dc.contributor.author | ERGİNÖZ, ERGİN | |
dc.contributor.author | Ozcelik, Mehmet Faik | |
dc.contributor.author | ZENGİN, ABDULLAH KAĞAN | |
dc.contributor.author | Sanli, Ahmet Necati | |
dc.contributor.author | ULUDAĞ, Server Sezgin | |
dc.contributor.author | Akinci, Ozan | |
dc.contributor.author | Gures, Nazim | |
dc.contributor.author | Tunc, Emre | |
dc.date.accessioned | 2023-10-10T10:29:15Z | |
dc.date.available | 2023-10-10T10:29:15Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | ULUDAĞ S. S., Akinci O., Gures N., Tunc E., ERGİNÖZ E., Sanli A. N., ZENGİN A. K., Ozcelik M. F., "Effectiveness of pre-operative routine blood tests in predicting complicated acute appendicitis", ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY, cilt.28, sa.11, ss.1590-1596, 2022 | |
dc.identifier.issn | 1306-696X | |
dc.identifier.other | av_05eaee2a-33d5-4cb6-afea-bbfd6c1725cf | |
dc.identifier.other | vv_1032021 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12627/189289 | |
dc.identifier.uri | https://doi.org/10.14744/tjtes.2021.13472 | |
dc.description.abstract | BACKGROUND: Early prediction and diagnosis of perforation in acute appendicitis allow surgeons to choose the most appropriate treatment. The purpose of this study is to evaluate whether pre-operative routine laboratory examinations have a role in predicting complicated acute appendicitis. METHODS: In the study, 783 patients operated with the diagnosis of acute appendicitis between the years 2014 and 2019 were analyzed retrospectively. Among the patients with non-perforated and perforated acute appendicitis, pre-operative laboratory tests include leukocyte (WBC), neutrophil, lymphocyte, platelet (PLT), mean platelet volume (MPV), platelet distribution width (PDW), C -reactive protein (CRP), and neutrophil-to-lymphocyte rate (NLR) parameters were compared. RESULTS: Appendicitis was not detected histopathologically in 81 cases. In the study, 89.9% (n=631) of the 702 patients were non -perforated and 10.1% (n=71) were perforated acute appendicitis cases. Perforation rate was higher in elderly patients (p < 0.01). It was seen that lymphocyte count was significantly lower in the perforated group, and CRP and NLR were significantly higher (p=0.048, p=0.001, p=0.028, respectively). In the diagnosis of perforated acute appendicitis, cutoff values were 44.0 mg/dL for CRP, 7.65 for NLR and 1.7/mm(3) for lymphocytes. There was no statistical difference between the groups in terms of WBC, neutrophil, PLT, MPV, and PDW values. CONCLUSION: Low lymphocyte count, high CRP, and high NLR were found to be reliable and strong predictive parameters in the diagnosis of complicated acute appendicitis. | |
dc.language.iso | eng | |
dc.subject | Tıp | |
dc.subject | Cerrahi Tıp Bilimleri | |
dc.subject | Acil Tıp | |
dc.subject | Sağlık Bilimleri | |
dc.subject | Acil Tıp Hizmetleri | |
dc.subject | ACİL TIP | |
dc.subject | Klinik Tıp | |
dc.subject | Klinik Tıp (MED) | |
dc.title | Effectiveness of pre-operative routine blood tests in predicting complicated acute appendicitis | |
dc.type | Makale | |
dc.relation.journal | ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY | |
dc.contributor.department | İstanbul Üniversitesi-Cerrahpaşa , Cerrahpaşa Tıp Fakültesi , Cerrahi Tıp Bilimleri Bölümü | |
dc.identifier.volume | 28 | |
dc.identifier.issue | 11 | |
dc.identifier.startpage | 1590 | |
dc.identifier.endpage | 1596 | |
dc.contributor.firstauthorID | 4307716 | |