Tesis Especializaciones (Ciencias Médicas)

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Apendicectomías no enfermas en el Hospital Vicente Corral Moscoso y Hospital José Carrasco Arteaga, Cuenca 2014
(2016) Montero Tapia, Edgar Paúl; Pino Andrade, Raúl Haldo; Morocho Malla, Manuel Ismael
General Objective: To determine the incident of not sick appendectomies in the surgery service of the Vicente Corral Moscoso (HVCM) and Jose Carrasco Arteaga(HJCA) hospitals during the year of 2014. Method: Analytical study of cross section, in 300 patients undergoing appendectomy in HVCM and Jose HJCA of the city of Cuenca; We collected demographic data, clinical picture, exams results and complementary blood results and the Alvarado´s scale and RIPASA´s scale results; Using this data we created a data base on SPSS and proceeded to their analysis. Results: The general prevalence of not sick appendectomy was 24.7%, being higher in the following cases: Teen 30%; women 29,7%; from HVCM 29,4%; and in the HJCA 19,3%; The most frequent symptom found in patients with negative appendectomy was the migration of pain with 26,8%. Patients with Leukocytosis showed 26,2 % of negative appendectomy, same as the 26,4% of patients with deviation to the left of neutrophils more than 75%; 23,5% of the patients with positive EMO also end up with same negative results and pathological anatomy. 26,5 % of the patients diagnosed with appendicitis on the Alvarado´s scale and the 29,3% with the RIPASA score were false positive since their diagnostic wasn´t confirmed by pathological anatomy. Conclusions: The prevalence of not sick appendectomy is inside of range provided by other epidemiological studies, highlighting the value of the clinic in the treatment of patients with abdominal pain
Apendicitis aguda: validez de la proteína C reactiva cuantitativa y citología peritoneal en su diagnóstico Hospital Vicente Corral Moscoso. Cuenca 1996-1997
(1997) Sacoto Aguilar, Hernán Patricio; Gaete Iglesias, Jorge Luis; Vázquez Guillén, Flavio Andrés; Astudillo Molina, Rubén Arturo; Campoverde Arévalo, Nicolás Luciano
Comparación de apendicectomía laparoscópica de puerto único con abordaje de 3 puertos en los Hospitales José Carrasco Arteaga y Vicente Corral Moscoso, 2013
(2014) Quiroz Hernández, Saúl; Ortíz Calle, Juan Carlos; Tenezaca Tacuri, Ángel Hipólito
Acute appendicitis is the most common surgical disease in surgical services in first place of surgical acute abdomen. As minimally invasive surgery treatment is the best surgical approach. However it has ventured into less invasive and safer techniques such as single-port laparoscopic appendectomy. Objective: compare the use of laparoscopic appendectomy single port with 3 ports in patients with acute appendicitis hospitals "Vicente Corral Moscoso" and "Jose Carrasco Arteaga". Materials and method: an experimental study. We included 170 participants in the emergency department of hospitals “Vicente Corral Moscoso” and “Jose Carrasco Arteaga” underwent surgery for acute appendicitis; half were performed with single-port appendectomy and the other half were appendectomy performed with 3 ports. Results: the most affected age group was 18-25 years, and the present male predominance in both groups. The operating time of 61-120 min was 61.2% in group 1, group 2 of 55.3%. The mild postoperative pain was presented in group 1 and 63.5% in group 2 was 41.2% mild , moderate 38.8%, with a hospital stay of 13-24 hours in the group 1 of 62 , 4% of group 2 unlike a prevalence of 25 to 36 hours 47.1%. Analyzing the behavior of the single port for less surgical time we found a RR of 0.71 (95% CI 0.4-1.2 ) , RRR 0.29 , NNT 15 RAR 0.07 , for pain intensity ( mild) RR of 1.54 (95% CI 1.1-2 ) , RRR -0.54 , -0.22 and NND RAR 5 and for shorter hospital stay ( less than 12 hours) 3.5 0.71 (CI 95% from 0.75 to 12.3 ) , -2.5 RRR , NNH 17 RAR 0.06. Discussion: performing single-port laparoscopic appendectomies similar presents international research results, with regard to postoperative pain and hospital stay and is beneficial compared to 3 access ports. Conclusion: the realization of single-port laparoscopic appendectomy showed higher benefits in terms of postoperative pain and hospital stay. Keywords: APPENDICITIS / THERAPY, APPENDICITIS / SURGERY, LAPAROSCOPY APPENDECTOMY / CLASSIFICATION, APPENDECTOMY / METHODS, POSTOPERATIVE PAIN / SURGERY, POSTOPERATIVE PAIN / CLASSIFICATION, REGIONAL “HOSPITAL VICENTE CORRAL MOSCOSO”, “JOSE CARRASCO ARTEAGA HOSPITAL” OF SOCIAL SECURITY INSTITUTE OF ECUADOR, CUENCA-ECUADOR.
Complicaciones y factores asociados a apendicectomía abierta y laparoscópica. Hospitales Vicente Corral Moscoso - José Carrasco Arteaga, 2018
(Universidad de Cuenca, 2020-02-20) Castro García, Walter Eduardo; Quichimbo Sangurima, Fausto Marcelo
Background: Appendicitis is one of the most common surgical problems. One in 2,000 people has an appendectomy at some point in their life. Objective: to determine the prevalence and factors associated with postappendectomy laparoscopic and conventional complications in patients treated at the José Carrasco Arteaga and Vicente Corral Moscoso hospitals, during the year 2018. Methodology: this is a cross-sectional analytical study. The sample consisted of 440 patients who met the inclusion criteria. The information was collected using a form prepared by the author. The associated factors were analyzed with the Odds Ratio statisticians with their 95% CI, plus the binary logistic regression. The hypothesis was accepted with a p value <0.05 of Pearson's Chi2. Results: the prevalence of complications was 6.4%. The factors associated with statistical significance were: age 34 years (OR 2, 8; 95% CI 1.30 - 6.42; p 0.007), overweight / obesity (OR 3.9; 1.0 - 16.4; p 0.04), surgical time greater than 60 min (OR 7.3; 95% CI 3.05 - 17.80; p 0.000) and the least surgical experience (OR 8.2; 95% CI 2.8 - 24.3; p 0.000). Male sex was an associated factor, but not with statistical significance (OR 1.9; 95% CI 0.4 - 8.89; p value 0.37). Conclusions: the prevalence of post-appendectomy complications was lower than that reported in the literature and the associated factors were age> 34 years, male sex, overweight / obesity, surgical time greater than 60 min., And the curve of less learning
Construcción de índice para facilitar la toma de decisiones en los casos dudosos de apendicitis en el H.V.C.M. período 2002-2004
(2004) Brito Pesántez, Wilson Galo; Sánchez Quizhpi, Edgar Iván; Moscoso Abad, Teodoro Enrique; Castro Calle, Fernando Eugenio
Determinación de la eficacia del score diagnóstico de apendicitis en el departamento de emergencia del Hospital Vicente Corral Moscoso de Cuenca en el período febrero - julio 2007
(2007) Pino Andrade, Raúl Haldo; Ortíz Calle, Juan Carlos; Moscoso Abad, Teodoro Enrique; Morales Sanmartín, Jaime Rodrigo
Efectos del protocolo de recuperación postoperatoria rápida en pacientes apendicectomizados por apendicitis complicada, vía laparoscópica y convencional en los hospitales José Carrasco Arteaga y Vicente Corral Moscoso. Cuenca 2017
(2019) Urgiles Rivas, Marco Vinicio; Ordóñez Cumbe, Julio César
Background: the rapid recovery Protocol (Fast Track or ERAS) in patients apendicectomizados for complicated appendicitis, It has shown as benefits: reduction in hospital stay, less morbidity and a rapid postoperative recovery. Objective: to determine the effects of the rapid postoperative recovery in patients apendicectomizados Protocol by appendicitis complicated laparoscopic and conventional in the hospital José Carrasco Arteaga and Vicente Corral Moscoso, basin 2017. Method and materials: analytical study transversely, participation 384 patients, undergoing laparoscopic appendectomy or conventional by complicated appendicitis, who was assessed the relationship of the applicability of the postoperative Protocol with the reduction of hospital stay and complications post-surgery, with analysis of the statistical program SPSS version 23 variables and EPIDAT 3.1. Results: prevalence of females with the 51.1%, 51.6% undergoing laparoscopic surgery; the use of antiemetic and postoperative opioid avoided the nausea post-surgical, before 12 o'clock and fluid intake they avoided the nausea, vomiting and pain post-surgery. Hospital stay lasted more than 4 days: those who used drain, greater than 91 minutes operating time, the presence of nausea, vomiting, pain, delay in the appearance of noise air speed-boats; While re-entry Hospital is related to the use of antibiotics over 4 days, hospitalization for more than 4 days in both as conventional laparoscopic surgery. Conclusion: the Protocol's Fast Track with complicated appendicitis, is related to a stay hospital shorter, faster postoperative recovery and less postoperative morbidity.
Evaluación de la Escala de Alvarado versus Score de respuesta inflamatoria de la apendicitis, Hospital José Carrasco Arteaga 2018
(Universidad de Cuenca, 2020-02-20) Rodas Andrade, Jorge Roberto; Ordóñez Cumbe, Julio César
Background: acute appendicitis is a common disease in the environment, characterized by abdominal pain, but which often occurs with atypical clinical tables that delay its surgical treatment or discard it; so, it is necessary to have an easy and useful tool that allows the timely resolution of this pathology. Objetive: assess the usefulness of the Alvarado Scale versus the Inflammatory Response of Appendicitis (AIRs) in the diagnosis of Acute Appendicitis Method and Materials: a diagnostic test validation study was conducted to compare the AIR and Alvarado scales, considering the results of pathological anatomy as a gold test. 292 patients were included at the José Carrasco Arteaga hospital during 2018. For statistical analysis, sensitivity, specificity, positive predictive value, negative predictive value, ROC curve and likelihood Ratio were obtained. Results: 49.7% of the participants are in the age group of young adults, with male predominance (62.7%), married marital status 63%, mixed ethnicity 91.4%, secondary education 58.6%. The Alvarado scale had a sensitivity of 88.5%, specificity of 29.6%, positive predictive value of 81% and negative of 42%, an LR + of 1.23 and a LR – of 0.38; that were lower than those recorded by AIR of 94.7% (sensitivity), 76.5% (specificity), positive predictive value 93%, negative predictive value of 80%, LR + 4.02 and one LR – 0.07. The area under the ROC curve of the AIRS was 0.897, higher than that of Alvarado of 0.611; conferring on the first scale greater diagnostic accuracy. Conclusion: the AIR Score has a higher specificity, positive predictive value and negative predictive value, in addition showed better diagnostic effectiveness than Alvarado's score in diagnosing acute appendicitis.
Evaluación de la utilidad de las pruebas de laboratorio en el diagnóstico de la apendicitis aguda en el Hospital Vicente Corral Moscoso, Cuenca 2008-2009
(Universidad de Cuenca, 2009-11-11) Pinos, Nathalie; Siavichay, Mauricio; Astudillo, Johnny; Moscoso Abad, Teodoro Enrique
Incidencia y factores asociados a apendicitis perforada en menores de 16 años. Hospitales Vicente Corral Moscoso y José Carrasco Arteaga. Cuenca, 2014
(2016) Cárdenas Bueno, Jenny Alexandra; Santacruz Pérez, Paola Daniela; Castro Calle, Fernando Eugenio
Objective: To determine the incidence and associated factors of perforated appendicitis in children under 16 years old treated at the Pediatric Surgery Department of Vicente Corral Moscoso and José Carrasco Arteaga Hospitals. Materials and Methods: Descriptive study and of cross section conducted on 172 patients who were treated in the Pediatric Department of Vicente Corral Moscoso Hospital; Data was collected on a form; tabulated in version 15 of SPSS program and for the analysis we used: frequencies, percentages, measures of central tendency and location, the association was evaluated using the chi-square value and to measure risk we used prevalence ratio. Results: The frequency of perforated appendicitis was 34,9%, being more frequent in the following population groups: school kids and infants with 45% each group; 61,7% male; 71,7% residing in urban areas; 6,7% with overweight and 46,7% of mothers with a level of primary and secondary education each group. It was found that statistically significant risk factors for perforated appendicitis were: have been sent home after initial assessment RP 1,5 (1,03 to 2,3) and wrong initial diagnosis 1.6 RP (1,09- 2,4). Conclusions: Delay in medical care combined with the error in the initial diagnosis are the main risk factors for perforated appendicitis
Prevalencia bacteriológica en apendicitis aguda no complicada y su asociación con infección del sitio quirúrgico, Hospital Vicente Corral Moscoso, 2010
(2010) Astudillo Bravo, Xavier Eugenio; Figueroa Morales, Francisco Efraín; Merchán Bueno, Miguel Oswaldo
The acute apendicitis (AA) afects to 12% of the poblation, the morbility of this pathology and its treatment produce suffering, more hospitary stay, delay work and socioeconomic repercussions. The germs culture of the appendix wall is multifactorial depends of: guest, surgeon, hospitary ambient, and clinic phase; the fecuently of the wound infection (WI) vary of 2 to 10% and should relate with appendix germs. Objective: To determine the germs prevalency of the appendix wall in patients with non-complicated acute appendicitis and association with pathology time and WI in patients of Vicente Corral Hospital (octuber 2009 - september 2010). Methodology: We achieved a transversal study to determine the bacteriological prevalency of the wall appendix in patientes with non-complicated acute apendicitis and its relation with wound infection. Outcomes: We study 114 patients, 107 (93.9%) patients show positive culture of the appendix wall; 87,7% show a process upper to 12h. 60,5% of appendix were supuratives. The appendix wall culture show a hight incidence of E. Coli (64,5%), and Bacteroides frágilis (19,6%). The frecuently of ISQ was 10,5%. Therefore, presence of anaerobic germs and the ISQ were associated with a upper to 12 h evolution of this pathology, but the diference was not significantly. Conclusion: The wall appendix culture is not frecuently, the presence of germs in the wall appendix increase according to time of evolution of this pathology and its associated with increase of ISQ but without stadistical significantly. The germs find in non-complicated acute apendicitis were E. Coli y B, Frágilis. Key words: Appendicitis, infection of operating wound, prevalence, bacterial infection.
Prevalencia de complicaciones mediatas y factores asociados en pacientes post apendicectomía laparoscópica, en el Hospital José Carrasco Arteaga. Cuenca; 2019
(Universidad de Cuenca, 2019-05-13) Galarza Armijos, Mónica Eulalia; Aguilar Gaibor, Carlos Iván
BACKGROUND: Acute appendicitis represents a surgical emergency and a public health problem, with a 10% prevalence of complications (1). According to the Ministry of Public Health, it represents the primary cause of morbidity in Ecuador (2). OBJECTIVE: To determine the prevalence and associated factors with mediate complications in post-laparoscopic appendectomy patients. José Carrasco Arteaga Hospital, Cuenca; 2019. METHOD: Analytical, cross-sectional, observational study, infinite universe, sample 215 (lowest prevalence 5.33%), unit of analysis: clinical history, using a form the information from the AS400 system was collected from randomized patients. The information was entered into Excel 2016 and SPSS 15.0. Frequency distributions and percentages were used to synthesize the data, and for the association OR, 95% CI, and for statistical significance the value of p<0.05. RESULTS: The prevalence of mediate complications was 13.5%, the most frequent being surgical site infection (6%). The associated factors include: delay in seeking medical attention> 24h (OR: 2.23, CI: 1.014 – 4.936), complicated acute appendicitis (OR: 2.3, CI: 1.045 – 5.087) and absence of prophylactic antibiotic treatment (OR: 4.15, CI: 1.401 – 12.289). These risk factors were statistically significant (p = 0.042, p = 0.035, p = 0.006 respectively). CONCLUSIONS: The prevalence of mediate complications in this study is similar to those reported in other neighboring countries, however, it is higher than that found in our city in another institution. Complications are associated with factors such as: delay in seeking medical attention> 24h, complicated acute appendicitis, and absence of prophylactic antibiotic therapy.
Profilaxis antibiótica con cloramfenicol periincisional en apendicitis aguda. Hospital Vicente Corral Moscoso. Cuenca
(1995) Jaramillo, Walter V.; Cardenas Herrera, Carlos Francisco; Quezada Ramón, Alberto Pantaleón; Astudillo Molina, Rubén Arturo
Translocación bacteriana en pacientes con apendicitis aguda del Hospital Vicente Corral Moscoso, noviembre 2006-mayo 2007
(2007) Moreno Vélez, Xavier Eduardo; Chuchuca Serrano, Jorge Ricardo; Moscoso Abad, Teodoro Enrique; Orellana Cabrera, Iván Eladio
Utilidad de la ecografía en dolor abdominal agudo de la fosa iliaca derecha, Hospital José Carrasco Arteaga Cuenca 2017
(2019-02) Tigsi Mendoza, Eddy Xavier; Tigsi Ganzhi, Luis Manuel; Beltrán Carreño, José Patricio
Background: The pain of the right iliac fossa in the pediatric patient is not always caused by acute appendicitis; there are benign clinical entities up to surgical diseases, called "appendicitis simulators". Objective: To determine the usefulness of ultrasound in acute abdominal pain of the right iliac fossa, compared with the diagnosis at discharge, in pediatric patients of the José Carrasco Arteaga Hospital, Cuenca 2017. Methodology: his is a descriptive study and diagnostic test in pediatric patients with acute abdominal pain in the right iliac fossa, who underwent an abdominal ultrasound, from January to December 2017. The information was taken through a data collection form and statistical software for the descriptive study. Analysis using simple frequency and percentage tables. For the diagnostic test, sensitivity and specificity were obtained, positive and negative predictive value, positive and negative likelihood ratio. RESULTS: 301 patients were evaluated, 195 with pathology, 57.8% were between 10-15 years old, 50.5% are female. The following pathologies were observed; Mesenteric adenitis (33.6%), acute appendicitis (19.3%), gastroenteritis (5.6%), intestinal invasion (3.3%), hemorrhagic cyst and ovarian torsion (<2%). The ultrasound showed sensitivity 99.42, specificity 81.40. CONCLUSIONS: Abdominal ultrasound is an excellent tool to assess acute appendicitis and pathologies that mimic the pain of this disease. Although the sensitivity and specificity is varied in the literature, it should be the first modality of imaging in the pediatric patient.
Validación de la escala de respuesta inflamatoria (air) en apendicitis aguda, en pacientes de 16 a 35 años. Hospital Vicente Corral Moscoso, Cuenca 2020
(Universidad de Cuenca, 2022-02-18) Lauro Sthewe, Cangá Dumani; Tenezaca Tacuri, Ángel Hipólito
Acute appendicitis is the most frequent surgical pathology in our environment; its annual mortality rate is 2.4 / 1000 appendectomies. The diagnosis is mainly clinical, however, risk stratification based on scores can optimize the management of these patients. Objective: Determine the validity of the inflammatory response scale in acute appendicitis (AIR) in patients aged 16 to 35 years. Vicente Corral Moscoso Hospital. Cuenca 2020. Methodology: This is a diagnostic test validation study; The sample considered consisted of 177 medical records of patients who met the inclusion criteria, selected by simple random sampling. For data collection, a questionnaire validated by the author was created. The SPSS v 24 program was used to obtain the measures of central tendency and dispersion, Sensitivity (S), Specificity (E), Positive and negative predictive value (PPV and NPV), ROC curve. Results: the average age of the participants was 25.11 (SD ± 5.3), and the most representative group was young adults from 25 to 34 years old; in relation to sex, there was no significant difference. 10.88% of the patients who had an AIR score ≥ 8 were positive for acute appendicitis on histopathological analysis. The S of AIR ≥ 8 was 10%, the E = 100%, the PPV = 100%; NPV = 18.63%. The AIR test efficiency ≥ 8 was = 25.99%. The probability of having a negative result (ARI <8) was 89% (negative likelihood index). Conclusion: the validity of the AIR test ≥ 8 to determine the probability that an individual has acute appendicitis was low, therefore, this value is insufficient, therefore, the help of complementary tests is suggested.
Validación del diagnóstico ecográfico de apendicitis aguda en el Hospital José Carrasco Arteaga
(2011) Sanclemente Villavicencio, Jéssica Patricia; Pazos Manzano, Presley Eduardo; Castro Calle, Fernando Eugenio
Acute appendicitis, acute inflammatory process of the vermiform appendix is the most common cause of acute abdominal pain in some series reaching up to 50% -60% of cases. The diagnosis is clinical. Ultrasound has a sensitivity of 76% and a specificity of 66% is applicable when clinical signs and laboratory findings have not made the diagnosis. Goal To determine the diagnostic validity of ultrasound in the diagnosis of acute appendicitis in Hospital Emergency Department Jose Carrasco Arteaga (HJCA). Materials and methods We performed a validation of a diagnostic test that compared patients with ultrasound ultrasound diagnosis of acute appendicitis with the result of pathology of the removed appendix as a gold. For the sample used a sensitivity of 76% and a specificity of 66% confidence level 95%, 80% power, for a total of 531 patients. We applied a questionnaire to identify sex, age, duration and site of pain, sonography was performed using the NEMI team multifrequency linear array transducer of 7 to 9 MHz. For the analysis we used Excel 2010 and SPSS 19. Results The mean age was 31.73 years. Most affected were the teenagers and young adults about sex were men. The target image ultrasonographic sign was the major finding (44.6%). 364 were true positives, 46 true negatives, 6 false positives and false negatives 118. We obtained a sensitivity of 75.5%, specificity 88.4%, positive predictive value of 98% negative predictive value of 28%. The overall effectiveness of the test was 76.8%.
Validez de la leucocitosis de control en pacientes con duda diagnóstica de apendicitis aguda, Hospitales Vicente Corral Moscoso y José Carrasco Arteaga, Cuenca, 2012
(2013) Bravo Medina, Rubén Darío; Figueroa Morales, Francisco Efraín; Tenezaca Tacuri, Ángel Hipólito
BACKGROUND: Acute appendicitis is a disease that affects 12% of the population in our country is one of the most common surgeries are performed, complications have a high economic and social impact, that is why its diagnosis and treatment is essential. OBJECTIVE: To validate the control leukocytosis and neutrophilia in cases of uncertain diagnosis in patients with suspected acute appendicitis in Vicente Corral Moscoso and José Carrasco Arteaga in Hospitals in the city of Cuenca in 2012. METHODS AND MATERIALS: Test of validation study, we worked with a sample consisting of 180 patients with surgical patients in hospitals Vicente Corral Moscoso and Jose Carrasco Arteaga during 2012, that met the inclusion criteria . With a sample.Confidence level of 95%.Sensitivity of 86.05%, Specificity 92.86%, Reason diagnosed / undiagnosed 1.0; disease prevalence of 26.7%.A survey, informed consent. The results obtained were processed in Microsoft Excel and SPSS 15.0 statistical software. RESULTS: The mean age of the study population was 38.3 ± 18.7 years, Being higher in women. Appendicitis was confirmed histologically in 86.7%. Suppurative appendicitis was the most prevalent. Leukocytosis validation was 98.72% sensitivity, 75% specificity and neutrophilia validation was 76.92% sensitivity, specificity 70.83%. DeCS: APPENDICITIS-EPIDEMIOLOGY; APPENDICITIS-DIAGNOSIS; APPENDICITIS-CLASSIFICATION; LEUKOCYTOSIS-DIAGNOSIS; GRANULOCYTES-PATHOLOGY; BLOOD CELL COUNT-UTILIZATION; PREDICTIVE VALUE OF TESTS; SENSITIVITY AND SPECIFICITY; HOSPITALS, PUBLIC; CUENCA-ECUADOR
Validez del índice neutrófilos - linfocitos como predictor de gravedad en pacientes mayores de 18 años diagnosticados de apendicitis aguda en el Hospital Vicente Corral Moscoso. Cuenca, 2020
(Universidad de Cuenca, 2022-02-07) Ortiz Galarza, Felipe Israel; Flores Lazo, Nube Lucía
Background: acute appendicitis is the most frequent cause of acute emergency surgical abdomen worldwide. Although the usual clinical presentation is abdominal pain, in patients with atypical presentation the support of complementary studies is required, and the determination of the Neutrophil-Lymphocyte Ratio (NLI) is becoming a new predictive marker of severity. Objective: to determine the acute validity of the NLR as an indicator of severity in patients over 18 years of age with Appendicitis. Methodology: quantitative, observational study to validate the diagnostic test; approved by the Bioethics Committee. 144 patients older than 18 years admitted to the General Surgery Emergency with acute appendicitis were included. The sample size was calculated with a sensitivity of 70%, specificity of 48%, prevalence of Complicated Appendicitis 30%, power of 80%, confidence level of 95%. Data analysis and comparison was carried out in SPSS and Epidat. Results: 59.7% of patients were between 18 to 34 years old with an average of 33 years (± 13 years); 50.7% were men. In addition, a total of 54.9% presented complicated acute appendicitis and it was determined that with an NLR ≥ 5.76, there is a sensitivity of 93.5% and a specificity of 43.4% to predict complicated acute appendicitis. Conclusion: the NLR is a promising tool, since it undoubtedly has a high sensitivity to predict the severity of acute appendicitis, taking the histopathology result as the gold standard, however, with a low specificity in diagnostic precision.

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