Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies

KHAN, Mah Muneer; KHAN, Ataullah; RAFİQ, Muhammad Salman; AHMAD, Bilal

Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies

Muhammad Salman RAFİQ, (Department of Surgical, Khyber Teaching Hospital, Peshawar, Pakistan)

Mah Muneer KHAN, (Department of Surgical, Khyber Teaching Hospital, Peshawar, Pakistan)

Ataullah KHAN, (Department of Surgical, Khyber Teaching Hospital, Peshawar, Pakistan)

Bilal AHMAD (Department of Surgical, Khyber Teaching Hospital, Peshawar, Pakistan)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2015 Cilt: 21 Sayı: 2 Sayfa Aralığı: 102 - 106 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies

Öz:

AMAÇ: Negatif apandektomiler gereksiz hasta kabullerine neden olarak, sağlık hizmetlerine yük ve mali külfet getirmektedir. Bu çalışma, negatif apendektomilerin azaltılmasında total lökosit ve nötrofil sayılarını değerlendirmek üzere yürütüldü.GEREÇ VE YÖNTEM: Hastaneye kabul edilen ve apandektomi geçiren hastaların verileri incelendi. Değişik kestirim noktaları için total lökosit ve nötrofil sayılarının alıcı işletim karakteristik eğrisi (ROC) analizi hesaplandı. Optimal duyarlılık, özgüllük, genel doğruluk derecesi ve eğrisi altında kalan alan belirlendi.BULGULAR: Toplam 408 hastada cerrahi değerlendirmeye göre gerçek ve negatif apandisit oranları %72.1 (n=294) ve %27.9 (n=114) iken histo-patolojik olarak bu oranlar sırasıyla %76.2 (n=311) ve %23.8 (n=97) idi. Total lökosit sayımının optimal kestirim değeri olan >11.9x109/L, %87.14 duyarlılık ve %91.75 özgüllüğe sahipti. Total nötrofil sayısının optimal kestirim değeri olan >7.735x109/L %98.71 duyarlılık ve %91.75 özgüllüğe sahipti. Total lökosit ve nötrofil sayıları için eğri sırasıyla 0.9603 ve 0.9872 olup, genel doğruluk oranları sırasıyla %91.2 ve 97.1 idi.TARTIŞMA: Normal total lökosit ve nötrofil sayıları negatif apandektomilerle kuvvetle ilişkilidir. Cerrahi dışı önlemler, toplam lökosit ve nötrofil sayıları dikkatli klinik takip oldukça önemlidir.

Anahtar Kelime:

Konular: Cerrahi

Total lökosit ve nötrofil sayısı negatif apandektomilerin azaltılmasını sağlayan belirteçlerdir

Öz:

BACKGROUND: Negative appendectomies result in unnecessary admissions, health care burden, and cost. This study was conducted to assess total leukocyte and neutrophil counts as preventive tools in reducing negative appendectomies.METHODS: Data of admitted patients who underwent appendectomies was analyzed. Receiver operator characteristic (ROC) curve analysis of total leukocyte and neutrophil counts was calculated for various cut-off points. Optimum sensitivity, specificity, overall accuracy, and area under the curve was determined.RESULTS: Of the four hundred and eightpatients, true and negative appendicitis by operative assessment was 294 (72.1%) and 114 (27.9%) compared to 311 (76.2%) and 97 (23.8%) by histopathology, respectively. Optimal cut-off for total leukocyte count was >11.9x109/Liter with 87.14% sensitivity and 91.75% specificity. Optimal cut-off point for neutrophil count was >7.735x109/Liter with 98.71% sensitivity and 91.75% specificity. Area under the curve for total leukocyte and neutrophil counts was 0.9603 and 0.9872, respectively with overall accuracy of 91.2% and 97.1%, respectively.CONCLUSION: Normal total leukocyte and neutrophil counts are strongly associated with negative appendectomies. Non-operative measures and careful observation of total leukocyte and neutrophil counts are of paramount importance

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	RAFİQ M, KHAN M, KHAN A, AHMAD B (2015). Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies. , 102 - 106.
Chicago	RAFİQ Muhammad Salman,KHAN Mah Muneer,KHAN Ataullah,AHMAD Bilal Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies. (2015): 102 - 106.
MLA	RAFİQ Muhammad Salman,KHAN Mah Muneer,KHAN Ataullah,AHMAD Bilal Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies. , 2015, ss.102 - 106.
AMA	RAFİQ M,KHAN M,KHAN A,AHMAD B Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies. . 2015; 102 - 106.
Vancouver	RAFİQ M,KHAN M,KHAN A,AHMAD B Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies. . 2015; 102 - 106.
IEEE	RAFİQ M,KHAN M,KHAN A,AHMAD B "Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies." , ss.102 - 106, 2015.
ISNAD	RAFİQ, Muhammad Salman vd. "Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies". (2015), 102-106.

APA	RAFİQ M, KHAN M, KHAN A, AHMAD B (2015). Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies. Ulusal Travma ve Acil Cerrahi Dergisi, 21(2), 102 - 106.
Chicago	RAFİQ Muhammad Salman,KHAN Mah Muneer,KHAN Ataullah,AHMAD Bilal Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies. Ulusal Travma ve Acil Cerrahi Dergisi 21, no.2 (2015): 102 - 106.
MLA	RAFİQ Muhammad Salman,KHAN Mah Muneer,KHAN Ataullah,AHMAD Bilal Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies. Ulusal Travma ve Acil Cerrahi Dergisi, vol.21, no.2, 2015, ss.102 - 106.
AMA	RAFİQ M,KHAN M,KHAN A,AHMAD B Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies. Ulusal Travma ve Acil Cerrahi Dergisi. 2015; 21(2): 102 - 106.
Vancouver	RAFİQ M,KHAN M,KHAN A,AHMAD B Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies. Ulusal Travma ve Acil Cerrahi Dergisi. 2015; 21(2): 102 - 106.
IEEE	RAFİQ M,KHAN M,KHAN A,AHMAD B "Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies." Ulusal Travma ve Acil Cerrahi Dergisi, 21, ss.102 - 106, 2015.
ISNAD	RAFİQ, Muhammad Salman vd. "Total leukocyte and neutrophil count as preventive tools in reducing negative appendectomies". Ulusal Travma ve Acil Cerrahi Dergisi 21/2 (2015), 102-106.