A novel approach to distinguish complicated and non-complicated acute cholecystitis: Decision tree method

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dc.authorid0000-0002-1030-3545en_US
dc.authorscopusid24491277000en_US
dc.authorwosidJAN-6981-2023en_US
dc.contributor.authorGojayev, Afig
dc.contributor.authorKarakaya, Emre
dc.contributor.authorErkent, Murathan
dc.contributor.authorYücebaş, Sait Can
dc.contributor.authorAydın, Hüseyin Onur
dc.contributor.authorKavasoğlu, Lara
dc.contributor.authorAydoğan, Cem
dc.contributor.authorYıldırım, Sedat
dc.date.accessioned2024-01-23T07:31:37Z
dc.date.available2024-01-23T07:31:37Z
dc.date.issued2023en_US
dc.departmentFakülteler, Mühendislik Fakültesi, Bilgisayar Mühendisliği Bölümü
dc.description.abstractIt is difficult to differentiate between non-complicated acute cholecystitis (NCAC) and complicated acute cholecystitis (CAC) preoperatively, which are two separate pathologies with different management. The aim of this study was to create an algorithm that distinguishes between CAC and NCAC using the decision tree method, which includes simple examinations. In this retrospective study, the patients were divided into 2 groups: CAC (149 patients) and NCAC (885 patients). Parameters such as patient demographic data, American Society of Anesthesiologists (ASA) score, Tokyo grade, comorbidity findings, white blood cell (WBC) count, neutrophil/lymphocyte ratio, C-reactive protein (CRP) level, albumin level, CRP/albumin ratio (CAR), and gallbladder wall thickness (GBWT) were evaluated. In this algorithm, the CRP value became a very important parameter in the distinction between NCAC and CAC. Age was an important predictive factor in patients with CRP levels >57 mg/L, and the critical value for age was 42. After the age factor, the important parameters in the decision tree were WBC and GBWT. In patients with a CRP value of ≤57 mg/L, GBWT is decisive and the critical value is 4.85 mm. Age, neutrophil/lymphocyte ratio, and WBC count were among the other important factors after GBWT. Sex, ASA score, Tokyo grade, comorbidity, CAR, and albumin value did not have an effect on the distinction between NCAC and CAC. In statistical analysis, significant differences were found groups in terms of gender (34.8% vs 51.7% male), ASA score (P < .001), Tokyo grade (P < .001), comorbidity (P < .001), albumin (4 vs 3.4 g/dL), and CAR (2.4 vs 38.4). By means of this algorithm, which includes low-cost examinations, NCAC and CAC distinction can be made easily and quickly within limited possibilities. Preoperative prediction of pathologies that are difficult to manage, such as CAC, can minimize patient morbidity and mortality.en_US
dc.identifier.citationGojayev, A., Karakaya, E., Erkent, M., Yücebaş, S.C., Aydın, H.O., Kavasoğlu, L., … Yıldırım, S. (2023). A novel approach to distinguish complicated and non-complicated acute cholecystitis: Decision tree method. Medicine, 102(19), e33749–e33749. https://doi.org/10.1097/md.0000000000033749 ‌en_US
dc.identifier.doi10.1097/md.0000000000033749
dc.identifier.issn0025-7974
dc.identifier.issn1536-5964
dc.identifier.issue9en_US
dc.identifier.pmid37171346
dc.identifier.scopus2-s2.0-85159741324
dc.identifier.urihttps://doi.org/10.1097/md.0000000000033749
dc.identifier.urihttps://hdl.handle.net/20.500.12428/5334
dc.identifier.volume102en_US
dc.identifier.wosWOS:000986244300051
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYücebaş, Sait Can
dc.language.isoen
dc.publisherLippincott Williams and Wilkinsen_US
dc.relation.ispartofMedicine (United States)en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAttribution-NonCommercial 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/3.0/us/*
dc.subjectCholecystitisen_US
dc.subjectDecision treeen_US
dc.subjectGangrenous cholecystitisen_US
dc.subjectNecrotizing cholecystitisen_US
dc.subjectPerforated cholecystitisen_US
dc.titleA novel approach to distinguish complicated and non-complicated acute cholecystitis: Decision tree method
dc.typeArticle

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