Evidence map›Paper›PMID 41821289›Full record

ArticleUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES2026

Pro-adrenomedullin: a novel diagnostic biomarker of acute appendicitis.

Şeyma Arzu Temür, Ahmet Baydın, Özgür Korhan Tuncel, Sultan Çalışkan, Saim Savaş Yürüker

Abstract read
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Article in Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Şeyma Arzu TemürDepartment of Emergency Medicine, Ondokuz Mayis University, Faculty of Medicine, Samsun-Türkiye.
Ahmet BaydınDepartment of Emergency Medicine, Ondokuz Mayis University, Faculty of Medicine, Samsun-Türkiye.
Özgür Korhan TuncelDepartment of Medical Biochemistry, Ondokuz Mayis University, Faculty of Medicine, Samsun-Türkiye.
Sultan ÇalışkanDepartment of Pathology, Ondokuz Mayis University, Faculty of Medicine, Samsun-Türkiye.
Saim Savaş YürükerDepartment of General Surgery, Ondokuz Mayis University, Faculty of Medicine, Samsun-Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to evaluate the diagnostic value of serum pro-adrenomedullin (pro-ADM) levels in diagnosing acute appendicitis (AA) in patients presenting to the emergency department (ED) with abdominal pain.

methodsThis prospective clinical study included patients over the age of 18 who presented to the ED with abdominal pain and were initially suspected of having appendicitis. A venous blood sample was collected from each patient upon presentation, and serum pro-ADM levels were measured. Based on laboratory and radiological evaluations, patients were categorized into two groups: those diagnosed with AA and those without AA. The AA group was further subdivided into simple and complicated AA. All statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS) for Windows, version 21.0 (SPSS Inc., Chicago, IL, USA). A p-value of <0.05 was considered statistically significant.

resultsThis study included 83 adult patients with abdominal pain, of whom 44 were male (53.0%) and 39 were female (47.0%). The mean age of the patients was 32.28+-16.10 years. Serum pro-ADM levels were higher in patients with appendicitis than in those without. Setting the cut-off value for pro-ADM at 3.375 pg/mL to identify patients with appendicitis revealed a statistically significant difference between patients with and without appendicitis (p=0.002). Additionally, there was a statistically significant difference in serum pro-ADM levels when comparing the duration of ED presentation among patients with appendicitis (p<0.001).

conclusionSerum pro-ADM levels are elevated in patients with appendicitis; however, pro-ADM is less effective in distinguishing between simple and complicated appendicitis. Serum pro-ADM levels in patients who present to the ED within the first 24 hours of abdominal pain onset may be useful for early diagnosis.

Indexed as

AdrenomedullinAppendicitisAbdominal PainAcute DiseaseAdultBiomarkersEmergency Service, HospitalFemaleHumansMaleMiddle AgedProspective StudiesSensitivity and SpecificityYoung AdultAdrenomedullinBiomarkers

Identifiers

PMID41821289
PMCPMC12880209

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