Does Neutrophil Lymphocyte Ratio Have a Clinical Value to Determine the Severity of the Patients with Acute Appendicitis?
Journal Title: Eurasian Journal of Emergency Medicine - Year 2020, Vol 19, Issue 1
Abstract
Aim: The aim of our study is to investigate the predictive value of the neutrophil lymphocyte ratio (NLR) assessed in the emergency department to distinguish complicated and uncomplicated patients with acute appendicitis (AA). Materials and Methods: In our study, the files of the patients with AA who visited our emergency clinic between 01.06.2015 and 01.01.2016 and then were operated in our hospital were reviewed retrospectively. The age, gender, the imaging method performed in the emergency clinic with an AA preliminary diagnosis, the result of the radiologic report in terms of AA and histopathological examination results were recorded according to the patients’ records. The patients were divided into two groups: Complicated AA (group 1) and uncomplicated AA (group 2) based on their histopathological analysis results. The laboratory parameters of the patients, which were seen within the first 30 minutes after they visited the emergency clinic, were examined. Results: One hundred and twenty one of the 154 patients who were involved in the study were in group 1 and 33 of the patients were in group 2. A statistically significant difference was found between two groups in terms of the number of white blood cells and NLR (p=0.000). The cut-off value for NLR in the complicated AA distinction was detected as 7.3 (75.8% sensitivity, 81.8% specifity). Conclusion: As an easy and effective analysis method, we think that NLR might be a good guide to diagnose complicated patients with AA quickly.
Authors and Affiliations
Vehbi Özaydın, Sinem Doğruyol, Seda Nur Bağdigen, Burak Katipoğlu, Mehmet Gül
Keywords
Related Articles
- EP ID EP684346
- DOI 10.4274/eajem.galenos.2017.86548
- Views 180
- Downloads 0
Health Literacy in The Emergency Department: A Cross-sectional Descriptive Study
Aim: In this study, we aimed to determine the health literacy level of the patients admitted to the emergency department with green triage code and discuss this in the light of current literature. Materials and Methods:...
Evaluation of Occupational Accidents in a Tertiary Emergency Department Introduction
Aim: Our study aimed to determine the characteristics of occupational accident cases admitted to an emergency department and evaluate these accidents in terms of emergency service cost. Materials and Methods: This descr...
Retrospective Analysis of the Treatment of Patients with Acute Stroke in a Training and Research Hospital
Aim: This study aimed to evaluate the indications for intravenous recombinant tissue plasminogen activator (IV r-tPA) and/or mechanical thrombectomy in patients with acute stroke and the research intended to determine wh...
Knowledge Level and Beliefs of Patients and Their Relatives about Hypnosis and Their Attitudes toward Use of Hypnosis for Sedation and Analgesia Purposes in the Emergency Department
Aim: To evaluate the knowledge level and beliefs of patients and their relatives about hypnosis and their attitudes toward use of hypnosis for sedation and analgesia purposes in the emergency department. Materials and M...
Surgical Treatment Results in Pediatric Supracondylar Humerus Fractures
Aim: This study aims to evaluate the outcomes of cross fixation with Kirschner wire (K-wire) following closed reduction of displaced supracondylar humerus fractures in children. Materials and Methods: Between December 2...