Bibliographic Details
| Title: |
Utilidad de los niveles de albúmina sérica en el diagnóstico de sepsis abdominal secundaria a apendicitis complicada. |
| Alternate Title: |
Usefulness of serum albumin levels in the diagnosis of abdominal sepsis secondary to complicated appendicitis. |
| Authors: |
Gil-Vargas, Manuel1 gilvm@yahoo.com, Miguel-Sardanta, Mariana Lee2, Alberto Fitz-Campos, Carlos3, Domínguez-Arellano, Guadalupe4, Niño-Barrios, Diana4, Lucero García-Escalante, Hanya4 |
| Source: |
Revista Mexicana de Pediatria. nov/dic2025, Vol. 92 Issue 6, p222-226. 5p. |
| Subjects: |
SERUM albumin, APPENDICITIS, BIOMARKERS, SENSITIVITY & specificity (Statistics), SEPSIS, CHILD patients, DIAGNOSIS |
| Abstract (English): |
Objective: to determine the diagnostic capacity of serum albumin levels for identifying pediatric patients with complicated appendicitis. Material and methods: a diagnostic test study was conducted on 210 patients aged 3 to 17 years with a surgical diagnosis of acute appendicitis from three hospitals in Puebla, Mexico, between 2023 and 2024. Clinical and laboratory data were compared between patients with complicated appendicitis (n = 125) and those with simple appendicitis (n = 85). Results: albumin levels were lower in patients with complicated appendicitis (3.87 g/dL) than in those with simple appendicitis (4.35 g/dL), p < 0.001. The cutoff point of 3.8 g/dL showed a sensitivity of 60%, specificity of 95%, positive predictive value of 80%, and negative predictive value of 49%. Conclusions: serum albumin levels have limited utility in identifying patients with complicated appendicitis. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Objetivo: determinar la capacidad diagnóstica de los niveles de albúmina sérica para la identificación de pacientes pediátricos con apendicitis complicada. Material y métodos: estudio de prueba de diagnóstico, realizado en 210 pacientes de entre 3 y 17 años, con diagnóstico quirúrgico de apendicitis aguda, de tres hospitales en Puebla de 2023 a 2024. Se compararon los datos clínicos y de laboratorio entre pacientes con apendicitis complicada (n = 125) con aquellos de apendicitis simple (n = 85). Resultados: los niveles de albúmina fueron menores en pacientes con apendicitis complicada (3.87 g/dL) que aquellos con apendicitis simple (4.35 g/dL), p < 0.001. El punto de corte de 3.8 g/dL mostró una sensibilidad del 60%, especificidad del 95%, valor predictivo positivo del 80% y valor predictivo negativo del 49%. Conclusiones: los niveles séricos de albúmina para la identificación de pacientes con apendicitis complicada tienen una utilidad limitada. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
