Validez de la leucocitosis de control en pacientes con duda diagnóstica de apendicitis aguda, Hospitales Vicente Corral Moscoso y José Carrasco Arteaga, Cuenca, 2012

Abstract

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