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dc.contributor.authorERGİNÖZ, ERGİN
dc.contributor.authorOzcelik, Mehmet Faik
dc.contributor.authorZENGİN, ABDULLAH KAĞAN
dc.contributor.authorSanli, Ahmet Necati
dc.contributor.authorULUDAĞ, Server Sezgin
dc.contributor.authorAkinci, Ozan
dc.contributor.authorGures, Nazim
dc.contributor.authorTunc, Emre
dc.date.accessioned2023-10-10T10:29:15Z
dc.date.available2023-10-10T10:29:15Z
dc.date.issued2022
dc.identifier.citationULUDAĞ 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.issn1306-696X
dc.identifier.otherav_05eaee2a-33d5-4cb6-afea-bbfd6c1725cf
dc.identifier.othervv_1032021
dc.identifier.urihttp://hdl.handle.net/20.500.12627/189289
dc.identifier.urihttps://doi.org/10.14744/tjtes.2021.13472
dc.description.abstractBACKGROUND: 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.isoeng
dc.subjectTıp
dc.subjectCerrahi Tıp Bilimleri
dc.subjectAcil Tıp
dc.subjectSağlık Bilimleri
dc.subjectAcil Tıp Hizmetleri
dc.subjectACİL TIP
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.titleEffectiveness of pre-operative routine blood tests in predicting complicated acute appendicitis
dc.typeMakale
dc.relation.journalULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY
dc.contributor.departmentİstanbul Üniversitesi-Cerrahpaşa , Cerrahpaşa Tıp Fakültesi , Cerrahi Tıp Bilimleri Bölümü
dc.identifier.volume28
dc.identifier.issue11
dc.identifier.startpage1590
dc.identifier.endpage1596
dc.contributor.firstauthorID4307716


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