PLATELET-TO-LYMPHOCYTE RATIO IN DIAGNOSIS OF ACUTE COMPLICATED APPENDICITIS IN CHILDHOOD

Aim: Late or misdiagnoses of acute complicated appendicitis may increase the morbidity and mortality. In this study, we aimed to test the utility of Platelet-to-Lymphocyte ratio in early diagnosis of acute complicated appendicitis. Material and Method: The records of 55 noncomplicated and 16 complicated acute appendicitis cases were evaluated. Hematologic data of the cases were used. Results: The mean age of the patients was 10.6 +/- 3.9 years. Platelet (271 +/- 71 vs. 365 +/- 105, p=0.003), MPV (7.8 +/- 1 vs. 7.1 +/- 0.7, p=0.006) and Platelet-to-lymphocyte ratio (174 +/- 104 vs. 217 +/- 65, p=0.031) were significantly different in complicated appendicitis. In diagnosis of complicated acute appendicitis, the cut-off value for Platelet-to-lymphocyte ratio was determined as 195 (95% CI (0.54-0.81, p=0.031) (sensitivity 62.5% and specificity 61.8%). Discussion: Platelet-to-lymphocyte ratio is an easily available test that can be used in differentiation of complicated acute appendicitis from noncomplicated in children.