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
A Single-center Experience of Clinical Outcomes of Surgical Management for Rectocele Disease
Aim: Different surgical management options have been described for rectocele disease. However, there is no consensus on the best surgical technique and mesh use. In this study, we present the clinical outcomes of patient...
Symptomatic Efficacy of Aloe Vera 2% Cream in the Treatment of Chronic Anal Fissure
Aim: Chronic anal fissure (CAF) is a common disease for which various alternative treatment options exist. One of these alternatives is topical treatment with Aloe vera 2% cream (AVC), reports of which have increased in...
Utility of Methylene Blue Guided Limberg Flap on Longterm Recurrence in Adult Chronic Pilonidal Disease
Aim: Pilonidal sinus is a chronic intermittent disease, usually involving the sacrococcygeal area. This study was undertaken to compare the long-term results of peroperative methylene blue use in patients with pilonidal...
Pelvic Exenteration for Recurrent Rectal Cancer: A Single Institution Experience
Aim: Rectal cancer is an important cause of cancer-related deaths worldwide (1-2). Although rectal cancers can be diagnosed earlier nowadays due to the development of screening programmes, 18% of patients have a locally...
Does a Distal Surgical Margin Closer than 10 mm Increase the Risk of Recurrence in Locally Advanced Rectal Cancer in a Mid-Distal Location?
Aim: Although many factors affecting recurrence, including surgical margin involvement, have been considered in rectum cancer surgery, there is no consensus on the definition of a safe distal surgical margin (DSM).We aim...