Karın Ağrısının Yönetiminde Tomografi ve CRP’nin Önemi

Amaç: Çalışmamızda, acil servise travma dışı karın ağrısı başvurularında abdominal tomografinin gerekliliğini değerlendirdik. Bu sayede, C-Reaktif Protein (CRP) ve tomografi bulgularının hastanın yönetimine etkisini ölçmeyi amaçladık. Materyal ve Metod: Geriye dönük yapılan çalışmada acil servise karın ağrısı ile başvurup abdominal tomografi çekilen 18 yaş ve üzeri 199 hastanın demografik özellikleri, tomografi bulguları, CRP ve lökosit değerleri, yatış veya taburculuk kararları ile hastaneye yatışı yapılan 104 hastanın CRP değerleri, tomografi tanıları, operasyon sonu tanıları hasta dosyalarından kaydedildi. İstatistiksel analizde ki-kare, tanısal değerliliğin ölçülmesinde ise lojistik regresyon testi kullanıldı. Bulgular: Çalışmaya alınan 199 hastanın anormal tomografi bulgusu ile CRP ve lökosit yüksekliği arasında anlamlı ilişki bulundu. Tomografi ve CRP’nin taburculuk ve yatış oranını etkilediği görüldü. Tomografi bulgusu ve CRP birlikte kullanıldığında, operasyon kararını etkilediği bulundu. Sonuç: Çalışmamıza göre; karın ağrısında CRP yüksekliği, anormal tomografi bulgusunu ön görebilir ve lökositten daha değerlidir. Tomografi ve CRP birlikte kullanıldığında operasyon kararı etkilenmektedir.

Anahtar Kelimeler:

CRP, Abdominal Tomografi, Lökosit, Karın ağrısı

Significance of Tomography and CRP in Abdominal Pain Management

Purpose: We evaluated whether abdominal tomography is necessary for patients who have been admitted to the emergency service because of non traumatic abdominal pain and effect of C-Reactive Protein (CRP) and tomography to the patient management. Materials and Method: On retrospective study, we recorded demographic data, tomography diagnoses, CRP and leucocyte values operation and following decisions of 199 patient who were 18 years old and over and were admitted to emergency service because of abdominal pain and were scanned abdominal tomography. 104 patient were hospitalized and their CRP values, tomography diagnoses, end of operation diagnoses were recorded from patient files. The statistical analysis was performed using the Chi-square test and the diagnostic value was assessed through the logistic regression test. Results: A statistically significant relationship was observed between anormal tomography findings and high CRP and leukocyte values of the 199 patients included in the study. The tomography findings and CRP values were found to be efficient in discharge and hospitalization rates. When tomography finding and CRP value were combined, the operation decision was effected. Conclusion: Based on our study; in the event of abdominal pain, CRP can predict abnormal tomography finding and it is more valuable than leucocyte. When tomography was used with CRP, it affects the operation decision.

Keywords:

CRP, Abdominal tomography, Abdominal Pain, Leucocyte,

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