Ankara Med J. 2020; 20(4): 790-797 | DOI: 10.5505/amj.2020.66934

Basit ve komplike apandisitli eriþkinlerde idrar analizinin deðerlendirilmesi

Handan Özen Olcay¹, Emine Emektar¹, Meral Tandoðan¹, Tuba Þafak¹, Hakan Bulus², Yunsur Cevik^1
1Ankara Keçiören Eðitim ve Araþtýrma Hastanesi, Acil Týp Kliniði
²Ankara Keçiören Eðitim ve Araþtýrma Hastanesi, Genel Cerrahi Kliniði

GÝRÝÞ ve AMAÇ: Akut apandisit sýk görülen abdominal acillerden biridir. Bu çalýþmada yetiþkin acil servis popülasyonunda basit apandisit ve komplike apandisiti ayýrmada rutin idrar tahlilinin kullanýlabilirliðini deðerlendirmeyi amaçladýk.
YÖNTEM ve GEREÇLER: Çalýþmaya 18 yaþ üzeri patolojik tanýsý akut apandisit olan ve acil serviste idrar analizi yapýlmýþ hastalar dahil edildi. Eksik verisi olan hastalar çalýþma dýþý býrakýldý. Patoloji raporlarýna göre, hastalar basit ve komplike apandisit olarak sýnýflandýrýldý.
BULGULAR: Basit apandisit grubu ile karþýlaþtýrýldýðýnda komplike apandisit grubunda, idrar keton cisimleri, protein ve nitrit sayýmý anlamlý olarak daha yüksekti (tüm deðerler için p <0,05). Çok deðiþkenli lojistik regresyon analizinde, keton cisimleri ve idrar nitrit pozitifliði komplike apandisit varlýðýný tahmin etmede istatistiksel olarak anlamlý bulundu (tüm deðerler için p <0,001).
TARTIÞMA ve SONUÇ: Ýdrar analizi, akut batýndan þüphelenilen hastalarda yapýlan rutin testlerden biridir. Bu nedenle, biz idrar tahlilinde idrarda keton ve nitrit pozitifliðinin komplike apandisit açýsýndan uyarýcý olabileceðini düþünüyoruz.

Anahtar Kelimeler: Akut apandisit, idrar analizi, keton, nitrit

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Evaluation of urine analysis in adults with simple and complicated appendicitis

Handan Özen Olcay¹, Emine Emektar¹, Meral Tandoðan¹, Tuba Þafak¹, Hakan Bulus², Yunsur Cevik^1
1Ankara Keçiören Training and Research Hospital, Emergency Medicine Clinic
²Ankara Keçiören Training and Research Hospital, General Surgery Clinic

INTRODUCTION: Acute appendicitis is one of the common abdominal emergencies. We aimed in this study to evaluate whether routine urinalysis may use in discriminating between simple appendicitis and complicated appendicitis in the emergency department.Acute appendicitis is one of the common abdominal emergencies. We aimed in this study to evaluate whether routine urinalysis may use in discriminating between simple appendicitis and complicated appendicitis in the emergency department.Acute appendicitis is one of the common abdominal emergencies. We aimed in this study to evaluate whether routine urinalysis may use in discriminating between simple appendicitis and complicated appendicitis in the emergency department.
METHODS: Patients over 18 years of age with a pathological diagnosis of acute appendicitis and those who underwent urine analysis in the emergency department were included in the study. Patients with missing data were excluded. According to pathology reports, patients were classified as simple and complicated appendicitis.
RESULTS: Compared to simple appendicitis, the complicated appendicitis group had significantly higher urine ketone body, protein, and nitrite counts on admission (p<0.05 for all parameters). Urine ketone bodies and positive urine nitrite were found to predict statistically significant complicated appendicitis in multivariate logistic regression analysis (for all values p<0.001).
DISCUSSION AND CONCLUSION: Urine analysis is one of the routine tests performed in patients with suspected acute abdomen. Therefore, we think that especially urine ketone bodies and positive urine nitrite in urine analysis may be a warning for complicated appendicitis.

Keywords: Acute appendicitis, ketone, nitrite, urine analysis

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