Journals / Haseki Tıp Bülteni / 2019 / Cilt: 57 - Sayı: 1

Investigation of Predictive Value of Complete Blood Count in the Diagnosis of Acute Complicated Appendicitis

Tam Kan Sayımının Akut Komplike Apandisitin Tanısındaki Kestirim Değerinin Araştırılması

Pages
26–31
Publication Date
2022-10-17
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 white blood count(WBC), red cell distribution width (RDW), platelet and plateletcrit countwere significantly higher in patients with complicated AA than in thosewith uncomplicated AA (p=0.001; p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Whether it is possible to differentiate complicated fromuncomplicated acute appendicitis (AA) by using complete blood count(CBC) is controversial.
📊
Key Findings & Data:In this study, we analysed the predictive value ofCBC in differentiating complicated from uncomplicated AA.Methods: In this retrospective study, we analyzed records of patientswho underwent appendectomy in our clinic between January 1, 2015and January 1, 2018.
💡
Conclusion & Impact:The mean white blood count(WBC), red cell distribution width (RDW), platelet and plateletcrit countwere significantly higher in patients with complicated AA than in thosewith uncomplicated AA (p=0.001; p
🔬Design:Research Article
📍Scope:2018 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: Whether it is possible to differentiate complicated fromuncomplicated acute appendicitis (AA) by using complete blood count(CBC) is controversial. In this study, we analysed the predictive value ofCBC in differentiating complicated from uncomplicated AA.Methods: In this retrospective study, we analyzed records of patientswho underwent appendectomy in our clinic between January 1, 2015and January 1, 2018. The demographic data and CBC reports werecollected.Results: Two hundred thirty-five patients underwent appendectomydue to AA. Of the 235 patients, 164 (69.8%) had non-complicatedand 71 (30.2%) had complicated AA. The mean white blood count(WBC), red cell distribution width (RDW), platelet and plateletcrit countwere significantly higher in patients with complicated AA than in thosewith uncomplicated AA (p=0.001; p

Özet

Amaç: Komplike akut apandisitin (AA) ayırıcı tanısında tam kan sayımının kullanılabileceği konusunda tartışmalar devam etmektedir. Bu çalışmada tam kan sayımının komplike AA ayırıcı tanısındaki kestirim değeri araştırıldı. Yöntemler: Ocak 2015 ile Ocak 2018 tarihleri arasında apendektomi ameliyatı olan hastaların dosyaları geriye dönük incelendi. Demografik verilerle tam kan sayımının sonuçları toplandı. Bulgular: İki yüz otuz beş hasta AA nedeni ile apendektomi ameliyatı oldu. Bu 235 hastadan, 164’ünde (%69,8) non-komplike AA tespit edilirken 71’inde (%30,2) komplike AA bulundu. Ortalama beyaz küre sayısı (WBC), kırmızı küre dağılım genişliği (RDW), trombositlerin sayımı ve plateletcrit serum düzeyleri komplike AA olan hastalarda anlamlı derecede yüksek (sırasıyla, p=0,001; p

🔖

Cite This Article

TAŞDÖVEN, İ., GÜNAY, Y., KOZAN, R., KOCA, Ş., ÇAĞLAR, E. (2022). Investigation of Predictive Value of Complete Blood Count in the Diagnosis of Acute Complicated Appendicitis. Haseki Tıp Bülteni, Cilt: 57 - Sayı: 1, 26–31. https://ajindex.com/articles/535091

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Andersson RE. Meta-analysis of the clinical and laboratory diagnosis of appendicitis. Br J Surg 2004;91:28-37.
  2. Kearney D, Cahill RA, O’Brien E, Kirwan WO, Redmond HP. Influence of delays on perforation risk in adults with acute appendicitis. Dis Colon Rectum 2008;51:1823-7. Doherty GM (Ed.). Current Diagnosis and Treatment, 3rd ed. New York, NY: McGraw Hill, 2010:615-20.
  3. Papandria D, Goldstein SD, Rhee D, et al. Risk of perforation increases with delay in recognition and surgery for acute appendicitis. J Surg Res 2013;184:723-9.
  4. Prystowsky JB, Pugh CM, Nagle AP. Current problems in surgery. Appendicitis. Curr Probl Surg 2005;42:688-742.
  5. Bickell NA, Aufses AH Jr, Rojas M, Bodian C. How time affects the risk of rupture in appendicitis. J Am Coll Surg 2006;202:401-6.
  6. Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet 2015;386:1278-87.
  7. Lunca S, Bouras G, Romedea NS. Acute appendicitis in the elderly patient: diagnostic problems, prognostic factors and outcomes. Rom J Gastroenterol 2004;13:299-303.
  8. Terasawa T, Blackmore CC, Bent S, Kohlwes RJ. Systematic review: computed tomography and ultrasonography to detect acute appendicitis in adults and adolescents. Ann Intern Med 2004;141:537-46.
  9. Verma R, Grechushkin V, Carter D, Barish M, Pryor A, Telem D. Use and accuracy of computed tomography scan in diagnosing perforated appendicitis. Am Surg 2015;81:404-7.
  10. Shogilev DJ, Duus N, Odom SR, Shapiro NI. Diagnosing appendicitis: evidence-based review of the diagnostic approach. West J Emerg Med 2014;15:859-71.
  11. Tucker A, Sloan K, Gartsin I. White cell counts, CRP and appendicitis – is there a role for pre-operative blood tests? A cohort study. J Health Med Informat 2015;6:185-90.
  12. Ishizuka M, Shimizu T, Kubota K. Neutrophil-to-lymphocyte ratio has a close association with gangrenous appendicitis in patients undergoing appendectomy. Int Surg 2012;97:299- 304. 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.
  13. Albayrak Y, Albayrak A, Albayrak F, et al. Mean platelet volume: a new predictor in confirming acute appendicitis diagnosis. Clin Appl Thromb Hemost 2011;17:362-6.
  14. Aydogan A, Akkucuk S, Arica S, et al. The analysis of mean platelet volume and platelet distribution width levels in appendicitis. Indian J Surg 2015;77:495-500.
  15. Narci H, Turk E, Karagulle E, Togan T, Karabul