Predictive Value of Red Cell Distribution Width and Mean Platelet Volume in the Diagnosis and Determination of Severity in Acute Appendicitis Cases

Journal Title: Turkish Journal of Colorectal Disease - Year 2021, Vol 31, Issue 1

Abstract

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.

Authors and Affiliations

Muhammet Akyüz, Uğur Topal, Erdoğan Mütevelli Sözüer, Şadi Yenel İsaoğulları, Mustafa Gök, Türkmen Bahadır Arıkan

Keywords

Related Articles

Laparoscopic Resection of Primary Tumor with Synchronous Conventional Resection of Liver Metastases in Patients with Stage 4 Colorectal Cancer: A Retrospective Analysis

Aim: Aim of this study is to analyze the short and long term results of laparoscopic colorectal cancer resection with synchronous conventional resection of liver metastasis. Method: All cases operated on synchronous col...

A Rare Case of Colonic Schwannoma

Schwannomas are tumors originating from schwann cells in the nervous system. Colonic location is rarely seen and there are a few case reports published in the literature. We report a 53 year-old female who presented with...

Predictive Value of Red Cell Distribution Width and Mean Platelet Volume in the Diagnosis and Determination of Severity in Acute Appendicitis Cases

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: Pa...

Is Tocilizumab A Risk Factor for Lower Gastrointestinal Perforations? Isolated Cecal Necrosis: A Rare Case Report

Isolated cecal necrosis is a rare seen clinical condition. A 53-year-old woman with a history of rheumatoid arthritis and hypertension presented to the emergency room with complaints of abdominal pain and vomiting that p...

Download PDF file
  • EP ID EP693148
  • DOI 10.4274/tjcd.galenos.2020.2020-7-5
  • Views 114
  • Downloads 0

How To Cite

Muhammet Akyüz, Uğur Topal, Erdoğan Mütevelli Sözüer, Şadi Yenel İsaoğulları, Mustafa Gök, Türkmen Bahadır Arıkan (2021). Predictive Value of Red Cell Distribution Width and Mean Platelet Volume in the Diagnosis and Determination of Severity in Acute Appendicitis Cases. Turkish Journal of Colorectal Disease, 31(1), -. https://europub.co.uk/articles/-A-693148