The evaluation of patients with acute cholecystitis in the Emergency Department according to neutrophil-lymphocyte ratio and epidemiological factors: three-years analysis
Nurşah Başol1, Gülşen Çığşar2, Serhat Karaman1, Zeki Özsoy3, Mehmet Baki Özdemir1
1Gaziosmanpaşa Üniversitesi Tıp Fakültesi, Acil Tıp Anabilim Dalı, Tokat, Türkiye
2Kafkas Üniversitesi Tıp Fakültesi, Acil Tıp Anabilim Dalı, Kars, Türkiye
3Gaziosmanpaşa Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Tokat, Türkiye
Keywords: Abdominal pain; acute cholecystitis; emergency; neutrophil-lymphocyte ratio.
Abstract
Objectives: This study aims to evaluate of patients with acute cholecystitis in terms of clinical and laboratory parameters.
Patients and methods: Fifty-five patients (14 males, 41 females; mean age 60.5±16.4 years; range 18 to 83 years) who admitted Emergency Department with complaint of abdominal pain and diagnosed as acute cholecystitis between January 2012 and January 2015 were included in this study. The patients with missing information on patient files were excluded from the study.
Results: The most common complaint was pain of right upper quadrant and the most common accompanied symptom was nausea-vomiting. The most common imaging technique was USG (60%) and the percentage of patients who received medical treatment was 42.8% and the percentage of patients with surgical treatment was 58.2%. The mean neutrophil-lymphocyte ratio (NLR) was 5.37±4.9. There was no statistically significant correlation between NLR and age, sex and treatment (p>0.05).
Conclusion: The predictors of acute cholecystitis are right upper quadrant abdominal pain, accompanied by nausea-vomiting, the positivity of Murphy sign and the elevations of white blood cell count, C-reactive protein and NLR.