%0 Journal Article
%T Procalcitonin and C-reactive protein as early predictors in patients at high risk of colorectal anastomotic leakage.
%A Hu Y
%A Ren J
%A Lv Z
%A Liu H
%A Qiu X
%J J Int Med Res
%V 52
%N 6
%D 2024 Jun
%M 38867514
%F 1.573
%R 10.1177/03000605241258160
%X <B>OBJECTIVE: </B>To assess the diagnostic value of C-reactive protein (CRP) and procalcitonin (PCT) for anastomotic leakage (AL) following colorectal surgery.<BR><B>METHODS: </B>We retrospectively analyzed data for patients who underwent colorectal surgery at our hospital between November 2019 and December 2023. CRP and PCT were measured postoperatively to compare patients with/without AL, and changes were compared between low- and high-risk groups. Receiver operating characteristic (ROC) curve analysis was used to assess the diagnostic accuracy of CRP and PCT to identify AL in high-risk patients.<BR><B>RESULTS: </B>Mean CRP was 142.53 mg/L and 189.57 mg/L in the low- and high-risk groups, respectively, on postoperative day (POD)3. On POD2, mean PCT was 2.75 ng/mL and 8.16 ng/mL in low- and high-risk patients, respectively; values on POD3 were 3.53 ng/mL and 14.86 ng/mL, respectively. The areas under the curve (AUC) for CRP and PCT on POD3 were 0.71 and 0.78, respectively (CRP cut-off: 235.64 mg/L; sensitivity: 96%; specificity: 89.42% vs PCT cut-off: 3.94 ng/mL; sensitivity: 86%; specificity: 93.56%; AUC: 0.78). The AUC, sensitivity, and specificity for the combined diagnostic ability of CRP and PCT on POD3 were 0.92, 90%, and 100%, respectively (cut-off: 0.44).<BR><B>CONCLUSIONS: </B>Combining PCT and CRP on POD3 enhances the diagnostic accuracy for AL.