Do Hemogram Parameters Correlate With The Level and Location of The Obstruction In Acute Mesenteric Ischemia Patients?

Number: 3 September 1, 2019
  • Erkman Sanrı
  • Sinan Karacabey
  • Haldun Akoglu
EN TR

Do Hemogram Parameters Correlate With The Level and Location of The Obstruction In Acute Mesenteric Ischemia Patients?

Abstract

Background and Objectives: Acute mesenteric ischemia AMI is a disease with high mortality that needs early diagnosis and management. There has been a recent trend in the search for a fast prognostic tool for AMI. Hemogram parameters are widely used tools in emergency departments since they are inexpensive and fast.In this study our primary objective was to evaluate the significance of hemogram parameters in predicting the level of obstruction in superior mesenteric artery SMA and truncus coeliacus TC . Our secondary objective was to evaluate the significance of hemogram parameters in predicting the location of obstruction in AMI patients.Methods: In this retrospective study, we reviewed medical records of 214 AMI patients including; hemoglobin, hematocrit, platelet, mean platelet volume, red blood cell distribution width counts and computed tomography scan results. Patients with missing data were excluded and 208 patients were enrolled. Results: Among 208 AMI patients, 123 59.1% were male. The median age was 68 IQR: 59, 77 . There were no significant differences between the obstruction level groups for the hemogram parameters neither in SMA nor in TC. The difference between obstruction location groups for hemogram parameters were clinically insignificant.Conclusion: We found that hemogram parameters do not correlate with the level and location of the obstruction in AMI patients. Other pathophysiological processes seem to be more important for the survival of those patients

Keywords

References

  1. 1. van den Heijkant TC, Aerts BA, Teijink JA, Buurman WA, Luyer MD. Challenges in diagnosing mesenteric ischemia. World J Gastroenterol 2013; 19: 1338-41.
  2. 2. Cudnik MT, Darbha S, Jones J, Macedo J, Stockton SW, Hiestand BC. The Diagnosis of Acute Mesenteric Ischemia: A Systematic Review and Meta‐analysis. Academic Emergency Medicine 2013;20:1087-100.
  3. 3. Kassahun WT, Schulz T, Richter O, Hauss J. Unchanged high mortality rates from acute occlusive intestinal ischemia: six year review. Langenbeck’s archives of surgery 2008; 393: 163-71.
  4. 4. Aktekin A, Emir S, Saglam A. [Factors affecting mortality in acute mesenteric obstruction]. Ulus Travma Acil Cerrahi Derg 2009;15:217-21.
  5. 5. Unalp HR, Atahan K, Kamer E, Yasa H, Tarcan E, Onal MA. [Prognostic factors for hospital mortality in patients with acute mesenteric ischemia who undergo intestinal resection due to necrosis]. Ulus Travma Acil Cerrahi Derg 2010; 16: 63-70.
  6. 6. Bilgic IC, Gelecek S, Ozmen MM, Kasapoglu B. The association of elevated mean platelet volume with the outcome of acute mesenteric ischemia. Blood Coagul Fibrinolysis 2015; 26: 727-30.
  7. 7. Altintoprak F, Arslan Y, Yalkin O, Uzunoglu Y, Ozkan OV. Mean platelet volume as a potential prognostic marker in patients with acute mesenteric ischemia-retrospective study. World J Emerg Surg 2013;8: 49.
  8. 8. Degerli V, Ergin I, Duran FY, Ustuner MA, Duran O. Could Mean Platelet Volume Be a Reliable Indicator for Acute Mesenteric Ischemia Diagnosis? A Case-Control Study. Biomed Res Int 2016;2016: 9810280.

Details

Primary Language

English

Subjects

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Journal Section

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Authors

Erkman Sanrı

Sinan Karacabey

Haldun Akoglu

Publication Date

September 1, 2019

Submission Date

-

Acceptance Date

-

Published in Issue

Year 2019 Number: 3

EndNote
Sanrı E, Karacabey S, Akoglu H (September 1, 2019) Do Hemogram Parameters Correlate With The Level and Location of The Obstruction In Acute Mesenteric Ischemia Patients? Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 3 542–546.