Evaluation of procalcitonin as a predictor of severity of acute appendicitis
| Autor: | Ramesh Bharti, Ravi Singh Dogra, Raj Kumar, Rajesh Chaudhary, Amar Verma, Vikrant Dharwal |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry Delayed diagnosis Gastroenterology Procalcitonin medicine.anatomical_structure Alvarado score Clinical diagnosis Internal medicine Acute appendicitis medicine Abdomen In patient Surgical emergency business hormones hormone substitutes and hormone antagonists |
| Zdroj: | International Surgery Journal. 7:1879 |
| ISSN: | 2349-2902 2349-3305 |
| Popis: | Background: Acute appendicitis is the most common surgical emergency worldwide. The treatment of choice is emergency appendectomy. A delayed diagnosis and hence a delayed treatment increases the complication rate. Despite the best efforts negative appendectomy rate is still high since there is no single best test available to reach the diagnosis.Methods: This was an institutional study conducted at DRPGMC Tanda, comprising of 28 patients and 7 healthy controls. The patients with clinical diagnosis of acute appendicitis were subjected to appendectomy after taking a blood sample for serum procalcitonin and performing an ultrasonogram of abdomen.Results: We observed that mean levels of procalcitonin (PCT) were significantly higher in patients of acute appendicitis in comparison to healthy controls. The range of PCT levels in group 2 i.e., patients with uncomplicated acute appendicitis were from 0.54 to 0.74 ng/ml with mean value of 0.61 ng/ml, whereas in group 3 i.e. patients with complicated acute appendicitis, the range were from 1.14 to 2.56 ng/ml with mean value of 1.62 ng/ml. PCT levels were significantly higher in group 3 as compared to group 1 and group 2 (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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