Evaluation of predictive power of laboratory markers in diagnosis of acute appendicitis in elderly
| Autor: | Bünyamin Gürbulak, Erdem Kinaci, Mert Mahsuni Sevinc, Cihad Tatar, Kemal Tekesin, Savaş Bayrak, Şükrü Çolak, Ekrem Çakar, Mehmet Emin Gunes |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Bilirubin Lymphocyte 030204 cardiovascular system & hematology Gastroenterology Predictive value 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine medicine.anatomical_structure chemistry 030220 oncology & carcinogenesis White blood cell Internal medicine Acute appendicitis Medicine Platelet Mean platelet volume business General Economics Econometrics and Finance Pathological |
| Zdroj: | Northern Clinics of Istanbul. |
| ISSN: | 2148-4902 |
| DOI: | 10.14744/nci.2019.93457 |
| Popis: | 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 using preoperative laboratory values such as the white blood cell (WBC), neutrophil, and lymphocyte counts; platelet counts; the mean 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 ( Results The white blood cell and lymphocyte counts, and the neutrophil-to-WBC ratio, were significantly higher in the non-geriatric group (p Conclusion WBC values >12.11×103/µL were predictive of acute appendicitis in geriatric patients. The other parameters were not predictive, and further studies are required. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|