison. The normal range of sodium was accepted as 135–145 mEq/l.Results: The mean age of the patients was 33.77 (18–82) years and there were 188 (63.72%) male and 107 (36.27%)female. The mean age was 40 years and 28 years in Group 1 and Group 2, respectively (p

🔖

Cite This Article

ÜSTÜNER, M. A., DENİZ, A. (2022). A new Predictive Factor for Complicated Appendicitis: Hyponatremia. Eurasian Journal of Medical Investigation, Cilt: 4 - Sayı: 3, 401–404. https://ajindex.com/articles/508689

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Bhuiya F, Pitts S, McCaig L. Emergency Department visits for chest pain and abdominal pain: United States, 1999–2008. CDC, NCHS Data Brief 2010;43:1–8
  2. Stewart B, Khanduri P, McCord C, et al. Global disease burden of conditions requiring emergency surgery. Br J Surg 2014;101:9 3. Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet 2015;386:127 4. Gomes CA, Sartelli M, Di Saverio S, et al. Acute appendicitis: proposal of a new comprehensive grading system based on clinical, imaging and laparoscopic findings. World J Emerg Surg WJES 2015;10:1
  3. Howell EC, Dubina ED, Lee SL. Perforation risk in pediatric appendicitis: assessment and management. Pediatr Health Med Therapeut 2018;9:135
  4. Gosain A, Williams RF, Blakely ML. Distinguishing acute from ruptured appendicitis preoperatively in the pediatric patient. Adv Surg 2010;44:73
  5. Besli GE, Cetin M, Ulukaya Durakbasa C, Ozkanli S. Predictive value of serum sodium level in determining complicated appendicitis risk in children. Haydarpasa Numune Train Res Hosp Med J 2019;59:35–40
  6. Park SJ, Shin JI. Inflammation and hyponatremia: an underrecognized condition? Kor J Pediatr 2013;56:519–22
  7. Swart RM, Hoorn EJ, Betjes MG, Zietse R. Hyponatremia and inflammation: the emerging role of interleukin-6 in osmoregulation. Nephron Physiol 2011;118:45–51
  8. Klempa I. Current therapy of complicated appendicitis]. Chir Z Alle Geb Oper Medizen 2002;73:799–804
  9. Giannis D, Matenoglou E, Moris D. Hyponatremia as a marker of complicated appendicitis: A systematic review. Surgeon. 2020. In press
  10. Moskowitz E, Khan AD, Cribari C, Schroeppel TJ. Size matters: Computed tomographic measurements of the appendix in emergency department scans. Am J Surg 2019;218:271–274 13. Leeuwenburgh MMN, Wiezer MJ, Wiarda BM, et al. Accuracy of MRI compared with ultrasound imaging and selective use of CT to discriminate simple from perforated appendicitis. Br J Surg 2014;101:147–55
  11. Alsaleh A, Pellino G, Christodoulides N, Malietzis G, Kontovounisios C. Hyponatremia could identify patients with intrabdominal sepsis and anastomotic leak after colorectal surgery: a systematic review of the literature. Updat Surg 2019;71:17– 20
  12. Sharshar T, Blanchard A, Paillard M, Raphael JC, Gajdos P, Annane D. Circulating vasopressin levels in septic shock. Crit Care Med 2003;31:1752–8
  13. Kim DY, Nassiri N, De Virgilio C, Ferebee MP,