DOI: 10.36347/sjams.2024.v12i06.014

Pages: 796-802

Background: Acute appendicitis is the most common indication for emergency abdominal surgery. The diagnosis of appendicitis depends on the subjective criteria of clinical examination. However, distinguishing acute complicated appendicitis and uncomplicated is often difficult especially in the elderly population that usually not clinically specific unless it has developed into generalized peritonitis. Between the complicated and uncomplicated should be distinguished because of different surgical approaches. Haematological parameters are needed that would lead to early diagnosis. These tests are not only cheaper, but also feasible and available in peripheral hospitals compared to other supports such as USG, CT scan. Aims: To evaluate the predictive value of different haematological parameter in the diagnosis of acute complicated appendicitis. Methods: This prospective observational study was conducted in the Department of Surgery, Dhaka Medical College & Hospital over a period of one year. The patients who were admitted as suspected case of acute appendicitis are enrolled in this study. Data were collected in a pre-designed data collection sheet including particulars of the patients, detailed history, clinical examination, pre-existing co-morbidities and relevant investigations. Results: The mean age was found 27.66±10.62 years and 30.73±13.16 years in complicated and uncomplicated appendectomy. No significant difference of age between complicated and uncomplicated appendicectomy. Male patients were significantly higher in in complicated appendicitis group (p<0.05). Among 170 patients, 77 were found complicated appendicitis and 93 were uncomplicated appendicitis. There were statistically significant differences between the groups in WBC, NEU, LYM, NLR, CRP. The cut-off values of NLR, WBC, and NEU were 4.57, 15150x109/L, and 77.5x109/L, respectively for complicated appendicitis. The cut off value of CRP, platelet count was 4.50 mg/dl and 235.0 for complicated .........