Clinical value of immature granulocyte percentage in pre-dicting severity of acute appendicitis in children
10.3969/j.issn.1009-9905.2024.07.006
- VernacularTitle:未成熟粒细胞百分比在预测儿童急性阑尾炎严重程度中的临床价值
- Author:
Xin-Li ZHANG
1
;
Kai-Jiang LI
;
Pu-Yu ZHAO
;
Liang ZHAO
;
Bing LIANG
;
Dong-Fang LU
;
Yu-Cheng SHI
Author Information
1. 周口市中心医院检验科(河南 周口 466000)
- Keywords:
Immature granulocyte percentage;
Acute appendicitis;
Inflammatory indicator
- From:
Chinese Journal of Current Advances in General Surgery
2024;27(7):533-537
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical value immature granulocyte percentage(IG％)and other inflammatory indicators in the severity of acute appendicitis.Methods:A total of 201 pediatric patients undergoing appendicitis surgery admitted to Zhoukou Central Hospital from June 2022 to August 2023 were included.Patients with pathologically confirmed actue appendici-tis were divided two subgroups:actue simple appendicitis(ASA)group and actue complicated ap-pendicitis(ACA)group,The variables that included IG％,white blood cell(WBC)count,absolute neutrophil count(ANC),absolute lymphocyte count(ALC),neutrophil to lymphocyte ratio(NLR),pro-calcitonin(PCT),C-reactive protein(CRP),platelet to lymphocyte(PLR)and other indexes were ana-lyzed between ASA and ACA group.The logistic regression model for diagnosis of ACA was es-tablished,and the diagostic value of this model and other inflammtory indicators for ACA was evaluated by receiver operating characteristic(ROC)curve analysis.Results:The levels of IG％,WBC,ANC,ALC,NLR,PCT and PLR were higher and the level of ALC was lower in ACA group than those in ASA group(all P＜0.05).Logistic regression analysis showed that IG％,NLR and CRP were three diagnostic determinants of ACA(all P＜0.05).The AUC of the established logistic model and IG％,NLR,CRP were 0.868,0.821,0.691 and 0.790(all P＜0.001).The logistic model was vali-dated by independent cohorts,and the AUC was 0.872,the sensitivity was 90.0％and the speci-ficity was 75.6％.Conlusions:The IG％value can early indicator for pediatric ACA,and the es-tablished logistic regression model based on biomarkers including IG％,NLR and CRP has clinical value in diagnosing ACA in children.
