Evidence map›Paper›PMID 41395308›Full record

ArticleFrontiers in pediatrics2025

Diagnosing acute appendicitis in children with neutrophil-lymphocyte ratio: a cross-sectional study.

Mohamed Mahmoud Shalaby, Ahmed Alawi, Bayan Mohammed Fatani, Ameen Alsaggaf, Mohammed Awad

Abstract read
In one paragraph

Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mohamed Mahmoud ShalabyPediatric Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Ahmed AlawiPediatric Surgery Department, King Fahd Armed Forces Hospital (KFAFH), Jeddah, Saudi Arabia.
Bayan Mohammed FataniPediatric Surgery Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
Ameen AlsaggafPediatric Surgery Department, King Fahd Armed Forces Hospital (KFAFH), Jeddah, Saudi Arabia.
Mohammed AwadPediatric Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diagnosing acute appendicitis (AA) in children can be challenging due to atypical symptoms and the difficulty in obtaining a comprehensive history. This study aimed to evaluate the value of the neutrophil-to-lymphocyte ratio (NLR) in diagnosing AA in the pediatric population. Methods: This retrospective cross-sectional study involved 200 pediatric patients aged between 0 and 14 years of both sexes, who underwent appendectomy for suspected acute appendicitis. Data of patients were retrieved from the hospital's patient administration system database. We categorized patients into three surgical groups: Group 1, appendectomy + normal appendix ( Results: White blood cell (WBC) count, neutrophil count, and NLR were significantly higher in the acute appendicitis and complicated appendicitis groups than those in the normal appendix group and in the complicated appendicitis group than those in the acute appendicitis group. In multivariate regression, WBC count and NLR were associated with AA ( Conclusions: NLR is a potentially useful adjunctive and cost-effective diagnostic marker for AA and complicated appendicitis in the pediatric population.

Indexed as

acute appendicitiscomplicatedneutrophil-to-lymphocyte ratiopediatricwhite blood cell count

Identifiers

PMID41395308
PMCPMC12695835

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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.