Contrubition of white blood cell count and C-reactive protein in the diagnosis of acute apendicitis: Exprience of a town hospital LÖKOSİT SAYISI VE C-REAKTİF PROTEİNİN AKUT APANDİSİT TANISINA KATKISI: BİR İLÇE HASTANESİ DENEYİMİ
Anatolian Journal of Clinical Investigation, vol.9, no.1, pp.200-203, 2015 (Scopus)
- Publication Type: Article / Article
- Volume: 9 Issue: 1
- Publication Date: 2015
- Journal Name: Anatolian Journal of Clinical Investigation
- Journal Indexes: Scopus
- Page Numbers: pp.200-203
- Keywords: Acute appendicitis, C-reactive protein, White blood cell
- Hatay Mustafa Kemal University Affiliated: Yes
Abstract
To determine if white blood cell count and C-reactive protein contribute the diagnosis of acute appendicitis in a town hospital that is far away high-volume centers.Patients who underwent appendectomy between January 2011 and June 2012 reviewed retrospectively. Patients who were performed appendectomy as a secondary of another operation excluded from the study. Patients distributed into two groups: appendicitis and negative appendectomy.65 patients were performed open appendectomy while other 5 patients underwent laparoscopic appendectomy. Negative appendectomy rate was 14.3%. Both mean white blood cell counts (p<0.01) and C-reactive protein levels (p=0.02) were significantly different for two groups. However, the highest specificity (90%) was obtained when both of them raised. 6 patients had morbidities in the postoperative course, and the mean length of hospital stay was 2.3 days.White blood cell count and C-reactive protein level are simple tests that can be worked in many centers; however, they can only facilitate acute appendicitis diagnosis when they interpreted with clinical findings. Possibility of acute appendicitis is very low, in a patient who admits emergency department with low right abdominal pain, when both tests are in normal ranges. We believe that observation with re-evaluation in certain intervals would contribute on reducing negative appendectomy rate even in centers with limited facilities.