Predictive factors of perforated appendicitis: Impact of the C-reactive protein level
| العنوان: | Predictive factors of perforated appendicitis: Impact of the C-reactive protein level |
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| المؤلفون: | Yuji Soejima, Akira Kobayashi, Yusuke Takahashi, Masatoshi Shimura, Masao Okada, Masahiro Sakon, Manabu Takata, Yasushi Sekino, Hitoshi Seki, Yusuke Shimodaira, Shiori Yamazaki, Kaori Hayashibara |
| المصدر: | Surgery Open Science Surgery Open Science, Vol 6, Iss, Pp 1-4 (2021) |
| بيانات النشر: | Elsevier, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Perforated Appendicitis, medicine.medical_specialty, appendicitis, RD1-811, biology, business.industry, Perforation (oil well), C-reactive protein, Constructed wetland (CW), Total bilirubin level, medicine.disease, Appendicitis, Article, Surgery, Acute appendicitis, medicine, biology.protein, perforation, Abscess, business, C-reactive protein level |
| الوصف: | Background Perforated appendicitis without an associated abscess necessitates emergency surgery. However, it is difficult to predict the presence of perforation before surgery, and the predictive factors are still unclarified. Our purposes were to characterize a patient population with perforated appendicitis without an associated abscess to identify the preoperative predictive factors of appendiceal perforation. Methods We retrospectively identified 150 patients who underwent appendectomy for acute appendicitis at our institution from June 2018 to November 2020. Logistic regression analysis was performed to analyze the concurrent effects of various factors on the prevalence of perforated appendicitis. Results Forty (29%) of 150 patients had appendiceal perforation detected intraoperatively. Of these 40 patients, only 19 had appendiceal perforation detected on preoperative computed tomography. Multivariable analysis found that a higher C-reactive protein level, higher total bilirubin level, and the presence of an appendiceal fecalith were independent predictive factors for appendicitis with perforation. Conclusion Our analysis suggests that the presence of an appendiceal fecalith, a total bilirubin level of more than 21.38 μmol/L, and a C-reactive protein level of more than 3.0 × 104 μg/L are predictive factors of perforated appendicitis. |
| اللغة: | English |
| تدمد: | 2589-8450 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0621d7353f0af97be281a473054894f1 http://europepmc.org/articles/PMC8319788 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....0621d7353f0af97be281a473054894f1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 25898450 |
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