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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 78(1)

Diagnostic value of procalcitonin for acute complicated appendicitis

https://doi.org/10.18999/nagjms.78.1.79
https://doi.org/10.18999/nagjms.78.1.79
7628bd3e-28b5-4755-894a-b4115e2ad8d7
名前 / ファイル ライセンス アクション
18_Yamashita.pdf 18_Yamashita.pdf (807.2 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2016-02-23
タイトル
タイトル Diagnostic value of procalcitonin for acute complicated appendicitis
著者 Yamashita, Hiromasa

× Yamashita, Hiromasa

WEKO 61938

Yamashita, Hiromasa

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Yuasa, Norihiro

× Yuasa, Norihiro

WEKO 61939

Yuasa, Norihiro

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Takeuchi, Eiji

× Takeuchi, Eiji

WEKO 61940

Takeuchi, Eiji

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Goto, Yasutomo

× Goto, Yasutomo

WEKO 61941

Goto, Yasutomo

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Miyake, Hideo

× Miyake, Hideo

WEKO 61942

Miyake, Hideo

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Miyata, Kanji

× Miyata, Kanji

WEKO 61943

Miyata, Kanji

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Kato, Hideki

× Kato, Hideki

WEKO 61944

Kato, Hideki

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Ito, Masafumi

× Ito, Masafumi

WEKO 61945

Ito, Masafumi

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キーワード
主題Scheme Other
主題 procalcitonin
キーワード
主題Scheme Other
主題 appendicitis
キーワード
主題Scheme Other
主題 C-reactive protein
抄録
内容記述 A rapid and reliable test for detection of complicated appendicitis would be useful when deciding whether emergency surgery is required. We investigated the clinical usefulness of procalcitonin for identifying acute complicated appendicitis. We retrospectively analyzed 63 patients aged ≥15 years who underwent appendectomy without receiving antibiotics before admission and had preoperative data on the plasma procalcitonin level (PCT), body temperature (BT), white blood cell count (WBC), neutrophil / lymphocyte ratio (N/L ratio), and C-reactive protein level (CRP). Patients were classified into 3 groups: group A (inflammatory cell infiltration of the appendix with intact mural architecture), group B (inflammatory cell infiltration with destruction of mural architecture, but without abscess or perforation), and group C (macroscopic abscess and/or perforation). For identifying destruction of mural architecture, the diagnostic accuracy of PCT was similar to that of BT or CRP. However, the diagnostic accuracy of PCT was highest among the five inflammatory indices for identifying abscess and/or perforation, with the positive predictive value of PCT for abscess and/or perforation being higher than that of CRP (73% vs. 48%). Univariate analysis of the predictors of abscess and/or perforation revealed that a plasma PCT level ≥0.46 ng/mL had the highest odds ratio (30.3 [95% confidence interval: 6.5–140.5] versus PCT >0.46 ng/mL). These findings indicate that procalcitonin is a useful marker of acute appendicitis with abscess and/or perforation.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.78.1.79
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 78, 号 1, p. 79-88, 発行日 2016-02
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/781.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/23537
識別子タイプ HDL
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