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Aim. To predict rapidly progressive appendicitis using routinely performed tests. Methods. We have analysed patients’ records from the Paediatric Surgery departments in two hospitals with acute appendicitis for a 19year period. The early uncomplicated appendicitis (A1) group was compared to the late uncomplicated – or resolving appendicitis (A2) group. Also, the early complicated – or as we called it rapidly progressive appendicitis (B1) group was compared to the late complicated appendicitis (B2) group. Results. A2 in comparison to A1 showed a lower median white blood cell count 12.3×109/l, neutrophil 74.6 % and neutrophiltolymphocyte ratio (NLR) 4.3, p < 0.0001 but a higher CRP 20 mg/l, p < 0.0001. B1 showed a higher median Basophil count 0.068×109/l, p < 0.0001, but a lower CRP 17 mg/l, p = 0.003 than B2. Conclusions. A higher basophil count and CRP may suggest a rapidly progressive appendicitis, while a lower White blood cell count, neutrophil percentage and NLR may predict resolving appendicitis. |
