An Appraisal of Clinical and Hematological Parameters Linked to Recurrence in Surgically Drained Primary Psoas Abscesses: A Retrospective Comparative Study

Author:

GÖNDER Nevzat1ORCID,KAYA Oğuz2ORCID,KILINÇOĞLU Volkan3ORCID,KARSLI Burçin3ORCID,FIRAT Mahmut Gazi4ORCID,BUYUKBEBECİ Orhan3ORCID

Affiliation:

1. GAZİANTEP İSLAM BİLİM VE TEKNOLOJİ ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI

2. SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ELAZIĞ FETHİ SEKİN ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ

3. GAZİANTEP ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI

4. KİLİS DEVLET HASTANESİ, ORTOPEDİ VE TRAVMATOLOJİ BÖLÜMÜ

Abstract

Aim: Psoas abscess is rare infectious condition with frequent complications in the diagnosis and treatment process. Unfortunately, there is limited information in the literature about the prognostic factors that determine the prognosis of psoas abscess. Therefore, the aim of this study was to evaluate the clinical and laboratory parameters associated with recurrence in primary psoas abscess. Material and Methods: Fifty-two patients who were diagnosed with psoas abscess and treated with surgical drainage in a university hospital between 1998 and 2018 were included in our study. The patients were seperated into two groups as those who recovered after surgical drainage (Group A) and those who developed recurrence (Group B). Clinical and laboratory data of the patients from the beginning of the preoperative period to the postoperative period were compared. Results: The mean age was 47.42±14.12 years in Group A and 53.81±15.83 years in Group B. The mean follow-up time was 43.96±14.29 months. The neutrophil to lymphocyte ratio was 11.38±1.69 in Group A and 18.75±2.31 in Group B (p=0.001). The platelet to lymphocyte ratio was 114.96±30.31 in Group A and 139.70±42.25 in Group B (p=0.016). The Acute Physiology and Chronic Health Evaluation (APACHE II) score was higher in Group B (p=0.001). Conclusion: According to the results of the current study, the neutrophil to lymphocyte ratio, the platelet to lymphocyte ratio, the APACHE II score, and the delayed diagnosis are all important prognostic indicators linked to recurrence in instances with primary psoas abscess.

Publisher

Medical Records - International Medical Journal

Subject

Colloid and Surface Chemistry,Physical and Theoretical Chemistry

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Psoas abscess: an uncommon disorder;Postgraduate Medical Journal;2024-02-16

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