دورية أكاديمية
Neutrophil to Lymphocyte Ratio on Appendectomy of Geriatric and Nongeriatric Patients
| العنوان: | Neutrophil to Lymphocyte Ratio on Appendectomy of Geriatric and Nongeriatric Patients |
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| المؤلفون: | Gulsen Cigsar, Ali Cihat Yildirim, Turgut Anuk, Hakan Guzel, Elnare Gunal, Saygı Gulkan, Burak Irem, Caglar Bilgin |
| المصدر: | Journal of Investigative Surgery, Vol 30, Iss 5, Pp 285-290 (2017) |
| بيانات النشر: | Taylor & Francis Group, 2017. |
| سنة النشر: | 2017 |
| المجموعة: | LCC:Surgery |
| مصطلحات موضوعية: | geriatrics, acute appendicitis, neutrophil, lymphocyte, Surgery, RD1-811 |
| الوصف: | Purpose: Acute appendicitis is the most frequent emergency procedure that requires acute surgical intervention. The mortality risk is higher in geriatric patients. There is not a single parameter to diagnose it easily and negative appendectomy is traditionally accepted however the operation itself can cause morbidity and mortality especially in elderly patients. The neutrophil-to-lymphocyte ratio is a predictor of acute inflammation and was recently studied for the diagnosis of AA. The aim of this study is to analyze the diagnostic value of NLR on positive appendectomy rates amongst geriatric and nongeriatric patients. Materials and Methods: 755 patients admitted to the emergency department, with abdominal pain who underwent urgent laparotomy after diagnosed as acute appendicitis. Patients' ages, genders, laboratory results, and intraoperative findings were collected. Geriatric patients were analyzed in group one, and nongeriatric patients were in group 2. Groups then sorted into subgroups by means of positive and negative appendectomies. Results: Although NLR was higher in positive appendectomy subgroup in group 1 it was not statistically significant. NLR could not independently predict positive appendectomy in geriatric patients. In group 2, male gender was significantly higher in the positive appendectomy group (p < 0.001). NLR was also significantly higher in the positive appendectomy group (p < 0.001). In group 2 NLR could independently predict positive appendectomy (p < 0.001). Conclusion: NLR could not predict positive appendectomy rates in the geriatric population but could in the nongeriatric patient group. To find the optimal NLR levels, prospective randomized studies are needed. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0894-1939 1521-0553 08941939 |
| Relation: | https://doaj.org/toc/0894-1939; https://doaj.org/toc/1521-0553 |
| DOI: | 10.1080/08941939.2016.1241324 |
| URL الوصول: | https://doaj.org/article/74ef895531d849948b605eee026345e3 |
| رقم الأكسشن: | edsdoj.74ef895531d849948b605eee026345e3 |
| قاعدة البيانات: | Directory of Open Access Journals |
PDF full text from Publisher | تدمد: | 08941939 15210553 |
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| DOI: | 10.1080/08941939.2016.1241324 |