Patients were divided into two groups, as geriatric (≥65 years old, n=140) and non-geriatric (
📌 3 Key Takeaways
🎯
Objective & Hypothesis:OBJECTIVE: The aim of this study was to analyze the predictive value of preoperative laboratory findings in acute appendicitis in geriatric patients aged >65 years.METHODS: We enrolled a total of 4121 patients.
📊
Key Findings & Data:A retrospective evaluation of the demographic features was made usingpreoperative laboratory values such as the white blood cell (WBC), neutrophil, and lymphocyte counts; platelet counts; themean platelet volume and bilirubin values; and postoperative pathological data of the patients from the electronic file system.The neutrophil-to-WBC and neutrophil-to-lymphocyte ratios were calculated.
💡
Conclusion & Impact:Patients were divided into two groups, as geriatric (≥65 years old, n=140) and non-geriatric (
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Abstract
OBJECTIVE: The aim of this study was to analyze the predictive value of preoperative laboratory findings in acute appendicitis in geriatric patients aged >65 years.METHODS: We enrolled a total of 4121 patients. A retrospective evaluation of the demographic features was made usingpreoperative laboratory values such as the white blood cell (WBC), neutrophil, and lymphocyte counts; platelet counts; themean platelet volume and bilirubin values; and postoperative pathological data of the patients from the electronic file system.The neutrophil-to-WBC and neutrophil-to-lymphocyte ratios were calculated. Patients were divided into two groups, as geriatric (≥65 years old, n=140) and non-geriatric (
🔖
Cite This Article
KINACI, E., BAYRAK, S., ÇOLAK, Ş., TATAR, C., SEVİNÇ, M. M., GÜRBULAK, B., TEKESİN, K., ÇAKAR, E., GÜNEŞ, M. E. (2022). Evaluation of the predictive power of laboratory markers in the diagnosis of acute appendicitis in the elderly. İstanbul Kuzey Klinikleri, Cilt: 6 - Sayı: 3, 293–301. https://ajindex.com/articles/652015
Williams GR. Presidential Address: a history of appendicitis. With anecdotes illustrating its importance. Ann Surg 1983;197:495–506
Fitz RH. Perforating inflammation of the vermiform appendix with special reference to its early diagnosis and treatment. Am J Med Sci 1886;92:321
Gürleyik G, Gürleyik E. Age-related clinical features in older patients with acute appendicitis. Eur J Emerg Med 2003;10:200–3. [CrossRef ] 4. Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 1990;132:910–25. [CrossRef ] 5. Pittman-Waller VA, Myers JG, Stewart RM, Dent DL, Page CP, Gray GA, et al. Appendicitis: why so complicated? Analysis of 5755 consecutive appendectomies. Am Surg 2000;66:548–54
SCOAP Collaborative, Cuschieri J, Florence M, Flum DR, Jurkovich GJ, Lin P, Steele SR, et al. Negative appendectomy and imaging accuracy in the Washington State SurgicalCare and Outcomes Assessment Program. Ann Surg 2008;248:557–63
Körner H, Söndenaa K, Söreide JA, Andersen E, Nysted A, Lende TH, Kjellevold KH. Incidence of acute nonperforated and perforated appendicitis: age-specific and sex-specific analysis. World J Surg 1997;21:313–7. [CrossRef ] 8. Nmadu PT. Appendicitis in older African patients: 10 year review and report of 84 cases. Cent Afr J Med 1995;41:196–9
Watters JM, Blakslee JM, March RJ, Redmond ML. The influence of age on the severity of peritonitis. Can J Surg 1996;39:142–6
Horattas MC, Guyton DP, Wu D. A reappraisal of appendicitis in the elderly. Am J Surg 1990;160:291–3. [CrossRef ] 11. Lunca S, Bouras G, Romedea NS. Acute appendicitis in the elderly patient: diagnostic problems, prognostic factorsand outcomes. Rom J Gastroenterol 2004;13:299–303
Sülberg D, Chromik AM, Kersting S, Meurer K, Tannapfel A, Uhl W, et al. Appendicitis in the elderly. CRP value as decision support for diagnostic laparoscopy. [Article in German]. Chirurg 2009;80:608–14
Hui TT, Major KM, Avital I, Hiatt JR, Margulies DR. Outcome of elderly patients with appendicitis: effect of computed tomography and laparoscopy. Arch Surg 2002;137:995–8. [CrossRef ] 14. Faiz O, Clark J, Brown T, Bottle A, Antoniou A, Farrands P, et al. Traditional and laparoscopic appendectomy in adults: outcomes in English NHShospitals between 1996 and 2006. Ann Surg 2008;248:800–6
Sporn E, Petroski GF, Mancini GJ, Astudillo JA, Miedema BW, Thaler K. Laparoscopic appendectomy-is it worth the cost? Trend