Bilirubin as a Predictor of Complicated Appendicitis in a District General Hospital: A Retrospective Analysis
Aims The objectives of the study were to establish the function of bilirubin as a novel diagnostic tool for predicting complex appendicitis and to compare the impact of other variables such as white blood cell count (WCC), C-reactive protein (CRP), and neutrophil. Methods This retrospective, single-...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552955/ https://www.ncbi.nlm.nih.gov/pubmed/36237793 http://dx.doi.org/10.7759/cureus.29036 |
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author | Halaseh, Sattam A Kostalas, Marcos Kopec, Charles Nimer, Abdullah |
author_facet | Halaseh, Sattam A Kostalas, Marcos Kopec, Charles Nimer, Abdullah |
author_sort | Halaseh, Sattam A |
collection | PubMed |
description | Aims The objectives of the study were to establish the function of bilirubin as a novel diagnostic tool for predicting complex appendicitis and to compare the impact of other variables such as white blood cell count (WCC), C-reactive protein (CRP), and neutrophil. Methods This retrospective, single-center cohort analysis included all patients admitted to Torbay General Hospital in Torquay, United Kingdom, between January 2020 and December 2020 with a clinical diagnosis of acute appendicitis. In addition to serum CRP, WCC, and neutrophil, serum bilirubin and other liver enzymes were obtained from the patients’ blood on admission. Results The quantitative analysis included 174 patients from the group that remained. The large majority of the sample consisted of adults and males (77% and 51.7%, respectively). Overall, 49.4% of participants in the study were diagnosed with complicated appendicitis; 74.7% of adults had complicated appendicitis, with 58.6% being male. In 68.6% of cases, perforated appendicitis was the most prevalent form of complicated appendicitis. Patients with complicated appendicitis had significantly higher WCC, neutrophil, and CRP levels than those with uncomplicated appendicitis (14.15 vs. 12.88, p = 0.016; 11.63 vs. 10.19, p = 0.007; and (89.28 vs. 40.65, p = 0.0001, respectively).. The significantly greater alkaline phosphatase and total serum bilirubin discrepancies were observed in patients with complicated appendicitis. There were statistically significant differences in the means of the patients: (18.46 vs. 10.98, p = 0.0001 and 110.64 vs. 102.24, p = 0.033). Conclusion Serum bilirubin is a crucial diagnostic aid for determining the existence of complicated appendicitis. |
format | Online Article Text |
id | pubmed-9552955 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-95529552022-10-12 Bilirubin as a Predictor of Complicated Appendicitis in a District General Hospital: A Retrospective Analysis Halaseh, Sattam A Kostalas, Marcos Kopec, Charles Nimer, Abdullah Cureus Pathology Aims The objectives of the study were to establish the function of bilirubin as a novel diagnostic tool for predicting complex appendicitis and to compare the impact of other variables such as white blood cell count (WCC), C-reactive protein (CRP), and neutrophil. Methods This retrospective, single-center cohort analysis included all patients admitted to Torbay General Hospital in Torquay, United Kingdom, between January 2020 and December 2020 with a clinical diagnosis of acute appendicitis. In addition to serum CRP, WCC, and neutrophil, serum bilirubin and other liver enzymes were obtained from the patients’ blood on admission. Results The quantitative analysis included 174 patients from the group that remained. The large majority of the sample consisted of adults and males (77% and 51.7%, respectively). Overall, 49.4% of participants in the study were diagnosed with complicated appendicitis; 74.7% of adults had complicated appendicitis, with 58.6% being male. In 68.6% of cases, perforated appendicitis was the most prevalent form of complicated appendicitis. Patients with complicated appendicitis had significantly higher WCC, neutrophil, and CRP levels than those with uncomplicated appendicitis (14.15 vs. 12.88, p = 0.016; 11.63 vs. 10.19, p = 0.007; and (89.28 vs. 40.65, p = 0.0001, respectively).. The significantly greater alkaline phosphatase and total serum bilirubin discrepancies were observed in patients with complicated appendicitis. There were statistically significant differences in the means of the patients: (18.46 vs. 10.98, p = 0.0001 and 110.64 vs. 102.24, p = 0.033). Conclusion Serum bilirubin is a crucial diagnostic aid for determining the existence of complicated appendicitis. Cureus 2022-09-11 /pmc/articles/PMC9552955/ /pubmed/36237793 http://dx.doi.org/10.7759/cureus.29036 Text en Copyright © 2022, Halaseh et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Pathology Halaseh, Sattam A Kostalas, Marcos Kopec, Charles Nimer, Abdullah Bilirubin as a Predictor of Complicated Appendicitis in a District General Hospital: A Retrospective Analysis |
title | Bilirubin as a Predictor of Complicated Appendicitis in a District General Hospital: A Retrospective Analysis |
title_full | Bilirubin as a Predictor of Complicated Appendicitis in a District General Hospital: A Retrospective Analysis |
title_fullStr | Bilirubin as a Predictor of Complicated Appendicitis in a District General Hospital: A Retrospective Analysis |
title_full_unstemmed | Bilirubin as a Predictor of Complicated Appendicitis in a District General Hospital: A Retrospective Analysis |
title_short | Bilirubin as a Predictor of Complicated Appendicitis in a District General Hospital: A Retrospective Analysis |
title_sort | bilirubin as a predictor of complicated appendicitis in a district general hospital: a retrospective analysis |
topic | Pathology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552955/ https://www.ncbi.nlm.nih.gov/pubmed/36237793 http://dx.doi.org/10.7759/cureus.29036 |
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