UNASSIGNED: The retrospective analysis included adult patients, aged eighteen or older, who were diagnosed with AA, and sought treatment at the ED of a tertiary hospital. Patients were divided into two groups: complicated appendicitis (CA) and uncomplicated appendicitis (UCA). The cut-off in diagnostic value measurements was determined using the receiver operating characteristic analysis.
UNASSIGNED: A total of 436 patients (CA: 126, UCA: 310) were included. Neutrophil-to-lymphocyte ratio (NLR), neutrophil-to-albumin ratio, systemic immune-inflammation index (SII), systemic inflammation response index (SIRI), and pan-immune inflammation value (PIV) were found to have acceptable diagnostic power in CA detection (area under the curve [AUC]: 0.735-0.783). In detecting UCA, HALP and m-HALP were of fair diagnostic power (AUC: 0.64, 0.68, respectively).
UNASSIGNED: In this study, we found that although PIV, SIRI, SII, and NLR had acceptable diagnostic values in distinguishing CA and UCA, HALP and m-HALP had fair diagnostic values.
■回顾性分析包括成年患者,18岁或以上,被诊断为AA,并在三级医院的急诊室寻求治疗。患者分为两组:复杂性阑尾炎(CA)和非复杂性阑尾炎(UCA)。使用接收器工作特性分析确定诊断值测量的截止值。
■共纳入436例患者(CA:126,UCA:310)。中性粒细胞与淋巴细胞比率(NLR),中性粒细胞与白蛋白的比率,全身免疫炎症指数(SII),全身炎症反应指数(SIRI),发现泛免疫炎症值(PIV)在CA检测中具有可接受的诊断能力(曲线下面积[AUC]:0.735-0.783)。在检测UCA时,HALP和m-HALP具有相当的诊断能力(AUC分别为0.64、0.68)。
■在这项研究中,我们发现虽然PIV,SIRI,SII,NLR在区分CA和UCA方面具有可接受的诊断价值,HALP和m-HALP具有良好的诊断价值。