Yıl: 2020 Cilt: 19 Sayı: 3 Sayfa Aralığı: 178 - 183 Metin Dili: İngilizce DOI: 10.4274/eajem.galenos.2019.52385 İndeks Tarihi: 18-10-2020

Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis

Öz:
Aim: The C-reactive protein (CRP)/albumin ratio is a new inflammation-based prognostic score that correlates with inflammation severity.Objective: The present study investigated the diagnostic value of the CRP/albumin ratio to distinguish between patients with simple andcomplicated acute appendicitis. This retrospective study was conducted at the University of Health Sciences Turkey, Kanuni Sultan SüleymanTraining and Research Hospital, Department of Emergency Medicine, after approval from the ethics committee.Materials and Methods: A total of 188 patients with acute appendicitis were included. Biochemical parameters, CRP/albumin ratio,ultrasonography (USG) and computed tomography (CT) results, operation findings and length of hospital-stay were compared betweenpatients with simple and complicated appendicitis.Results: There was no statistically significant difference in terms of leukocyte count, albumin value and diameter of the appendicitis betweenboth USG and CT. The CRP/albumin ratio could specifically differentiate the complicated appendicitis group. The cut-off point of the CRP/albumin ratio for the diagnosis of complicated appendicitis was 4.4.Conclusion: The CRP/albumin ratio may be used as a valuable biomarker in the clinical diagnostic process and in treatment planning,particularly to differentiate patients with acute complicated appendicitis from those with non-complicated acute appendicitis.
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  • 1. Shogilev DJ, Duus N, Odom SR, Shapiro NI. Diagnosing appendicitis: evidence-based review of the diagnostic approach in 2014. West J Emerg Med. 2014;15:859-71.
  • 2. Keskek M, Tez M, Yoldas O, Acar A, Akgul O, Gocmen E, et al. Receiver operating characteristic analysis of leukocyte counts in operations for suspected appendicitis. Am J Emerg Med. 2008;26:769-72.
  • 3. Guler K, Tihan DN, Duman U, Dandin Ö, Dilektaşlı E, Erol F, et al. Are Preoperative serum C-reactive Protein and Leucocyte Values Useful to Predict the Perforation in Patients with Acute Appendicitis? Turk J Colorectal Dis. 2016;26:6-12.
  • 4. Nimmagadda N, Matsushima K, Piccinini A, Park C, Strumwasser A, Lam L, et al. Complicated appendicitis: Immediate operation or trial of nonoperative management? Am J Surg. 2019;217:713-7.
  • 5. Devran O, Karakurt Z, Adıguzel N, Güngör G, Yazıcıoğlu Moçin O, Kalamanoğlu Balcı M, et al. C-reactive protein as a predictor of mortality in patients affected with severe sepsis in intensive care unit. Multidiscip Respir Med. 2012;7:47.
  • 6. Soltani F, Pipelzadeh MR, Akhondzadeh R, Rashidi M, Ekrami A. Evaluation of C-reactive Protein, Albumin and the C-reactive Protein/Albumin Ratio as Prognostic Markers in Trauma Patients Admitted to Intensive Care Unit. BJMMR. 2016;12:1-7.
  • 7. Roberts I, Blackhall K, Alderson P, Bunn F, Schierhoutet G. Human albumin solution for resuscitation and volume expansion in critically ill patients. Cochrane Database Syst Rev. 2011;10:CD001208.
  • 8. Kim M, Kim SJ, Cho HJ. International normalized ratio and serum C-reactive protein are feasible markers to predict complicated appendicitis. World J Emerg Surg. 2016;11:31.
  • 9. D’Souza N, Nugent K. Appendicitis. Am Fam Physician. 2016;93:142-3.
  • 10. Jaffe BM, Berger DH. The appendix. In: Schwartz’s Principles of Surgery, 8th ed, Schwartz SI, Brunicardi CF editors, McGraw-Hill Companies, New York; 2005.
  • 11. McBurney C. Experience with early operative interference in cases of disease of the vermiform appendix. NY Med J. 1889;50:676.
  • 12. Jahn H, Mathiesen FK, Neckelmann K, Hovendal CP, Bellstrøm T, Gottrup F. Comparison of clinical judgment and diagnostic ultrasonography in the diagnosis of acute appendicitis: experience with a score-aided diagnosis. Eur J Surg. 1997;163:433-43.
  • 13. Ohle R, O’Reilly F, O’Brien KK, Fahey T, Dimitrov BD. The Alvarado score for predicting acute appendicitis: a systematic review. BMC Med. 2011;9:139.
  • 14. Yun SJ, Ryu CW, Choi NY, Kim HC, Oh JY, Yang DM. Comparison of Low- and Standard-Dose CT for the Diagnosis of Acute Appendicitis: A Meta Analysis. AJR Am J Roentgenol. 2017;208:W198-207.
  • 15. Al-Abed YA, Alobaid N, Myint F. Diagnostic markers in acute appendicitis. Am J Surg. 2015;209:1043-7.
  • 16. Aydin OU, Soylu L, Dandin O, Uysal Aydin E, Karademir S. Laboratory in complicated appendicitis prediction and predictive value of monitoring. Bratisl Lek Listy. 2016;117:697-701.
  • 17. Eddama M, Fragkos KC, Renshaw S, Aldridge M, Bough G, Bonthala L, et al. Logistic regression model to predict acute uncomplicated and complicated appendicitis. Ann R Coll Surg Engl. 2019;5:107-18.
  • 18. Ertekin B, Kara H, Erdemir E, Doğan E, Acar T, Demir LS. Efficacy of Use of Red Cell Distribution Width as a Diagnostic Marker in Acute Appendicitis. Eurasian J Emerg Med. 2017;16:29-33.
  • 19. Akay S, Akay H, Vardar E, Erkul Z. Comparison of Eosinophil Values with Other Biomarkers in Predicting Perforation of Acute Appendicitis. Eurasian J Emerg Med. 2017;16:8-11.
  • 20. Pham XD, Sullins VF, Kim DY, Range B, Kaji AH, de Virgillo CM, et al. Factors predictive of complicated appendicitis in children. J Surg Res. 2016;206:62-6.
  • 21. Shelton JA, Brown JJ, Young JA. Preoperative C-reactive protein predicts the severity and likelihood of complications following appendicectomy. Ann R Coll Surg Engl. 2014;96:369-72.
APA Dogan S, Dorter M, Kalafat U, Bildik B, Yazici R, Sarici I, Cander B (2020). Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis. , 178 - 183. 10.4274/eajem.galenos.2019.52385
Chicago Dogan Serkan,Dorter Melis,Kalafat Utku Murat,Bildik Busra,Yazici Ramiz,Sarici Inanc Samil,Cander Başar Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis. (2020): 178 - 183. 10.4274/eajem.galenos.2019.52385
MLA Dogan Serkan,Dorter Melis,Kalafat Utku Murat,Bildik Busra,Yazici Ramiz,Sarici Inanc Samil,Cander Başar Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis. , 2020, ss.178 - 183. 10.4274/eajem.galenos.2019.52385
AMA Dogan S,Dorter M,Kalafat U,Bildik B,Yazici R,Sarici I,Cander B Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis. . 2020; 178 - 183. 10.4274/eajem.galenos.2019.52385
Vancouver Dogan S,Dorter M,Kalafat U,Bildik B,Yazici R,Sarici I,Cander B Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis. . 2020; 178 - 183. 10.4274/eajem.galenos.2019.52385
IEEE Dogan S,Dorter M,Kalafat U,Bildik B,Yazici R,Sarici I,Cander B "Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis." , ss.178 - 183, 2020. 10.4274/eajem.galenos.2019.52385
ISNAD Dogan, Serkan vd. "Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis". (2020), 178-183. https://doi.org/10.4274/eajem.galenos.2019.52385
APA Dogan S, Dorter M, Kalafat U, Bildik B, Yazici R, Sarici I, Cander B (2020). Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis. Eurasian Journal of Emergency Medicine, 19(3), 178 - 183. 10.4274/eajem.galenos.2019.52385
Chicago Dogan Serkan,Dorter Melis,Kalafat Utku Murat,Bildik Busra,Yazici Ramiz,Sarici Inanc Samil,Cander Başar Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis. Eurasian Journal of Emergency Medicine 19, no.3 (2020): 178 - 183. 10.4274/eajem.galenos.2019.52385
MLA Dogan Serkan,Dorter Melis,Kalafat Utku Murat,Bildik Busra,Yazici Ramiz,Sarici Inanc Samil,Cander Başar Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis. Eurasian Journal of Emergency Medicine, vol.19, no.3, 2020, ss.178 - 183. 10.4274/eajem.galenos.2019.52385
AMA Dogan S,Dorter M,Kalafat U,Bildik B,Yazici R,Sarici I,Cander B Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis. Eurasian Journal of Emergency Medicine. 2020; 19(3): 178 - 183. 10.4274/eajem.galenos.2019.52385
Vancouver Dogan S,Dorter M,Kalafat U,Bildik B,Yazici R,Sarici I,Cander B Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis. Eurasian Journal of Emergency Medicine. 2020; 19(3): 178 - 183. 10.4274/eajem.galenos.2019.52385
IEEE Dogan S,Dorter M,Kalafat U,Bildik B,Yazici R,Sarici I,Cander B "Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis." Eurasian Journal of Emergency Medicine, 19, ss.178 - 183, 2020. 10.4274/eajem.galenos.2019.52385
ISNAD Dogan, Serkan vd. "Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis". Eurasian Journal of Emergency Medicine 19/3 (2020), 178-183. https://doi.org/10.4274/eajem.galenos.2019.52385