Can Mean Platelet Volume be Used as a Marker in Children with Acute Appendicitis?
Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2017, Vol 4, Issue 1
Abstract
Introduction: The primary aim of this study was to investigate the diagnostic value of mean platelet volume (MPV) in the diagnosis of acute appendicitis and the effect of the presence of complication on MPV values in children with acute appendicitis. Methods: Mean MPV values were retrospectively compared between children who were diagnosed with acute appendicitis by clinical and pathological methods and healthy children (n=51). Children with peritonitis, necrosis, perforation and/or abscess were classified as complicated appendicitis. Mean MPV values were compared between children with and without complicated appendicitis. Statistical analyses were performed by student’s t-test, the Kruskal-Wallis, and Mann-Whitney U tests. Results: The mean age of the children (n=43, 68% was male) was 8.7±4.0 years (range: 1-17). The children were divided into 3 age subgroups: ≤3 years (n=7), 4-9 years (n=13), and 10-16 years (n=23). Complicated appendicitis was detected in 71.4%, 30%, and 21% of children in ≤3 years, 4-9 years, and 10-17 years subgroups, respectively. Complicated and noncomplicated appendicitis was detected in 12 (28%) and 31 (72%) children, respectively. Mean MPV values were not significantly different between children with (9.4±0.5 fL) and without (9.3±0.6 fL) acute appendicitis (p>0.05). Mean MPV values were not significantly different between complicated (9.5±0,5 fL) and noncomplicated (9.4±0.4 fL) groups (p>0.05). Conclusion: It was observed that MPV is not a suitable marker for acute appendicitis in children in the first nine years of life. Additionally, MPV is not useful to discriminate between complicated and noncomplicated appendicitis in children aged between 1 and 17 years.
Authors and Affiliations
Gülay Çiler Erdağ, Fatma Tuba Coşkun, Suat Biçer, Meltem Uğraş, Tuba Giray, Çiğdem Kaspar, Öznur Küçük, Defne Çöl
Keywords
Related Articles
- EP ID EP227827
- DOI 10.4274/cayd.73745
- Views 111
- Downloads 0
Long Axis to Short Axis Ratio of Breast Masses Pre-Diagnosed as Fibroadenomas on Ultrasonography. Can it Be a Useful Tool in Predicting Malignancy?
Objectives: The purpose of this study was to calculate the long-axis-to-short axis ratio of breast masses pre-diagnosed as fibroadenoma (FA) on ultrasonography and determine its role in predicting malignancy. Materials a...
A Case of Pyridoxine Dependent Epilepsy Presented with Status Epilepticus
Pyridoxine-dependent epilepsy (PDE) is a rare autosomal recessive encephalopathy due to mutations in the ALDH7A1 gene. Intractable seizures are the most frequent clinical form in the early infantile period. A case of a 4...
Burnout Levels and Affecting Factors in Nurses Working in a University Hospital
Introduction: It was aimed to determine the burnout level and associated factors in nurses working in a university hospital. Methods: The study was designed as a cross-sectional study. The Maslach Burnout Inventory, 36-I...
Urolithiasis Frequency and Risk Factors in Home Ventilated Patients with Tracheostomy
Giriş: Bu çalışmada, ev tipi ventilatör ile izlenen trakeostomili hastalarda ürolitiazis sıklığı ve risk faktörlerinin değerlendirilmesi amaçlanmıştır. Yöntemler: Ocak 2014 ve Aralık 2015 tarihleri arasında çocuk yoğun b...
Clinical Features of Pseudotumour Cerebri Syndrome Syndrome: A Retrospective Evaluation of 60 Patients
Objectives: To evaluate the demographic, clinical and radiological characteristics of the patients who are followed up with the diagnosis of pseudotumour cerebri syndrome (PTCS). Materials and Methods: The etiological, s...