Author/Authors :
Yeniocak, Selman University of Health Sciences - Haseki Training and Research Hospital - Emergency Department - Istanbul - Turkey , Saraç, Fatma University of Health Sciences - Haseki Training and Research Hospital - Clinic of Pediatric Surgery - Istanbul - Turkey , Yazıcıog˘lu, Mustafa University of Health Sciences - Bakırko¨y Sadi Konuk Training and Research Hospital - Emergency Department - Istanbul - Turkey , Karabulut, Nadiye University of Health Sciences - Haseki Training and Research Hospital - Family Medicine Department - Istanbul - Turkey , U nal, Akın University of Health Sciences - Haseki Training and Research Hospital - Clinic of Surgery - Istanbul - Turkey , Yu¨cetas¸, Esma University of Health Sciences - Haseki Training and Research Hospital - Clinic of Clinical Chemistry - Istanbul - Turkey , Koldas¸, Macit University of Health Sciences - Haseki Training and Research Hospital - Clinic of Clinical Chemistry - Istanbul - Turkey , Akkoç, Ibrahim University of Health Sciences - Haseki Training and Research Hospital - Department of Anesthesia and Reanimation - Istanbul - Turkey , Ekici, Mustafa Ufuk University Faculty of Medicine - Department of Emergency Medicine - Ankara - Turkey , Evrin, Togay Kilis State Hospital - Emergency Room - Kilis - Turkey
Abstract :
Aim. the aim of this study was to evaluate the diagnostic value of serum ischemia-modified albumin (IMA) levels in patients presenting to the emergency department with acute abdominal pain and its use in differentiating acute surgical abdomen.
Methods. (is single-center prospective cross-sectional study included 334 adult patients who presented to the emergency
department. (ese consisted of 194 patients (Group 1) with nontraumatic abdominal pain commencing in the preceding week,
who were definitely diagnosed and either hospitalized in a specific department or planned for discharge, and a control group of
140 patients (Group 2). Results. (e mean IMA value of the patients diagnosed with acute appendicitis was statistically significantly higher than that of the control group. (e mean IMA value of the patients diagnosed with acute appendicitis, ovarian
pathologies, and gastritis-peptic ulcer was statistically significantly higher than that of the nonspecific abdominal pain group.
Conclusion. Serum IMA levels can be used as a diagnostic marker in patients with acute appendicitis. Furthermore, serum IMA
levels in patients presenting to the emergency department with abdominal pain may be indicative of patients requiring surgery or of complicated cases, particularly in terms of acute appendicitis and ovarian pathologies.
Keywords :
IMA , Diagnostic Values , Ischemia-Modified Albumin , Patients , Acute Abdominal Pain , Acute Abdomen
