Özet:

The aims of our study are to evaluate the demographic data of patients admitted to the emergency room with acute cholecystitis and determine the sensitivity and specificity of various infection parameters and ratios, primarily the neutrophil lymphocyte ratio (NEU/LYM), in diagnosis. 59 patients diagnosed with acute cholecystitis (the cholecystitis group) and 66 patients not diagnosed with acute cholecystitis (the control group) were viewed. Both groups were admitted to the emergency room with abdominal pain. The demographic data of the patients such as age, gender, complaints during their admission, and their laboratory parameters were recorded on their forms and their statistical analyses were conducted. There were 22 (37.3%) female patients and 37 (62.7%) male patients in the cholecystitis group. Considering the age distribution, 30.5% of the total patient group was over the age of 65. When the admission complaints were evaluated, the most frequent complaint (92.2%) was abdominal pain. The increase in white blood cells (WBC), NEU, c-reactive proteins (CRP), NEU/LYM, WBC/mean platelet volume (MPV) levels and decrease in WBC/NEU levels in the control group were found to be statistically significant (p<0.05). As a result of comparing the cholecystitis group with the control group, a ROC analysis was conducted and the cut-off values were determined as; WBC: 7.25 103/µl, lymphocyte: 2.07 103 cells/uL, neutrophil: 4.5 103/µl, CRP: 0.17 mg/L, WBC/NEU: 1.62, NEU/LYM: 2.06, WBC/MPV: 0.873 and CRP/LYM: 0.06. We think that WBC, neutrophil, CRP, NEU/LYM, WBC/MPV and CRP/LYM ratios in acute cholecystitis, can be beneficial in clinical use in terms of the diagnosis.  

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