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10.1371/journal.pone.0187629 http://scihub22266oqcxt.onion/10.1371/journal.pone.0187629 C5665552!5665552 !29091955     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29091955 &cmd=llinks): Failed to open stream: HTTP request failed! 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Delta neutrophil index as a promising prognostic marker of emergent surgical intervention for acute diverticulitis in the emergency department |pdf=|usr=}}{{29091955 }} gab.com Text Delta neutrophil index as a promising prognostic marker of emergent surgical intervention for acute diverticulitis in the emergency department JO: PLoS One http://www.kidney.de/pget.php?&tw=1&pmid=29091955 #FOAvip BACKGROUND: Early identification of patients with acute diverticulitis who require emergent surgical intervention in the emergency department (ED) is important to the physician. Although computed tomography (CT) has an important role in evaluating the severity of diverticulitis, its findings alone may not predict the need for emergent surgical intervention in all patients with acute diverticulitis in the ED. Serum inflammation markers may help to differentiate severity of acute diverticulitis and predict the need for surgical intervention in clinical practice. No information is currently available on the clinical usefulness of the delta neutrophil index (DNI), with respect to the prediction of emergent surgical intervention in patients with acute diverticulitis at the ED. METHODS: This was a retrospective observational study of consecutive adult patients with acute diverticulitis confirmed by CT in the ED, between January 2014 and December 2016. Recruited patients were divided into two groups: emergent surgical intervention and no surgical intervention. The following laboratory serum parameters were examined in the ED: DNI value, C-reactive protein (CRP) levels, white blood cell count, neutrophil count, and neutrophil-to-lymphocyte ratio (NLR). The patients were also examined for the presence or absence of complications by CT. RESULTS: A total of 132 patients were finally included in the study, with the emergent surgical intervention group constituting 52 patients. The median DNI value, CRP levels, neutrophil count, and NLR were significantly higher in the emergent surgical intervention group than in the no surgical intervention group. The area under the curve for predicting emergent surgical intervention, using the DNI was significantly higher than that of CRP levels, neutrophil count, or NLR. Moreover, the combination of initial DNI and CT was most powerful diagnostic modality. CONCLUSIONS: DNI values measured at the ED combined with CT were good predictors for emergent surgical intervention in acute diverticulitis. If the DNI value is greater than 0.7% and complications in CT are suspected in patients suspected to have acute diverticulitis, the need for emergent surgical intervention should be considered carefully in the ED. Twit Text FOAVip Delta neutrophil index as a promising prognostic marker of emergent surgical intervention for acute diverticulitis in the emergency department ????PLoS One http://www.kidney.de/pget.php?&tw=1&pmid=29091955 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29091955 #FOAvip English Wikipedia <ref>{{Cite pmid|29091955 }}</ref> Delta neutrophil index as a promising prognostic marker of emergent surgical intervention for acute diverticulitis in the emergency department #MMPMID29091955 Kang HS ; Cha YS ; Park KH ; Hwang SO PLoS One 2017[]; 12 (11 ): e0187629 PMID29091955 show ga BACKGROUND: Early identification of patients with acute diverticulitis who require emergent surgical intervention in the emergency department (ED) is important to the physician. Although computed tomography (CT) has an important role in evaluating the severity of diverticulitis, its findings alone may not predict the need for emergent surgical intervention in all patients with acute diverticulitis in the ED. Serum inflammation markers may help to differentiate severity of acute diverticulitis and predict the need for surgical intervention in clinical practice. No information is currently available on the clinical usefulness of the delta neutrophil index (DNI), with respect to the prediction of emergent surgical intervention in patients with acute diverticulitis at the ED. METHODS: This was a retrospective observational study of consecutive adult patients with acute diverticulitis confirmed by CT in the ED, between January 2014 and December 2016. Recruited patients were divided into two groups: emergent surgical intervention and no surgical intervention. The following laboratory serum parameters were examined in the ED: DNI value, C-reactive protein (CRP) levels, white blood cell count, neutrophil count, and neutrophil-to-lymphocyte ratio (NLR). The patients were also examined for the presence or absence of complications by CT. RESULTS: A total of 132 patients were finally included in the study, with the emergent surgical intervention group constituting 52 patients. The median DNI value, CRP levels, neutrophil count, and NLR were significantly higher in the emergent surgical intervention group than in the no surgical intervention group. The area under the curve for predicting emergent surgical intervention, using the DNI was significantly higher than that of CRP levels, neutrophil count, or NLR. Moreover, the combination of initial DNI and CT was most powerful diagnostic modality. CONCLUSIONS: DNI values measured at the ED combined with CT were good predictors for emergent surgical intervention in acute diverticulitis. If the DNI value is greater than 0.7% and complications in CT are suspected in patients suspected to have acute diverticulitis, the need for emergent surgical intervention should be considered carefully in the ED. |*Emergency Service, Hospital [MESH] |Acute Disease [MESH] |Adult [MESH] |Aged [MESH] |Biomarkers/*blood [MESH] |Diverticulitis/blood/diagnostic imaging/*surgery [MESH] |Female [MESH] |Humans [MESH] |Male [MESH] |Middle Aged [MESH] |Neutrophils/*pathology [MESH] |Prognosis [MESH] |Retrospective Studies [MESH]Delta neutrophil index as a promising prognostic marker of emergent su(epmc).pdf DeepDyve Pubget Overpricing