A new Predictive Factor for Complicated Appendicitis: Hyponatremia

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