Is There a Supporting Value of Platelet Distribution Width and Plateletcrit in the Diagnosis of Acute Appendicitis in Children?

Abstract

This study was designed to investigate the diagnostic value of platelet distribution width (PDW) and plateletcrit (PCT) for acute appendicitis in childhood. A retrospective review was conducted of the records of 373 patients younger than 18 years who underwent appendectomy. Demographic data, white blood cell count, neutrophil count, and PDW and PCT values were recorded for all patients. A control group was formed of age- and gender-matched healthy children. The study results showed that the PDW level is not valuable as a marker for the diagnosis of acute appendicitis in children. PCT levels were determined to be statistically significantly increased in pediatric acute appendicitis with low specificity.

A novel diagnostic scoring system for pediatric appendicitis based on age and sexadjusted hematological parameters

“…Bilici et al encontraron una media más alta de leucocitos en un grupo de apendicitis aguda en comparación con un grupo sin apendicitis aguda. 23 Eun et al informaron valores de 0.79, 0.66, 0.73 y 0.68, para la sensibilidad y especificidad del recuento leucocitario y la proteína C reactiva, respectivamente. 4 Aunque los niveles de leucocitos son generalmente altos en la apendicitis aguda, en algunos casos pueden ser bajos.…”

A Novel Diagnostic Scoring System for Pediatric Appendicitis Based on Age and Sex-Adjusted Hematological Parameters

“…In a patient admitted to the hospital with abdominal pain + right lower quadrant tenderness, mild WBC increase is considered signi cant for acute appendicitis, while severe WBC increase is considered signi cant for perforated appendicitis. Bilici et all have found a higher mean of WBC in the AA group compared to non-AA [23]. Eun et all reported the sensitivity and speci city values of WBC and CRP as 0.79, 0.66, and 0.73, 0.68, respectively [4].…”