The Efficacy of Hemogram Parameters in the Differential Diagnosis of Renal Colic and Acute Appendicitis in the Emergency Department
| Autor: | Akkan Avci, Gökben Sönmez, Adnan Kuvvetli, Müge Gülen, Salim Satar, Selen Acehan, Begum Seyda Avci, Ahmet Sönmez |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal pain Diagnosis Differential Young Adult 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans 030212 general & internal medicine Renal colic Young adult Renal Colic Pathological Retrospective Studies business.industry Retrospective cohort study Emergency department Middle Aged Appendicitis Blood Cell Count Anesthesiology and Pain Medicine 030220 oncology & carcinogenesis Acute appendicitis Emergency Medicine Female Surgery medicine.symptom Differential diagnosis business |
| Zdroj: | Turkish Journal of Trauma and Emergency Surgery. |
| ISSN: | 1306-696X |
| DOI: | 10.14744/tjtes.2020.69091 |
| Popis: | Background To investigate the efficacy of WBC, PLR and NLR for use in the differential diagnosis of acute appendicitis and renal colic in the emergency department. Methods This study was conducted after consent was received from the Cukurova University Medicine Faculty Noninvasive Clinical Research Ethics Committee. In this study, 440 patients for whom file data could be accessed in the hospital automation and archive system who were admitted to the hospital with abdominal pain were included. Results Of the 440 patients included in this study, 59.5% were male and 40.5% were female. The average age of the patients was 37.74±13.39 years. According to the pathological diagnosis, 207 patients were diagnosed with acute appendicitis. When the efficacy of differential diagnosis using hematological parameters was examined with ROC analysis, the neutrophil/lymphocyte ratio (NLR) value had the strongest predictive ability (AUC, 0.716, SS=0.024, 95% GA 0.668-0.764). After NLR, the platelet/lymphocyte ratio (PLR) value was the second-best concerning predictive ability for differential diagnosis (AUC, 0.608 SS=0.027, 95%, GA 0.555-0.661). Conclusion Patients with acute appendicitis and renal colic often present to the emergency department with abdominal pain. While patients with acute appendicitis are usually treated with surgical methods, medical treatment is used for renal colic in the acute period. The differential diagnosis of these two patient groups is important. We believe that the PLR and NLR values can be used when an exact differential diagnosis cannot be made. |
| Databáze: | OpenAIRE |
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