Journal of Clinical and Experimental Investigations

Abstract

Objective: Patients who is presented to ED with the complaint of abdominal pain account an important number in the ED practice. Availability of rapid and inexpensive tests is crucial in the differential diagnosis of these patients. Hemogram parameters is one of them. In this study, we investigated the biomarkers in hemogram parameters of the patients diagnosed with acute appendicitis.
Methods: Data of 520 patients who were operated with the presumed diagnosis of appendicitis in our hospital between 01/01/2012 and 31/12/2013 were retrospectively screened. Of the 410 patients whom data were fully reached, leukocyte, neutrophil and lymphocyte counts, neutrophil / lymphocyte ratio (NLR), pathology results and at the admission time and superficial tissue ultrasonography (USG) reports if further investigation has been made were recorded.
Results: According to the pathological diagnosis of 334 patients (81.5%), while appendicitis 76 patients (18.5%) was not appendicitis. When taken 11,6 x10³ for leukocyte, 8.5 x10³ for neutrophil, 3.9 for NLO, while specificity of total  was 78.8%, sensitive 73.6% was found.
Conclusion: Together evaluation of neutrophils, lymphocytes and NLR which are routinely used hemogram parameters in association of physical examination is seem to be more appropriate.