چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| امیر حسین جعفری روحی | اول |
| آیدین محمودعلیلو | دوم |
| عنوان | متن |
|---|---|
| کلمات کلیدی | Acute appendicitis, Pediatric emergency, Procalcitonin (PCT), C-reactive protein (CRP), Appendicitis severity, Surgical complications, Pediatric appendicitis diagnosis, Emergency care |
| خلاصه مقاله | Introduction: Acute appendicitis remains one of the most common surgical emergencies in children. Rapid and accurate assessment of its severity is essential for appropriate management and prevention of complications. This study evaluates the role of procalcitonin (PCT) and C-reactive protein (CRP) as biomarkers in determining the severity of acute appendicitis in pediatric emergency patients. Methods: Over 9 months, from the beginning of July 2023 to the end of March 2024, we prospectively included 62 patients under the age of 18 who presented to the pediatric emergency department at Mardani Azar Children’s Hospital with suspected appendicitis. Blood samples were obtained to measure PCT, and CRP, and perform a complete blood count (CBC). All patients were admitted under the surgical service for further evaluation. Six patients left the hospital against medical advice to continue treatment at private facilities and were excluded from follow-up. Of the remaining 56 patients, 25 were diagnosed with non-appendicitis conditions and discharged after observation, while 31 underwent appendectomy. Results: Among the 31 patients who underwent surgery, 13 cases were associated with complications such as perforation or abscess formation. Initial levels of both PCT and CRP were markedly elevated in these complicated cases, with PCT showing a statistically significant correlation with disease severity (p < 0.01). Conclusion: Procalcitonin demonstrates a strong association with the severity of acute appendicitis in children and may serve as a reliable biomarker in the emergency setting. The concurrent use of CRP and PCT could enhance diagnostic accuracy, facilitate timely surgical intervention, and reduce the risk of complications. Further studies with larger sample sizes are recommended to validate these findings. |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| Ketabche Congress.pdf | 1403/12/08 | 8396671 | دانلود |
| 110.pdf | 1403/12/08 | 334654 | دانلود |
| Rapid and Accurate Assessment of Acute Appendicitis Severity in Pediatric Emergency Patients Using Procalcitonin and C-Reactive Protein.docx | 1403/12/08 | 17343 | دانلود |
