A new approach to the management of acute appendicitis: Decision tree method

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dc.authoridErkent, Murathan/0000-0002-3592-5092
dc.contributor.authorErkent, Murathan
dc.contributor.authorKarakaya, Emre
dc.contributor.authorYucebas, Sait Can
dc.date.accessioned2025-01-27T20:23:13Z
dc.date.available2025-01-27T20:23:13Z
dc.date.issued2022
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractABSTR A C T Background: It is important to distinguish between complicated acute appendicitis (CAA) and noncomplicated acute appendicitis (NCAA) because the treatment methods are different. We aimed to create an algorithm that determines the severity of acute appendicitis (AA) without the need for imaging methods, using the decision tree method. Methods: The patients were analyzed retrospectively and divided into two groups as CAA and NCAA. Age, gender, Alvarado scores, white blood cell values (WBC), neutrophil/lymphocyte ratios (NLR), C-reactive protein value (CRP), albumin value and CRP/Albumin ratios of the patients were recorded. Results: In the algorithm we created, the most important parameter in the distinction between CAA and NCAA is CRP. NLR is predictive in patients with a CRP value of <= 107.565 mg/L, and the critical value is NLR 2.165. In pa-tients with a CRP value of >107.565 mg/L, albumin is the determinant and the critical value is 2.85 g/dL. Age, gen -der, alvarado score and CRP/albumin ratio have no significance in distinguishing between CAA and NCAA. In the statistical analysis, there were significant differences between NCAA and CAA groups in terms of age (39.56 years vs 13,675 years), gender (48.1% male vs 71.4% male), WBC (13,891.10/mL vs 11,614.76/mL), CRP (27 mg/L vs 127 mg/L), albumin (3 g/dL vs 3 g/dL) and CRP/albumin (9.50 vs. 41). Conclusion: Thanks to the algorithm we created, CAA and NCAA distinction can be made quickly. In addition, by avoiding unnecessary surgical procedures in NCAA cases, patients' quality of life can be increased and morbidity rates can be minimized.(c) 2022 Elsevier Inc. All rights reserved.
dc.identifier.doi10.1016/j.ajem.2022.01.034
dc.identifier.endpage146
dc.identifier.issn0735-6757
dc.identifier.issn1532-8171
dc.identifier.pmid35152124
dc.identifier.scopus2-s2.0-85124249976
dc.identifier.scopusqualityQ1
dc.identifier.startpage142
dc.identifier.urihttps://doi.org/10.1016/j.ajem.2022.01.034
dc.identifier.urihttps://hdl.handle.net/20.500.12428/22151
dc.identifier.volume54
dc.identifier.wosWOS:000797601400027
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherW B Saunders Co-Elsevier Inc
dc.relation.ispartofAmerican Journal of Emergency Medicine
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectAppendicitis
dc.subjectPerforated appendicitis
dc.subjectDecision tree
dc.subjectPhlegmon
dc.subjectRuptured appendicitis
dc.subjectAppendicitis
dc.subjectPerforated appendicitis
dc.subjectDecision tree
dc.subjectPhlegmon
dc.subjectRuptured appendicitis
dc.titleA new approach to the management of acute appendicitis: Decision tree method
dc.typeArticle

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