Evidence map›Paper›PMID 39220085›Full record

ArticleWorld journal of gastrointestinal surgery2024

Systemic immune-inflammation index combined with pediatric appendicitis score in assessing the severity and prognosis for paediatric appendicitis.

Li-Ming Guo, Zhi-Hui Jiang, Hong-Zhen Liu

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Article in World journal of gastrointestinal surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Li-Ming GuoDepartment of General Surgery, Qingdao Women and Children's Hospital, Qingdao 266000, Shandong Province, China. guolimingqdfe@163.com.
Zhi-Hui JiangDepartment of General Surgery, Qingdao Women and Children's Hospital, Qingdao 266000, Shandong Province, China.
Hong-Zhen LiuDepartment of Pediatric Surgery, Children's Hospital Affiliated to Shandong University, Jinan 250022, Shandong Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric appendicitis is a common cause of abdominal pain in children and is recognized as a significant surgical emergency. A prompt and accurate diagnosis is essential to prevent complications such as perforation and peritonitis.

aimTo investigate the predictive value of the systemic immune-inflammation index (SII) combined with the pediatric appendicitis score (PAS) for the assessment of disease severity and surgical outcomes in children aged 5 years and older with appendicitis.

methodsClinical data of 104 children diagnosed with acute appendicitis were analyzed. The participants were categorized into the acute appendicitis group and chronic appendicitis group based on disease presentation and further stratified into the good prognosis group and poor prognosis group based on prognosis. The SII and PAS were measured, and a joint model using the combined SII and PAS was constructed to predict disease severity and surgical outcomes.

resultsSignificant differences were observed in the SII and PAS parameters between the acute appendicitis group and chronic appendicitis group. Correlation analysis showed associations among the SII, PAS, and disease severity, with the combined SII and PAS model demonstrating significant predictive value for assessing disease severity [aera under the curve (AUC) = 0.914] and predicting surgical outcomes (AUC = 0.857) in children aged 5 years and older with appendicitis.

conclusionThe study findings support the potential of integrating the SII with the PAS for assessing disease severity and predicting surgical outcomes in pediatric appendicitis, indicating the clinical utility of the combined SII and PAS model in guiding clinical decision-making and optimizing surgical management strategies for pediatric patients with appendicitis.

Indexed as

Disease severityLogistic regressionPediatric appendicitis scoreReceiver operating characteristic analysisRisk factorSurgical outcomesSystemic immune-inflammation index

Identifiers

PMID39220085
PMCPMC11362941

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.