Affiliation:
1. M.S. General Surgery, Senior Resident, Dept. of General Surgery, Bharati vidyapeeth medical college, Pune
2. Associate Professor, Dept. of General Surgery, Bharati vidyapeeth medical college, Pune
3. Assistant Professor, Dept. of General Surgery, Bharati vidyapeeth medical college, Pune
Abstract
Background: One of the most prevalent abdominal crises is acute appendicitis. Many efforts have been
directed towards early diagnosis and intervention. Delay in diagnosis leads to increase morbidity and
costs. Present study was aimed to evaluate the correlation of CRP and PCT with perioperative ndings in suspected cases of
acute appendicitis and to nd whether they can aid in the diagnosis of acute appendicitis. Material and Methods: Present
study was hospital based screening test study, conducted patients of age > 18 years, either gender, who presented with right
iliac fossa pain lasting < 48 hours and were tentatively diagnosed with acute appendicitis, underwent surgery. Results: Among
115 patients with acute appendicitis, most of patients belong to age group of 21 to 30 years (45.2 %) followed by 31 to 40 and 10 to
20 years (18.3 %). Out of 115 patients 40 (34.8%) patients were females and 75 (65.2%) patients were males. CRP was positive in
84 (73.04%) and procalcitonin was positive in 66 (57.39%) patients with acute appendicitis. CRP had a sensitivity of 72.82%, a
specicity of 25%, a positive predictive value of 89.29%, and a negative predictive value of 9.68 %. Procalcitonin had a sensitivity
of 57.28 %, a specicity of 41.67 %, a positive predictive value of 89.39 %, and a negative predictive value of 10.20%.
Conclusion: Elevation in CRP as well as procalcitonin levels only cannot be used for nal diagnosis of acute appendicitis, but it
can act as an adjunct when evaluating the available clinical and laboratory
Subject
Animal Science and Zoology,Ecology, Evolution, Behavior and Systematics,Health Professions (miscellaneous),Law,Public Health, Environmental and Occupational Health,Nutrition and Dietetics,Applied Microbiology and Biotechnology,Food Animals,Management Science and Operations Research,Strategy and Management,Business and International Management,General Business, Management and Accounting,Management of Technology and Innovation,Strategy and Management,Economics and Econometrics,Business and International Management,Management Science and Operations Research,Safety, Risk, Reliability and Quality,Business and International Management,Industrial and Manufacturing Engineering,Management Science and Operations Research,Economics and Econometrics,General Business, Management and Accounting,Industrial and Manufacturing Engineering,Management Science and Operations Research,Strategy and Management
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