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Diagnostic value of systemic immune inflammation index in acute appendicitis and complicated appendicitis in pregnant patients.
Altug, Ertugrul; Kilavuz, Hüseyin; Çakir, Adem; Sener, Kemal; Güven, Ramazan; Korkut, Semih.
Afiliación
  • Altug E; Department of Emergency Medicine, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey. ertugrulaltug42@gmail.com.
  • Kilavuz H; Department of General Surgery, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
  • Çakir A; Department of Emergency Medicine, Ministry of Healthy of Turkey Canakkale Mehmet Akif Ersoy State Hospital, Canakkale, Turkey.
  • Sener K; Department of Emergency Medicine, Mersin City Hospital, Mersin, Turkey.
  • Güven R; Department of Emergency Medicine, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
  • Korkut S; Department of Emergency Medicine, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
Langenbecks Arch Surg ; 409(1): 222, 2024 Jul 18.
Article en En | MEDLINE | ID: mdl-39023796
ABSTRACT

INTRODUCTION:

Acute pain in the right lower quadrant during pregnancy is difficult to approach and acute appendicitis must be excluded. The complication rate in pregnant acute appendicitis increases as a result of delayed diagnosis due to physiological and anatomic changes. The systemic immune inflammatory index (SII), which includes several inflammatory tests, is considered to be a good indicator of acute inflammation. The aim of the present study was to investigate the diagnostic value of SII in the diagnosis of acute appendicitis and complicated appendicitis in pregnant women. MATERIAL-

METHOD:

This was designed as a retrospective, single-center case-control study. This study was performed in pregnant women over 12 weeks of gestation who were diagnosed with acute appendicitis as indicated by pathology report and met the inclusion criteria. Vital parameters, demographic characteristics, laboratory values, presence of complicated appendicitis, and pathology reports were taken into analysis.

RESULTS:

The present study was performed with 76 pregnant women, including 38 pregnant women with acute appendicitis and 38 pregnant women with healthy controls. SII had a sensitivity of 82.0% and specificity of 66.7% with a cut-off value of 840.13 in pregnant acute appendicitis cases (AUC 0.790; 95% CI 0.686-0.984; p < 0.001) and SII level was significantly higher in complicated appendicitis cases with a sensitivity and specificity of 66.7% and 91.3%, respectively, with a cut-off value of 2301.66 (AUC 0.812; 95% CI 0.665-0.958; p = 0.001).

CONCLUSION:

SII is a cost-effective, rapid, easily calculated, and powerful marker that can be used for the diagnosis of both acute and complicated appendicitis in pregnant patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Apendicitis / Complicaciones del Embarazo Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Langenbecks Arch Surg Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Apendicitis / Complicaciones del Embarazo Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Langenbecks Arch Surg Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania