Komplike veya non-komplike apandisit? Ýþte bütün mesele bu

AMAÇ: Akut apandisitler her yaþ grubunu ve her iki cinsiyeti de içerisine alan toplumda yaygýn görülen bir hastalýk olup akut batýnýn en sýk sebep-lerinden biridir. Komplike ve non-komplike ayrýmýnýn ameliyat öncesinde yapýlmasý önemlidir. Çalýþmanýn amacý, acil servise akut apandisit ile gelen hastalarda, hastalýðýnýn komplike veya non-komplike olduðunu belirlemede kullanýlabilecek laboratuvar parametrelerinin saptanmasýdýr.
GEREÇ VE YÖNTEM: Çalýþmaya, Mayýs 2019–Kasým 2020 tarihleri arasýnda, acil genel cerrahi servisine baþvurmuþ, apandisit tanýsý konulmuþ, kadýn ve erkek hastalar alýndý. Hastalara ait demografik veriler (yaþ, cinsiyet, protokol numaralarý), tam kan sayýmlarý (DNI [Delta nötrofil indeks], hemoglobin, monosit, nötrofil, eozinofil, bazofil, trombosit, platelet distribution width [PDW], mean platelet volume [MPV], reticulocyte distribu-tion width [RDW]), biyokimyasal parametreleri [amilaz, direk bilirubin, indirek bilirubin, albumin, kalsiyum], laktat dehidrogenaz [LDH]), muayene muayene bilgileri hastane otomasyon sisteminden elde edilip SPSS programý ile kayýt altýna alýndý. Komplike ve non-komplike olarak iki gruba ayrýlan hastalarýn parametreleri karþýlaþtýrýldý.
BULGULAR: Komplike ve nonkomplike hasta gruplarý karþýlaþtýrýldýðýnda; beyaz küre, monosit, nötrofil, DNI, total bilirubin ve direkt bilirubin deðer-leri açýsýndan istatistiki fark saptanmýþtýr (p deðerleri sýrasý ile; <0.001, 0.003, <0.001, <0.001ve 0.008’dir).
TARTIÞMA: Akut apandisitte, komplike ve non-komplike ayrýmýný yapmada, laboratuvar parametreleri olarak WBC, monosit, nötrofil, eozinofil, DNI, bilirubin deðerleri kullanýlabilir.

Complicated or non-complicated appendicitis? That is the question

BACKGROUND: Acute appendicitis (AA) is a common disease that includes all age groups and both genders in societies and is one of the most common causes of acute abdomen. It is important to distinguish between complicated and non-complicated appendicitis before surgery. This study aims to determine laboratory parameters that can be used to determine whether the disease is complicated or non-complicated in patients admitted to the emergency department with AA.
METHODS: Female and male patients admitted to the Emergency General Surgery Department between May 2019 and November 2020 and diagnosed with appendicitis were included in the study. Demographic data (age, gender, and protocol numbers), complete blood counts (Delta neutrophil index [DNI], hemoglobin, monocyte, neutrophil, eosinophil, basophil, platelet, platelet distribution width, mean platelet volume, reticulocyte distribution width), biochemical parameters (amylase, direct bilirubin, indirect bilirubin, albumin, calcium, and lactate dehydrogenase), and examination information were obtained from the hospital automation system and recorded via SPSS software. Parameters of patients were divided into two groups as complicated and non-complicated appendicitis groups were compared.
RESULTS: White blood cell (WBC), monocyte, neutrophil, DNI, total bilirubin, and direct bilirubin values were found to be statisti-cally significantly higher in the complicated appendicitis group compared to the non-complicated appendicitis group (p-values; <0.001, 0.003, <0.001, <0.001 and 0.008, respectively).
CONCLUSION: DNI, bilirubin values, WBC, monocyte, neutrophil, and eosinophil can be used as laboratory parameters to distin-guish between complicated and non-complicated AA.