Journal of Intensive and Critical Care Open Access

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The predictive value of total bilirubin for acute appendicitis in retrospect

Hassan A Saad*, Mohamed E Eraky, Ahmed K El-Tahe, Mohamed Riad, Mohamed I Farid and Khaled Sharaf

Objective: The present study aimed to examine the clinical importance of preoperative total bilirubinaemia in patients with acute and determine whether it has any practical application for predicting severe.
Methods: A retrospective analysis of appendectomies was performed at a single hospital (636 cases of acute presenting to the emergency department between December 2019 and January 2023). Using multivariate analysis, we examined predictive data for complex (perforated or gangrenous), including demographics, sex, white blood cell count, degree of C-reactive protein elevation, high-temperature peritoneal signs and indicators, and total bilirubin levels.
Results: Those with total bilirubin (>1.1 mg/dL), high C-reactive protein levels (>0.5 mg/dL), positive peritoneal irritated symptoms, and temperature (>37.3 C) had considerably higher rates of acute. Age (>64 years), hyperbilirubinemia, high CRP levels, and fever (odds ratios of 3.36, 1.75, 7.61, and 2.43, respectively) were identified by multivariate analysis as the associated risks for complex. This is particularly true for those aged <65 years.
Conclusion: High temperature, elevated CRP level, and high total bilirubin level were good predictors of acute, especially in patients younger than 65 years; however, the total bilirubin level was a more precise indicator.

Published Date: 2023-11-27; Received Date: 2023-10-26