Evaluation of the predictive power of laboratory markers in the diagnosis of acute appendicitis in the elderly

Erdem KINACI, Savaş BAYRAK, Şükrü ÇOLAK, Cihad TATAR, Mert Mahsuni SEVİNÇ, Bünyamin GÜRBULAK, Kemal TEKESİN, Ekrem ÇAKAR, Mehmet Emin GÜNEŞ

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 (