Platelet indices (PI) -- plateletcrit, mean platelet volume (MPV) and platelet distribution width (PDW) -- are a group of derived platelet parameters obtained as a part of the automatic complete blood count. Emerging evidence suggests that PIs may have diagnostic and prognostic value in certain diseases. This study aimed to summarize the current scientific knowledge on the potential role of PIs as a diagnostic and prognostic marker in patients having emergency, non-traumatic abdominal surgery. In December 2015, we searched Medline/PubMed, Scopus and Google Scholar to identify all articles on PIs. Overall, considerable evidence suggests that PIs are altered with acute appendicitis. Although the role of PI in the differential diagnosis of acute abdomen remains uncertain, low MPV might be useful in acute appendicitis and acute mesenteric ischemia, with high MPV predicting poor prognosis in acute mesenteric ischemia. The current lack of consistency and technical standards in studies involving PIs should be regarded as a serious limitation to comparing these studies. Further large, multicentre prospective studies concurrently collecting data from different ethnicities and genders are needed before they can be used in routine clinical practice.

/pdf/the-use-of-platelet-indices-plateletcrit-mean-platelet-3g1agbkuab.pdf

The use of platelet indices, plateletcrit, mean platelet volume and platelet distribution width in emergency non-traumatic abdominal surgery: a systematic review.

Despite wide spread availability of sophisticated diagnostic imaging, acute appendicitis in pre-school children remains a diagnostic challenge. Most of these children present late, often with complications e.g. appendicular perforation, abscess formation and peritonitis and as result hospital stay is prolonged and is associated with increased morbidity and mortality. The purpose of this article is to review peculiar features of acute appendicitis in preschool children.

/pdf/acute-appendicitis-in-young-children-less-than-5-years-c4qitp0rj8.pdf

Acute appendicitis in young children less than 5 years: review article.

CONCLUSION: Platelet distribution width analysis can be used for diagnosis of acute appendicitis without requiring additional tests, thus reducing the cost and loss of time.

New parameter in diagnosis of acute appendicitis: Platelet distribution width

acute appendicitis. The patients in the control group were selected from healthy adults of similar age who applied to check-up clinic. The number of essential cases was defined by performing power analysis. Age, gender, leukocyte count, CRP, and MPV values were recorded. This study is a case controlled retrospective clinical study. Results: A total of 503 patients in the acute appendicitis group and 121 patients in the control group were included, making up a total of 624 subjects. The median MPV levels were 7.92 ± 1.68 fL in the acute appendicitis group, while 7.43 ± 1.34 fL in the control group. CRP, leukocyte count, and MPV level were significantly higher in the acute appendicitis group (P < 0.001). MPV, leukocyte count, and CRP had a sensitivity and specificity of 66% and 51%; 91% and 74%; and 97% and 41%, respectively. No correlation was found between MPV, CRP, and leukocyte count. Conclusions: MPV level was higher in patients with acute appendicitis. MPV may guide the diagnostic process of acute appendicitis. However, we detected that the sensitivity and specificity of leukocyte count and CRP were superior to those of MPV in the diagnosis of acute appendicitis.

/pdf/the-role-of-mean-platelet-volume-in-the-diagnosis-of-acute-2ubyi05k9b.pdf

The Role of Mean Platelet Volume in the Diagnosis of Acute Appendicitis: A Retrospective Case-Controlled Study

Background: Diagnosis of acute appendicitis remains to be challenging with up to 30% negative exploration rates. In addition to careful clinical history and physical examination, we still need easily applicable, cheap and effective biomarker. Patients and methods: A retrospective case-controlled study was designed in two groups, both containing 100 patients, acute appendicitis and control. Leukocyte count, neutrophil percentage, platelet count and meal platelet volume (MPV) were compared. Results: MPV values for acute appendicitis and control groups were 7.4 ± 0.9 fL (5.6-10.6) and 9.1 ± 1.6 fL (5.1-13.1). For the diagnosis of acute appendicitis, ROC analysis revealed 74% sensitivity and 75% specificity for a cut-off value of 7.95 fL of MPV, however, the diagnostic value of leukocyte count and/or neutrophil ratio was superior. Conclusion: Our results suggest that, MPV value is an important parameter in the diagnosis of acute appendicitis, but in terms of sensitivity and specificity, leukocyte count and/or neutrophil percentage is superior.

Evaluation of mean platelet volume as a diagnostic biomarker in acute appendicitis.

Amac:  Tukenmislik konusunda yapilmis bircok tanim olmasina ragmen gunumuzde kabul goren en yaygin tukenmislik tanimi Maslach ve arkadaslari tarafindan yapilan ve tukenmisligi uc boyutlu olarak algilayan tanimdir. Acil servis (AS) personeli is ortaminin yogunlugu, bakim verilen hastalarin ciddiyeti, vardiya seklinde calisma programi nedeniyle surekli stres altindadir. Bu calismada Tip Fakulteleri (TFH) ile Saglik Bakanligi Egitim ve Arastirma Hastanelerinde (EAH) gorev yapmakta olan Acil Tip Asistanlarinin (ATA) tukenmislik duzeylerinin karsilastirilmasi amaclanmistir. Gerec ve Yontemler:  Bu calisma Ankara Numune Egitim ve Arastirma Hastanesi etik kurulundan onay alinarak Mayis-Agustos 2011 tarihleri arasinda anket yontemiyle yapilmistir. Calismaya EAH’den 116 ATA, TFH’den 90 ATA olmak uzere toplam 206 ATA alinmistir. Anket yontemiyle elde edilen verilerin istatistiksel analizleri SPSS 15 programi ile yapilmistir. Istatistiksel analizlerde ki-kare, Independent Sample T testi ve Oneway Anova testi kullanilmistir. p 0.05) Sonuc:  EAH’lerinde calisan ATA’larin, TFH’de calisan ATA’lara oranla daha fazla tukenmeye maruz kaldiklari bulundu

/pdf/tip-fakultesi-hastaneleri-ve-saglik-bakanligi-egitim-ve-1rjwbushk6.pdf

Tıp Fakültesi Hastaneleri ve Sağlık Bakanlığı Eğitim ve Araştırma Hastanelerinde Çalışan Acil Tıp Asistanlarının Tükenmişlik Düzeylerinin Karşılaştırılması

Introduction. Acute appendicitis is the leading cause of abdominal pain in children requiring emergency surgical intervention. The aim of this study is to investigate the diagnostic value of MPV in early diagnosis of acute appendicitis cases in pediatric age group. Methods. This study was performed retrospectively. Three hundred five patients operated on with the diagnosis of appendicitis and pathologically found to be acute appendicitis were classified as Group 1 and 305 healthy children were classified as control Group 2. Results. One hundred ninety-seven of 305 cases in Group 1 are males (64.6%), in Group 2, 151 of 305 cases are males (49.5%). The mean MPV in Group 1 was 7.9 ± 0.9 (fL), and whereas in Group 2 was 7.7 ± 0.8 (fL). There was no statistically significant difference regarding MPV values (P > 0.05). Conclusion. In our study we detected that mean platelet volume has no diagnostic value in pediatric acute appendicitis cases.

/pdf/role-of-mean-platelet-volume-in-diagnosis-of-childhood-acute-4y0mftip2n.pdf

Role of Mean Platelet Volume in Diagnosis of Childhood Acute Appendicitis

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Tıp Fakültesi Hastaneleri ve Sağlık Bakanlığı Eğitim ve Araştırma Hastanelerinde Çalışan Acil Tıp Asistanlarının Tükenmişlik Düzeylerinin Karşılaştırılması

Role of Mean Platelet Volume in Diagnosis of Childhood Acute Appendicitis