It appears you don't have support to open PDFs in this web browser. To view this file, Open with your PDF reader
Abstract
Introduction: Perforated appendicitis (PA) in children is associated with a considerable risk for postoperative complications (POCs) such as wound infection and intra-abdominal abscess.
The aim of this study was to determine the diagnostic accuracy of hematological parameters in the early POC detection in children after PA surgery.
Materials and Methods: The study enrolled 71 patients with PA divided into two groups: 14 patients with POC (POC+ group) and 57 patients without POC (POC− group). Clinical and hematological parameters were followed preoperatively, prior to the surgery (PRO) and postoperatively on day 2 (POD2) and day 4 (POD4).
Results: The POC+ group had longer duration of higher axillar temperature as well as extended intensive and inpatient care. This group also had a significantly lower absolute neutrophil count ratio between POD2 and POD4. According to the receiver operating characteristic curve analysis, relative neutrophil count on POD4 higher than 71.8% and the ratio of absolute neutrophil count between POD2 and POD4 lower than 44.5% were found to be useful for predicting POC.
Conclusion: Absolute neutrophil count ratio between POD2 and POD4 and relative neutrophil count at POD4 could be efficient in identifying children at higher risk of developing POC after PA surgery.
You have requested "on-the-fly" machine translation of selected content from our databases. This functionality is provided solely for your convenience and is in no way intended to replace human translation. Show full disclaimer
Neither ProQuest nor its licensors make any representations or warranties with respect to the translations. The translations are automatically generated "AS IS" and "AS AVAILABLE" and are not retained in our systems. PROQUEST AND ITS LICENSORS SPECIFICALLY DISCLAIM ANY AND ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION, ANY WARRANTIES FOR AVAILABILITY, ACCURACY, TIMELINESS, COMPLETENESS, NON-INFRINGMENT, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Your use of the translations is subject to all use restrictions contained in your Electronic Products License Agreement and by using the translation functionality you agree to forgo any and all claims against ProQuest or its licensors for your use of the translation functionality and any output derived there from. Hide full disclaimer
Details
1 Department of Anesthesiology and Reanimatology, Faculty of Medicine, University of Nis, Serbia; Clinic for Anesthesia and Intensive Therapy, Clinical Centre Nis, Serbia
2 Department of Pathology, Faculty of Medicine, University of Nis, Serbia; Centre of Pathology, Clinical Centre Nis, Serbia
3 Department of Surgery with Anesthesiology, Faculty of Medicine, University of Belgrade, Serbia; Department of Anesthesiology, Reanimatology and Intensive Therapy, University Children’s Hospital, Belgrade, Serbia
4 Department of Immunology, Faculty of Medicine, University of Nis, Serbia
5 Department of Surgery with Anesthesiology, Faculty of Medicine, University of Belgrade, Serbia; Department of Anesthesiology, Reanimatology and Intensive Therapy, University Children’s Hospital, Serbia