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Original Article

IJMDC. 2023; 7(6): 867-873

DOI: 10.24911/IJMDC.51-1672007569

Using neutrophil-lymphocyte ratio, mean platelet volume, and hyponatremia to diagnose appendicitis in children

Authors: Ali Mohammed Assiri, Norah Abdulrahman Alrowabah, Abdulsalam Ali Alobaidi.

ABSTRACT

Background: Acute appendicitis is one of the common reasons for acute abdominal pain among children. The diagnosis of appendicitis in children is always challenging. There is a failure to improve morbidity and mortality related to appendicitis, even after advancements in imaging modalities. Therefore, there is a need for markers to help in the diagnosis process. This study aimed at finding if neutrophil to lymphocyte ratio (NLR), mean platelet volume (MPV), and hyponatremia are helpful tools to diagnose acute appendicitis and whether they can be beneficial in distinguishing complicated from uncomplicated appendicitis among children. Methods: This cross-sectional study was conducted on the pediatric population who were diagnosed with acute appendicitis and treated as an inpatient in the Ministry of Health Hospitals in Abha and Khamis Mushayt. The data of patients were collected using a data collection sheet. Statistical analysis was conducted using the Statistical Package for the Social Sciences software. Results: Among 384 children with appendicitis; 72.9% had an uncomplicated acute appendectomy, and 27.1% had a complicated condition. NLR significantly increased among complicated cases (p < 0.001), whereas MPV and sodium levels were increased among uncomplicated patients (p < 0.001). The logistic regression model showed that NLR was a predictor for complicated appendicitis (p = 0.031, OR = 1.066; CI 1.006-1.129), whereas regarding increased levels of MPV and sodium, it was found that p = 0.009, OR = 0.794; CI 0.668-0.945 for MPV, and p < 0.001, OR = 0.803; CI 0.735-0.878 for sodium. Conclusion: NLR, low MPV, and hyponatremia have a role in the diagnosis of complicated appendicitis, and they can be predictors of complicated appendicitis.

Keywords:
Appendicitis, children, NLR, MPV, hyponatremia, diagnosis.

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Using neutrophil-lymphocyte ratio, mean platelet volume, and hyponatremia to diagnose appendicitis in children

Authors
Ali Mohammed Assiri
Abha Maternity and Children Hospital, Abha, Saudi Arabia
PubMed articles Google scholar articles

Norah Abdulrahman Alrowabah
Abha Maternity and Children Hospital, Abha, Saudi Arabia
PubMed articles Google scholar articles

Abdulsalam Ali Alobaidi
Khamis Mushait Maternity and Children's Hospital, Khamis Mushait, Saudi Arabia.
PubMed articles Google scholar articles

Correspondence to:
. Khamis Mushait Maternity and Children's Hospital, Khamis Mushait, Saudi Arabia.; aasabeedi@gmail.com

Publication history
Received 25 Dec 2022
Accepted 17 Jan 2023
Published online 08 Feb 2023
Published in print 13 Mar 2023

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Pubmed Style

Assiri AM, Alrowabah NA, Alobaidi AA. Using neutrophil-lymphocyte ratio, mean platelet volume, and hyponatremia to diagnose appendicitis in children. IJMDC. 2023; 7(6): 867-873. doi:10.24911/IJMDC.51-1672007569

Web Style

Assiri AM, Alrowabah NA, Alobaidi AA. Using neutrophil-lymphocyte ratio, mean platelet volume, and hyponatremia to diagnose appendicitis in children. https://www.ijmdc.com/?mno=134057 [Access: May 28, 2023]. doi:10.24911/IJMDC.51-1672007569

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Assiri AM, Alrowabah NA, Alobaidi AA. Using neutrophil-lymphocyte ratio, mean platelet volume, and hyponatremia to diagnose appendicitis in children. IJMDC. (2023), [cited May 28, 2023]; 7(6): 867-873. doi:10.24911/IJMDC.51-1672007569

Harvard Style

Assiri, A. M., Alrowabah, . N. A. & Alobaidi, . A. A. (2023) Using neutrophil-lymphocyte ratio, mean platelet volume, and hyponatremia to diagnose appendicitis in children. IJMDC, 7 (6), 867-873. doi:10.24911/IJMDC.51-1672007569

Turabian Style

Assiri, Ali Mohammed, Norah Abdulrahman Alrowabah, and Abdulsalam Ali Alobaidi. 2023. Using neutrophil-lymphocyte ratio, mean platelet volume, and hyponatremia to diagnose appendicitis in children. International Journal of Medicine in Developing Countries, 7 (6), 867-873. doi:10.24911/IJMDC.51-1672007569

Chicago Style

Assiri, Ali Mohammed, Norah Abdulrahman Alrowabah, and Abdulsalam Ali Alobaidi. "Using neutrophil-lymphocyte ratio, mean platelet volume, and hyponatremia to diagnose appendicitis in children." International Journal of Medicine in Developing Countries 7 (2023), 867-873. doi:10.24911/IJMDC.51-1672007569

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Assiri, A. M., Alrowabah, . N. A. & Alobaidi, . A. A. (2023) Using neutrophil-lymphocyte ratio, mean platelet volume, and hyponatremia to diagnose appendicitis in children. International Journal of Medicine in Developing Countries, 7 (6), 867-873. doi:10.24911/IJMDC.51-1672007569

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International Journal of Medicine in Developing Countries