Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis

Aim:The C-reactive protein (CRP)/albumin ratio is a new inflammation-based prognostic score that correlates with inflammation severity.Objective:The present study investigated the diagnostic value of the CRP/albumin ratio to distinguish between patients with simple and complicated acute appendicitis...

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Main Authors: Serkan Doğan, Melis Dorter, Utku Murat Kalafat, Büşra Bildik, Ramiz Yazıcı, İnanç Şamil Sarıcı, Başar Cander
Format: Article
Language:English
Published: Galenos Yayinevi 2020-09-01
Series:Eurasian Journal of Emergency Medicine
Subjects:
Online Access: http://akademikaciltip.com/archives/archive-detail/article-preview/diagnostic-value-of-c-reactive-protein-albumin-rat/40183
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author Serkan Doğan
Melis Dorter
Utku Murat Kalafat
Büşra Bildik
Ramiz Yazıcı
İnanç Şamil Sarıcı
Başar Cander
author_facet Serkan Doğan
Melis Dorter
Utku Murat Kalafat
Büşra Bildik
Ramiz Yazıcı
İnanç Şamil Sarıcı
Başar Cander
author_sort Serkan Doğan
collection DOAJ
description Aim:The C-reactive protein (CRP)/albumin ratio is a new inflammation-based prognostic score that correlates with inflammation severity.Objective:The present study investigated the diagnostic value of the CRP/albumin ratio to distinguish between patients with simple and complicated acute appendicitis. This retrospective study was conducted at the University of Health Sciences Turkey, Kanuni Sultan Süleyman Training and Research Hospital, Department of Emergency Medicine, after approval from the ethics committee.Materials and Methods:A total of 188 patients with acute appendicitis were included. Biochemical parameters, CRP/albumin ratio, ultrasonography (USG) and computed tomography (CT) results, operation findings and length of hospital-stay were compared between patients with simple and complicated appendicitis.Results:There was no statistically significant difference in terms of leukocyte count, albumin value and diameter of the appendicitis between both USG and CT. The CRP/albumin ratio could specifically differentiate the complicated appendicitis group. The cut-off point of the CRP/ albumin ratio for the diagnosis of complicated appendicitis was 4.4.Conclusion:The CRP/albumin ratio may be used as a valuable biomarker in the clinical diagnostic process and in treatment planning, particularly to differentiate patients with acute complicated appendicitis from those with non-complicated acute appendicitis.
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spelling doaj.art-975b9ef63cbd462fac5a67f11523a5a32023-02-15T16:13:07ZengGalenos YayineviEurasian Journal of Emergency Medicine2149-58072149-60482020-09-0119317818310.4274/eajem.galenos.2019.5238513049054Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated AppendicitisSerkan Doğan0Melis Dorter1Utku Murat Kalafat2Büşra Bildik3Ramiz Yazıcı4İnanç Şamil Sarıcı5Başar Cander6 Clinic of Emergency Medicine, Kanuni Sultan Süleyman Training and Research Hospital, University of Health Sciences Turkey, İstanbul, Turkey Clinic of Emergency Medicine, Kanuni Sultan Süleyman Training and Research Hospital, University of Health Sciences Turkey, İstanbul, Turkey Clinic of Emergency Medicine, Kanuni Sultan Süleyman Training and Research Hospital, University of Health Sciences Turkey, İstanbul, Turkey Clinic of Emergency Medicine, Kanuni Sultan Süleyman Training and Research Hospital, University of Health Sciences Turkey, İstanbul, Turkey Clinic of Emergency Medicine, Kanuni Sultan Süleyman Training and Research Hospital, University of Health Sciences Turkey, İstanbul, Turkey Clinic of General Surgery, Kanuni Sultan Süleyman Training and Research Hospital, University of Health Sciences Turkey, İstanbul, Turkey Clinic of Emergency Medicine, Kanuni Sultan Süleyman Training and Research Hospital, University of Health Sciences Turkey, İstanbul, Turkey Aim:The C-reactive protein (CRP)/albumin ratio is a new inflammation-based prognostic score that correlates with inflammation severity.Objective:The present study investigated the diagnostic value of the CRP/albumin ratio to distinguish between patients with simple and complicated acute appendicitis. This retrospective study was conducted at the University of Health Sciences Turkey, Kanuni Sultan Süleyman Training and Research Hospital, Department of Emergency Medicine, after approval from the ethics committee.Materials and Methods:A total of 188 patients with acute appendicitis were included. Biochemical parameters, CRP/albumin ratio, ultrasonography (USG) and computed tomography (CT) results, operation findings and length of hospital-stay were compared between patients with simple and complicated appendicitis.Results:There was no statistically significant difference in terms of leukocyte count, albumin value and diameter of the appendicitis between both USG and CT. The CRP/albumin ratio could specifically differentiate the complicated appendicitis group. The cut-off point of the CRP/ albumin ratio for the diagnosis of complicated appendicitis was 4.4.Conclusion:The CRP/albumin ratio may be used as a valuable biomarker in the clinical diagnostic process and in treatment planning, particularly to differentiate patients with acute complicated appendicitis from those with non-complicated acute appendicitis. http://akademikaciltip.com/archives/archive-detail/article-preview/diagnostic-value-of-c-reactive-protein-albumin-rat/40183 appendicitisc-reactive proteinalbumincrp/albumin ratiocomplicated appendicitis
spellingShingle Serkan Doğan
Melis Dorter
Utku Murat Kalafat
Büşra Bildik
Ramiz Yazıcı
İnanç Şamil Sarıcı
Başar Cander
Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis
Eurasian Journal of Emergency Medicine
appendicitis
c-reactive protein
albumin
crp/albumin ratio
complicated appendicitis
title Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis
title_full Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis
title_fullStr Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis
title_full_unstemmed Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis
title_short Diagnostic Value of C-Reactive Protein/Albumin Ratio to Differentiate Simple Versus Complicated Appendicitis
title_sort diagnostic value of c reactive protein albumin ratio to differentiate simple versus complicated appendicitis
topic appendicitis
c-reactive protein
albumin
crp/albumin ratio
complicated appendicitis
url http://akademikaciltip.com/archives/archive-detail/article-preview/diagnostic-value-of-c-reactive-protein-albumin-rat/40183
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AT melisdorter diagnosticvalueofcreactiveproteinalbuminratiotodifferentiatesimpleversuscomplicatedappendicitis
AT utkumuratkalafat diagnosticvalueofcreactiveproteinalbuminratiotodifferentiatesimpleversuscomplicatedappendicitis
AT busrabildik diagnosticvalueofcreactiveproteinalbuminratiotodifferentiatesimpleversuscomplicatedappendicitis
AT ramizyazıcı diagnosticvalueofcreactiveproteinalbuminratiotodifferentiatesimpleversuscomplicatedappendicitis
AT inancsamilsarıcı diagnosticvalueofcreactiveproteinalbuminratiotodifferentiatesimpleversuscomplicatedappendicitis
AT basarcander diagnosticvalueofcreactiveproteinalbuminratiotodifferentiatesimpleversuscomplicatedappendicitis