DIFFERENCES IN LEUKOCYTE RATE BETWEEN ACUTE NONPERFORATED AND PERFORATED APPENDICITIS IN HOSPITALISED PATIENTS BANDAR LAMPUNG-INDONESIA

Festy Ladyani, Nur Fitria Dewi

Abstract


Background: Acute appendicitis is one of the most common acute abdominal pain. A late check up and diagnosis could bring harms which is turning into perforated appendicitis. Leukocyte count is a laboratory collation that is generous and quick to diagnose the acute apendicitis and perforated appendicitis, however there’s no certain limit of the leukocytes count to recognize whether it is acute apendicitis or perforated appendicitis.

Purpose: This research was to find out the comparison of leucocyte count average between acute appendicitis and perforation appendicitis in Dr. H. Abdul Moeleok public hospital of Lampung province in 2014-2016.

Methods: An analytic research with cross sectional approach. Population was 382 patients with appendicitis in Dr. Hi. Abdul Moeloek public hospital. Samples were taken using total sampling technique with 196 respondent samples for acute appendicitis and 196 respondent samples for perforation appendicitis. Data were analyzed by using univariate analysis with percentage and bivariate analysis with t-test.

Results: the average of leucocyte count of acute appendicitis patients was 10,907 with minimum and maximum leucocyte count of 5,000 and 18,500 respectively. The average of leucocyte count of perforation appendicitis patients was 22,789 with minimum and maximum leucocyte count of 16,500 and 31,000 respectively. There were differences of leucocyte counts between acute appendicitis patients and perforation appendicitis patients with p-value < 0.05.

Conclusion: there were significant differences of leucocyte count averages between acute appendicitis and perforation appendicitis.


Keywords


Acute appendicitis; perforation appendicitis; leucocyte

Full Text:

PDF

References


Beltran, M. A., Mendez, P. E., Barrera, R. E., Contreras, M. A., Wilson, C. S., Cortes, V. J., & Cruces, K. S. (2009). Is hyperbilirubinaemia in appendicitis a better predictor of perforation than C-reactive protein?—a prospective study. Indian Journal of Surgery, 71(5), 265.

Brunicardi, F. C. (2000). Molecular surgery and biology. The American journal of surgery, 180(6), 397-401.

Cameron, J. L., & Cameron, A. M. (2014). Current Surgical Therapy, Elsevier Saunders, 2014: Current Surgical Therapy (Vol. 1). Bukupedia. Unites States of America: Mosby Elsevier. 2008

Doherty, G. M., & Way, L. W. (Eds.). (2006). Current surgical diagnosis & treatment (p. 21). New York: Lange Medical Books/McGraw-Hill.. United States of America : McGraw-Hill Companies. 2006

Goulart, R. N., Silvério, G. D. S., Moreira, M. B., & Franzon, O. (2012). Main findings in laboratory tests diagnosis of acute appendicitis: a prospective evaluation. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), 25(2), 88-90.

Humes, D. J., & Simpson, J. (2006). Acute appendicitis. BMJ: British Medical Journal, 333(7567), 530. (Nottingham) p 529 – 34. 2007

John, H., Neff, U., & Kelemen, M. (1993). Appendicitis diagnosis today: clinical and ultrasonic deductions. World journal of surgery, 17(2), 243-249.

Kaplan, M., Salman, B., Yilmaz, T. U., & Oguz, M. (2009). A quality of life comparison of laparoscopic and open approaches in acute appendicitis: a randomised prospective study. Acta Chirurgica Belgica, 109(3), 356-363.

Mani, T. M., Dhanaraj, L., Paul, C. M. P., Agalya, L., & Ajinraj, F. M. (2018). A Study on the Profile of Signs and Symptoms Among Appendicitis Patients Admitted in A Tertiary Health Care Centre in Chennai. Global Journal For Research Analysis, 5(8).

Nasution, A. P. (2013). Hubungan antara Jumlah Leukosit dengan Apendisitis Akut dan Apendisitis Perforasi di RSU Dokter Soedarso Pontianak tahun 2011. Jurnal Mahasiswa PSPD FK Universitas Tanjungpura, 1(1). di RSPAD Gatot Subroto Jakarta Periode Tahun 2010. Jakarta: Universitas Pembangunan Nasional Veteran (Abstrak).jakarta 2010.

Omari, A. H., Khammash, M. R., Qasaimeh, G. R., Shammari, A. K., Yaseen, M. K. B., & Hammori, S. K. (2014). Acute appendicitis in the elderly: risk factors for perforation. World Journal of Emergency Surgery, 9(1), 6. (Yordania) p. 1-6. 2014

Panidis, S., Paramythiotis, D., Panagiotou, D., Batsis, G., Salonikidis, S., Kaloutsi, V., & Michalopoulos, A. (2011). Acute appendicitis secondary to Enterobius vermicularis infection in a middle-aged man: a case report. Journal of medical case reports, 5(1), 559., Case Report (Greece) p.1-3 .2011.

Paulson, E. K., Kalady, M. F., & Pappas, T. N. (2003). Suspected appendicitis. New England Journal of Medicine, 348(3), 236-242.United States of America: Massachusetts Medical Society. p.236 – 42. 2003.

Pieper, R., Kager, L., & Nasman, P. (1982) Acute appendicitis : a clinical study of 1018 cases of emergency appendectomy. Acta chirurgica scandinavica, 148 (1), 51-62.

Shenoy, R. K., & Nileshwar, A. (2014). Buku Ajar Ilmu Bedah Ilustrasi Berwarna. Ketiga. Sampepajung D, Hamdani W, Harahap WA, Hendry M, R. Widjaja A, Khany Jasa Z, et al., editors. Tanggerang Selatan: Karisma Publishing Group. Ilustrasi Berwarna Edisi Ketiga. Tangerang: Karisma Publishing Group. Tangerang 2014.

Sjamsuhidajat, R. W. D. J., & De Jong, W. (2005). Buku ajar ilmu bedah. Jakarta: EGC, 589. Edisi 3. Jakarta : EGC. Jakarta 2007.

Sofii, I., Barmawi, A., & Dachlan, I. (2007). Comparison of the Diagnostic Test of Leukocyte Count, Percentage of Neurtrophyl, and C-Reactive protein (CRP) in Adult Patients With Simple and Complicated Acute Appendicitis. Berkala Ilmu Kedokteran, 39 (2007).

Tsai, S. H., Hsu, C. W., Chen, S. C., Lin, Y. Y., & Chu, S. J. (2008). Complicated acute appendicitis in diabetic patients. The American Journal of Surgery, 196(1), 34-39.

Tuggle, K. R. M., Ortega, G., Bolorunduro, O. B., Oyetunji, T. A., Alexander, R., Turner, P. L., & Fullum, T. M. (2010). Laparoscopic versus open appendectomy in complicated appendicitis: a review of the NSQIP database. Journal of Surgical Research, 163(2), 225-228.

Wani, I. (2009). K-Sign in retrocaecal appendicitis: a case series. Cases journal, 2(1), 157.




DOI: https://doi.org/10.33024/minh.v2i1.1058

Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 MALAHAYATI INTERNATIONAL JOURNAL OF NURSING AND HEALTH SCIENCE

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.