A cross‐sectional study on evaluation of complete blood count‐associated parameters for the diagnosis of acute appendicitis
Abstract Background and aims Acute appendicitis is one of the common causes of abdominal surgeries, however, the rate of negative appendectomy is as high as 20% as the diagnosis of appendicitis is challenging. The study aimed to evaluate complete blood count (CBC)‐associated parameters among positiv...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2021-09-01
|
Series: | Health Science Reports |
Subjects: | |
Online Access: | https://doi.org/10.1002/hsr2.326 |
id |
doaj-25e0dc57efca448884a018df5b93dde5 |
---|---|
record_format |
Article |
spelling |
doaj-25e0dc57efca448884a018df5b93dde52021-09-29T06:32:36ZengWileyHealth Science Reports2398-88352021-09-0143n/an/a10.1002/hsr2.326A cross‐sectional study on evaluation of complete blood count‐associated parameters for the diagnosis of acute appendicitisLeila Haji Maghsoudi0Kourosh Kabir1Ali Soltanian2Haleh Pak3Mojtaba Ahmadinejad4Arghavan Khas Ahmadi5Department of Surgery, School of Medicine, Shahid Madani Hospital Alborz University of Medical Sciences Karaj IranDepartment of Community Medicine and Epidemiology, School of Medicine, Social Determinants of Health Research Center Alborz University of Medical Sciences Karaj IranDepartment of Surgery, School of Medicine Alborz University of Medical Sciences Karaj IranDepartment of Surgery, School of Medicine, Shahid Madani Hospital Alborz University of Medical Sciences Karaj IranDepartment of Surgery, School of Medicine, Shahid Madani Hospital Alborz University of Medical Sciences Karaj IranStudent Research Committee Alborz University of Medical Sciences Alborz IranAbstract Background and aims Acute appendicitis is one of the common causes of abdominal surgeries, however, the rate of negative appendectomy is as high as 20% as the diagnosis of appendicitis is challenging. The study aimed to evaluate complete blood count (CBC)‐associated parameters among positive and negative appendectomy patients and determine their diagnostic importance. Methods In this cross‐sectional study, patients who suspected of acute appendicitis were included. Preoperative blood samples taken from these patients for a complete blood count. Following parameters evaluated from their CBC: white blood cell (WBC), platelet (PLT), mean platelet volume (MPV), neutrophils‐to‐lymphocytes ratio, platelets‐to‐lymphocytes ratio, red cell distribution width (RDW), and platelet distribution width (PDW). These parameters analyzed for the positive and negative appendectomy patients using statistical analysis. Results Of 200 patients included in the study, 30 patients (15%) underwent negative appendectomy. The mean neutrophils, WBC, red blood cells, neutrophils‐to‐lymphocytes, and platelets‐to‐lymphocytes ratio was significantly high among positive appendectomy patients, (P < .05), whereas MPV to platelet ratio was significantly less in this group. The highest diagnostic power for the diagnosis of appendicitis was of neutrophils‐to‐lymphocytes ratio with the sensitivity of 83.5% and the specificity of 90%. Conclusion The findings of our study indicate that neutrophils‐to‐lymphocytes ratio alone is not sufficient for preoperative diagnosis of acute appendicitis and other CBC‐related parameters did not have good sensitivity and specificity. Further studies are therefore required in this area.https://doi.org/10.1002/hsr2.326acute appendicitisappendectomyCBClymphocytesneutrophilsparameters |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Leila Haji Maghsoudi Kourosh Kabir Ali Soltanian Haleh Pak Mojtaba Ahmadinejad Arghavan Khas Ahmadi |
spellingShingle |
Leila Haji Maghsoudi Kourosh Kabir Ali Soltanian Haleh Pak Mojtaba Ahmadinejad Arghavan Khas Ahmadi A cross‐sectional study on evaluation of complete blood count‐associated parameters for the diagnosis of acute appendicitis Health Science Reports acute appendicitis appendectomy CBC lymphocytes neutrophils parameters |
author_facet |
Leila Haji Maghsoudi Kourosh Kabir Ali Soltanian Haleh Pak Mojtaba Ahmadinejad Arghavan Khas Ahmadi |
author_sort |
Leila Haji Maghsoudi |
title |
A cross‐sectional study on evaluation of complete blood count‐associated parameters for the diagnosis of acute appendicitis |
title_short |
A cross‐sectional study on evaluation of complete blood count‐associated parameters for the diagnosis of acute appendicitis |
title_full |
A cross‐sectional study on evaluation of complete blood count‐associated parameters for the diagnosis of acute appendicitis |
title_fullStr |
A cross‐sectional study on evaluation of complete blood count‐associated parameters for the diagnosis of acute appendicitis |
title_full_unstemmed |
A cross‐sectional study on evaluation of complete blood count‐associated parameters for the diagnosis of acute appendicitis |
title_sort |
cross‐sectional study on evaluation of complete blood count‐associated parameters for the diagnosis of acute appendicitis |
publisher |
Wiley |
series |
Health Science Reports |
issn |
2398-8835 |
publishDate |
2021-09-01 |
description |
Abstract Background and aims Acute appendicitis is one of the common causes of abdominal surgeries, however, the rate of negative appendectomy is as high as 20% as the diagnosis of appendicitis is challenging. The study aimed to evaluate complete blood count (CBC)‐associated parameters among positive and negative appendectomy patients and determine their diagnostic importance. Methods In this cross‐sectional study, patients who suspected of acute appendicitis were included. Preoperative blood samples taken from these patients for a complete blood count. Following parameters evaluated from their CBC: white blood cell (WBC), platelet (PLT), mean platelet volume (MPV), neutrophils‐to‐lymphocytes ratio, platelets‐to‐lymphocytes ratio, red cell distribution width (RDW), and platelet distribution width (PDW). These parameters analyzed for the positive and negative appendectomy patients using statistical analysis. Results Of 200 patients included in the study, 30 patients (15%) underwent negative appendectomy. The mean neutrophils, WBC, red blood cells, neutrophils‐to‐lymphocytes, and platelets‐to‐lymphocytes ratio was significantly high among positive appendectomy patients, (P < .05), whereas MPV to platelet ratio was significantly less in this group. The highest diagnostic power for the diagnosis of appendicitis was of neutrophils‐to‐lymphocytes ratio with the sensitivity of 83.5% and the specificity of 90%. Conclusion The findings of our study indicate that neutrophils‐to‐lymphocytes ratio alone is not sufficient for preoperative diagnosis of acute appendicitis and other CBC‐related parameters did not have good sensitivity and specificity. Further studies are therefore required in this area. |
topic |
acute appendicitis appendectomy CBC lymphocytes neutrophils parameters |
url |
https://doi.org/10.1002/hsr2.326 |
work_keys_str_mv |
AT leilahajimaghsoudi acrosssectionalstudyonevaluationofcompletebloodcountassociatedparametersforthediagnosisofacuteappendicitis AT kouroshkabir acrosssectionalstudyonevaluationofcompletebloodcountassociatedparametersforthediagnosisofacuteappendicitis AT alisoltanian acrosssectionalstudyonevaluationofcompletebloodcountassociatedparametersforthediagnosisofacuteappendicitis AT halehpak acrosssectionalstudyonevaluationofcompletebloodcountassociatedparametersforthediagnosisofacuteappendicitis AT mojtabaahmadinejad acrosssectionalstudyonevaluationofcompletebloodcountassociatedparametersforthediagnosisofacuteappendicitis AT arghavankhasahmadi acrosssectionalstudyonevaluationofcompletebloodcountassociatedparametersforthediagnosisofacuteappendicitis AT leilahajimaghsoudi crosssectionalstudyonevaluationofcompletebloodcountassociatedparametersforthediagnosisofacuteappendicitis AT kouroshkabir crosssectionalstudyonevaluationofcompletebloodcountassociatedparametersforthediagnosisofacuteappendicitis AT alisoltanian crosssectionalstudyonevaluationofcompletebloodcountassociatedparametersforthediagnosisofacuteappendicitis AT halehpak crosssectionalstudyonevaluationofcompletebloodcountassociatedparametersforthediagnosisofacuteappendicitis AT mojtabaahmadinejad crosssectionalstudyonevaluationofcompletebloodcountassociatedparametersforthediagnosisofacuteappendicitis AT arghavankhasahmadi crosssectionalstudyonevaluationofcompletebloodcountassociatedparametersforthediagnosisofacuteappendicitis |
_version_ |
1716864607323160576 |