TY  - JOUR
TI  - Predictive Value of Red Cell Distribution Width and Mean Platelet Volume in the Diagnosis and Determination of Severity in Acute Appendicitis Cases
AB  - 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.
AU  - İsaoğulları, Şadi Yenel
AU  - topal, uğur
AU  - Akyuz, Muhammet
AU  - gök, mustafa
AU  - ARIKAN, TURKMEN BAHADIR
AU  - Sözüer, Erdoğan Mütevelli
DO  - 10.4274/tjcd.galenos.2020.2020-7-5
PY  - 2021
JO  - Türk Kolon ve Rektum Hastalıkları Dergisi
VL  - 31
IS  - 1
SN  - 2536-4898
SP  - 65
EP  - 71
DB  - TRDizin
UR  - http://search/yayin/detay/507290
ER  -