Predictive Value of Red Cell Distribution Width and Mean Platelet Volume in the Diagnosis and Determination of Severity in Acute Appendicitis Cases
Journal Title: Turkish Journal of Colorectal Disease - Year 2021, Vol 31, Issue 1
Abstract
Aim: We aimed to determine the clinical value of erythrocyte distribution width (RDW) and mean platelet volume (MPV) in the diagnosis of acute appendicitis (AA) and in determining the severity of the disease. Method: Patients who were operated between January 2013 and January 2020 with a preliminary diagnosis of AA were included in the study. The patients were divided into two groups as Group 1 negative appendectomy and Group 2 acute appendicitis. In addition, Group 2 is divided into subgroups as a:perforated and b: non-perforated. RDW and MPV were compared between the groups and subgroups. Results: A total of 861 patients participated in our study. Group 1 consisted of 144 patients and Group 2 consisted of 717 patients. The mean age was similar in both groups (33.02 vs 35.34, p=0.088), female sex was higher in Group 1 (52.8% vs 42.9, p=0.019), RDW was higher in Group 1 (14.03 vs 13.67, p=0.007), MPV was similar between the groups (8.81 vs 8.95, p=0.363). RDW was an independent risk factor in the diagnosis of AA in multivariate analysis (odds ratio 0.604, 95% confidence interval (minimum-maximum) 0.420-0.868, p=0.006). RDW and MPV were independent variables in the diagnosis of perforated appendicitis in multivariate logistic regression analysis. Conclusion: RDW is a useful parameter in the diagnosis of AA and in determining the severity of the disease. However, MPV value does not have sufficient diagnostic value.
Authors and Affiliations
Muhammet Akyüz, Uğur Topal, Erdoğan Mütevelli Sözüer, Şadi Yenel İsaoğulları, Mustafa Gök, Türkmen Bahadır Arıkan
Keywords
Related Articles
- EP ID EP693148
- DOI 10.4274/tjcd.galenos.2020.2020-7-5
- Views 111
- Downloads 0
Peritoneal Disease Severity Score Predicts the Prognosis of Peritoneal Metastasis of Colorectal Origin: A 10-year Longitudinal Analysis of a Single-center Experience
Aim: Peritoneal Surface Disease Severity score (PSDSS) has been used in the evaluation of patients who are scheduled for cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for peritoneal me...
Evaluation of Etiological Risk Factors in the Development of Adult Chronic Pilonidal Disease
Aim: Pilonidal disease has a high rate of recurrence after surgical interventions and measures that can be taken to prevent the recurrence are gaining importance. This study was planned to review the possible risk factor...
Unexpected Histopathological Diagnoses in Acute Appendicitis Specimens: A Retrospective Analysis of 2076 Patients
Aim: Acute appendicitis is the most common cause of emergency abdominal surgery in the world. Although the etiology of appendicitis is still not fully known, possible causes include lumen obstruction. Fecaloid and lympho...
Synchronous Appendiceal Neoplasia of Ascending Colon Cancers: Three Case Reports And Review of the Literature
Colorectal carcinomas are the most common malignancies of the gastrointestinal tract. The incidence of synchronous primary appendicular neoplasms associated with colorectal cancer has been reported as 0.3-4.1%, but most...
Should Support Group Intervention be Implemented for Individuals with Stoma?
The presence of stoma in individuals causes physical, psychological and social problems. For this reason, individuals with stoma need effective psychosocial interventions in order to adapt to the stoma. One of these effe...