Effectiveness of laboratory tests in predicting pathologies on computed tomography in geriatric patients with abdominal pain

Yaşar Çatal; Nazire Ülkü Kır; Sinan Genç; Ayça Koca; Müge Günalp; Onur Polat

Makale detayları

Effectiveness of laboratory tests in predicting pathologies on computed tomography in geriatric patients with abdominal pain

Yazarlar:

Yaşar Çatal | Nazire Ülkü Kır | Sinan Genç | Ayça Koca | Müge Günalp | Onur Polat

Yayıncı:

Cukurova University

Ana Başlıklar:

Acil Tıp | Geriatri ve Gerontoloji

Dergi:

Cukurova Medical Journal Vol.49 Issue 2, pp.278-286

Belge Tipi:

Makale

Yayın Tarihi:

6/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001320786

pISSN:

2602-3032

Anahtar kelimeler:

Özet:

 Purpose: Our study aimed to investigate the effectiveness of laboratory tests in predicting clinically significant pathologies CSPs on abdominal computed tomography CT in geriatric patients with abdominal pain. Materials and Methods: Our study is a retrospective case-control study. All patients who were admitted to the emergency department due to abdominal pain had an abdominal CT scan and were 65 years of age or older were included in the study. Laboratory test results were obtained from blood tests taken at the time of admission. According to CT results, patients were grouped into two groups: CSPs  or CSPs -. The relationship between laboratory results and CSPs was analyzed statistically. Results: Five hundred eighteen patients were included in the study. CSPs  were detected on CT in 72.4 of the patients. Alkaline phosphatase ALP, C-reactive protein CRP, white blood cells WBC, platelet, neutrophil, and neutrophil-lymphocyte ratio NLR values were statistically significantly higher in CSPs  patients. The optimal cut-off values of the tests were WBC10.75 x103µL, CRP 150.5 mgL, NLR4.4, ALP 92 UL. The area under the receiver operating characteristic curve of all of these tests was below 0.6 and was not sufficiently effective for diagnostic use. Conclusion: Our study showed that using laboratory parameters alone would not be sufficient to predict CSPs on CT in geriatric patients with abdominal pain.

 Purpose: Our study aimed to investigate the effectiveness of laboratory tests in predicting clinically significant pathologies CSPs on abdominal computed tomography CT in geriatric patients with abdominal pain. Materials and Methods: Our study is a retrospective case-control study. All patients who were admitted to the emergency department due to abdominal pain had an abdominal CT scan and were 65 years of age or older were included in the study. Laboratory test results were obtained from blood tests taken at the time of admission. According to CT results, patients were grouped into two groups: CSPs  or CSPs -. The relationship between laboratory results and CSPs was analyzed statistically. Results: Five hundred eighteen patients were included in the study. CSPs  were detected on CT in 72.4 of the patients. Alkaline phosphatase ALP, C-reactive protein CRP, white blood cells WBC, platelet, neutrophil, and neutrophil-lymphocyte ratio NLR values were statistically significantly higher in CSPs  patients. The optimal cut-off values of the tests were WBC10.75 x103µL, CRP 150.5 mgL, NLR4.4, ALP 92 UL. The area under the receiver operating characteristic curve of all of these tests was below 0.6 and was not sufficiently effective for diagnostic use. Conclusion: Our study showed that using laboratory parameters alone would not be sufficient to predict CSPs on CT in geriatric patients with abdominal pain.

 Purpose: Our study aimed to investigate the effectiveness of laboratory tests in predicting clinically significant pathologies CSPs on abdominal computed tomography CT in geriatric patients with abdominal pain. Materials and Methods: Our study is a retrospective case-control study. All patients who were admitted to the emergency department due to abdominal pain had an abdominal CT scan and were 65 years of age or older were included in the study. Laboratory test results were obtained from blood tests taken at the time of admission. According to CT results, patients were grouped into two groups: CSPs  or CSPs -. The relationship between laboratory results and CSPs was analyzed statistically. Results: Five hundred eighteen patients were included in the study. CSPs  were detected on CT in 72.4 of the patients. Alkaline phosphatase ALP, C-reactive protein CRP, white blood cells WBC, platelet, neutrophil, and neutrophil-lymphocyte ratio NLR values were statistically significantly higher in CSPs  patients. The optimal cut-off values of the tests were WBC10.75 x103µL, CRP 150.5 mgL, NLR4.4, ALP 92 UL. The area under the receiver operating characteristic curve of all of these tests was below 0.6 and was not sufficiently effective for diagnostic use. Conclusion: Our study showed that using laboratory parameters alone would not be sufficient to predict CSPs on CT in geriatric patients with abdominal pain.

 Amaç: Çalışmamız, karın ağrısı olan geriatrik hastaların abdominal bilgisayarlı tomografisindeki BT klinik olarak anlamlı patolojileri CSPs öngörmede laboratuvar testlerinin etkinliğini araştırmayı amaçladı. Gereç ve Yöntem: Çalışmamız retrospektif bir vaka kontrol çalışmasıdır. Karın ağrısı nedeniyle acil servise başvuran, abdominal BT çekilen ve 65 yaş ve üzerinde olan tüm hastalar çalışmaya dahil edildi. Laboratuvar test sonuçları, başvuru sırasında alınan kan tahlillerinden elde edildi. BT sonuçlarına göre hastalar CSPs  ve CSPs - olmak üzere iki gruba ayrıldı. Laboratuvar sonuçları ile CSPs arasındaki ilişki istatistiksel olarak analiz edildi. Bulgular: Çalışmaya 518 hasta dahil edildi. Hastaların 72,4ünde BTde CSPs  olduğu saptandı. Alkalen fosfataz ALP, C-reaktif protein CRP, beyaz kan hücreleri WBC, trombosit, nötrofil ve nötrofil lenfosit oranı NLR değerleri CSPs  hastalarda istatistiksel olarak anlamlı derecede yüksekti. Testlerin optimal kesim değerleri WBC10.75 x103µL, CRP 150.5 mgL, NLR4.4, ALP 92 uL idi. Tüm testlerin receiver operating characteristic eğrisi altında kalan alanı 0.6nın altındaydı ve tanısal kullanımda yeterli etkinlikte değildi. Sonuç: Çalışmamız, karın ağrısı olan geriatrik hastalarda laboratuvar parametresi kullanımının BTdeki CSPsyi öngörmede tek başına yeterli olmayacağını gösterdi.

Makale detayları

Effectiveness of laboratory tests in predicting pathologies on computed tomography in geriatric patients with abdominal pain

Yazarlar:

Yaşar Çatal | Nazire Ülkü Kır | Sinan Genç | Ayça Koca | Müge Günalp | Onur Polat

Yayıncı:

Cukurova University

Ana Başlıklar:

Acil Tıp | Geriatri ve Gerontoloji

Dergi:

Cukurova Medical Journal Vol.49 Issue 2, pp.278-286

Belge Tipi:

Makale

Yayın Tarihi:

6/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001320786

pISSN:

2602-3032

Geriatric

Abdominal pain

emergency service

tomography

laboratory testsGeriatrik

karın ağrısı

acil servis

tomografi

laboratuvar testleri

Sayı

Makale detayları

Yazarlar: Yaşar Çatal | Nazire Ülkü Kır | Sinan Genç | Ayça Koca | Müge Günalp | Onur Polat

Yayıncı: Cukurova University

Ana Başlıklar: Acil Tıp | Geriatri ve Gerontoloji

Dergi: Cukurova Medical Journal Vol.49 Issue 2, pp.278-286

Belge Tipi: Makale

Yayın Tarihi: 6/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001320786

pISSN: 2602-3032

Sayı

Yazarlar:

Yaşar Çatal | Nazire Ülkü Kır | Sinan Genç | Ayça Koca | Müge Günalp | Onur Polat

Yayıncı:

Cukurova University

Ana Başlıklar:

Acil Tıp | Geriatri ve Gerontoloji

Dergi:

Cukurova Medical Journal Vol.49 Issue 2, pp.278-286

Belge Tipi:

Makale

Yayın Tarihi:

6/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001320786

pISSN:

2602-3032