Can Mean Platelet Volume be Used as a Marker in Children with Acute Appendicitis?
Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2017, Vol 4, Issue 1
Abstract
Introduction: The primary aim of this study was to investigate the diagnostic value of mean platelet volume (MPV) in the diagnosis of acute appendicitis and the effect of the presence of complication on MPV values in children with acute appendicitis. Methods: Mean MPV values were retrospectively compared between children who were diagnosed with acute appendicitis by clinical and pathological methods and healthy children (n=51). Children with peritonitis, necrosis, perforation and/or abscess were classified as complicated appendicitis. Mean MPV values were compared between children with and without complicated appendicitis. Statistical analyses were performed by student’s t-test, the Kruskal-Wallis, and Mann-Whitney U tests. Results: The mean age of the children (n=43, 68% was male) was 8.7±4.0 years (range: 1-17). The children were divided into 3 age subgroups: ≤3 years (n=7), 4-9 years (n=13), and 10-16 years (n=23). Complicated appendicitis was detected in 71.4%, 30%, and 21% of children in ≤3 years, 4-9 years, and 10-17 years subgroups, respectively. Complicated and noncomplicated appendicitis was detected in 12 (28%) and 31 (72%) children, respectively. Mean MPV values were not significantly different between children with (9.4±0.5 fL) and without (9.3±0.6 fL) acute appendicitis (p>0.05). Mean MPV values were not significantly different between complicated (9.5±0,5 fL) and noncomplicated (9.4±0.4 fL) groups (p>0.05). Conclusion: It was observed that MPV is not a suitable marker for acute appendicitis in children in the first nine years of life. Additionally, MPV is not useful to discriminate between complicated and noncomplicated appendicitis in children aged between 1 and 17 years.
Authors and Affiliations
Gülay Çiler Erdağ, Fatma Tuba Coşkun, Suat Biçer, Meltem Uğraş, Tuba Giray, Çiğdem Kaspar, Öznur Küçük, Defne Çöl
Keywords
Related Articles
- EP ID EP227827
- DOI 10.4274/cayd.73745
- Views 121
- Downloads 0
Newborn with Harlequin Ichthyosis and the Nursing Care
Harlequin ichthyosis is the severest form of non-bullous ichthyosis, which is quite uncommon in newborns, and is usually characterized by fatal extreme keratinization of the skin. Because of the facial appearance of newb...
Severe Complications of Varicella Zoster Virus Infection in Two Children
Infection with Varicella Zoster virus, which is the causative agent of chickenpox, is commonly seen during childhood. It has typically a benign course and can be substantially prevented by vaccination. Rarely, it may res...
Effects of Vasoactive Drug Use on Hemodynamics in Critical Disease Pediatic Patients
Introduction: The fact that critically ill pediatric patients have hemodynamic and metabolic characteristics different from that in adults plays a key role in the selection of vasoactive agent. The aim of this study was...
A Case of Pneumothorax due to High-Flow Nasal Cannula Oxygen Therapy
Invasive and noninvasive mechanical ventilation (MV) applications are used for patients with respiratory insufficiency. Noninvasive MV has been increasingly used in pediatric intensive care units in recent years. For thi...
Plasma Exchange in Critically Ill Children: A Single-center Experience
Introduction: The aim of this study was to identify demographic and clinical characteristics of patients who were subjected to plasma exchange (PE) at our unit, and to investigate the effect of these factors on treatment...