Platelet-to-lymphocyte ratio in diagnosis of acute complicated appendicitis in childhood

Abstract

AimLate or misdiagnoses of acute complicated appendicitis may increase the morbidity and mortality. In this study, we aimed to test the utility of Platelet-to-Lymphocyte ratio in early diagnosis of acute complicated appen-dicitis.MethodThe records of 55 noncomplicated and 16 com-plicated acute appendicitis cases were evaluated. Hematologic data of the cases were used.ResultsThe mean age of the patients was 10.6±3.9 years. Platelet (271±71 vs. 365±105, p=0.003), MPV (7.8±1 vs. 7.1±0.7, p=0.006) and Platelet-to-lymphocyte ratio (174±104 vs. 217±65, p=0.031) were sig-nificantly different in complicated appendicitis. In diagnosis of complicated acute appendicitis, the cut-off value for Platelet-to-lymphocyte ratio was de-termined as 195 (95% CI (0.54-0.81, p=0.031) (sensitivity 62.5% and speci-ficity 61.8%).ConclusionPlatelet-to-lymphocyte ratio is an easily available test that can be used in differentiation of complicated acute appendicitis from noncomplicated in children.

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