The predictive value of pan immune-inflammation value, systemic immune-inflammatory index, and systemic inflammation response index in distinguishing testicular torsion and epididymo-orchitis in the emergency department
The predictive value of pan immune-inflammation value, systemic immune-inflammatory index, and systemic inflammation response index in distinguishing testicular torsion and epididymo-orchitis in the emergency department
ISSN: 2757-976X ;
E-ISSN: 2757-976X ;
- Year : 2024
- Vol : 4
- No : 3
- Page : 113-118
ÖZ
Aim: This study aimed to determine the diagnostic value of pan immune-inflammation value, systemic immune-inflammatory index, and systemic inflammation response index in differentiating testicular torsion and epididymo-orchitis in patients with acute scrotum.
Methods: This retrospective observational study was conducted among male patients aged 18 and older who presented to the emergency department with testicular pain. The patients were divided into two groups: the operated testicular torsion group (n=93); epididymo-orchitis group treated for epididymoorchitis (n=125).
Results: A total of 218 patients (testicular torsion:93, epididymo-orchitis:125) were included in the study. Neutrophil/lymphocyte ratio, systemic immune-inflammatory index and systemic inflammation response index were found to have acceptable diagnostic power in testicular torsion detection (The Area Under the Curve:0.75, 0.77, and 0.78, respectively). Pan immune-inflammation value had an excellent diagnostic power in detecting testicular torsion, with >980.93 cut-off determined (The Area Under the Curve:0.81, %95Confidence interval:0.76-0.86,<0.001).
Conclusion: In the emergency department, it can be recommended to utilize pan immune-inflammation value, systemic immune-inflammatory index, and systemic inflammation response index, which are inexpensive, easily accessible, and produce quick results in the differentiation of testicular torsion and epididymo-orchitis. Pan immune-inflammation value is a superior index in predicting testicular torsion compared to other indexes.
Methods: This retrospective observational study was conducted among male patients aged 18 and older who presented to the emergency department with testicular pain. The patients were divided into two groups: the operated testicular torsion group (n=93); epididymo-orchitis group treated for epididymoorchitis (n=125).
Results: A total of 218 patients (testicular torsion:93, epididymo-orchitis:125) were included in the study. Neutrophil/lymphocyte ratio, systemic immune-inflammatory index and systemic inflammation response index were found to have acceptable diagnostic power in testicular torsion detection (The Area Under the Curve:0.75, 0.77, and 0.78, respectively). Pan immune-inflammation value had an excellent diagnostic power in detecting testicular torsion, with >980.93 cut-off determined (The Area Under the Curve:0.81, %95Confidence interval:0.76-0.86,<0.001).
Conclusion: In the emergency department, it can be recommended to utilize pan immune-inflammation value, systemic immune-inflammatory index, and systemic inflammation response index, which are inexpensive, easily accessible, and produce quick results in the differentiation of testicular torsion and epididymo-orchitis. Pan immune-inflammation value is a superior index in predicting testicular torsion compared to other indexes.
Correspondence Address :
Bülent Ecevit University Faculty of Medicine Department of Emergency Medicine
Email : [email protected]
Cite this Article As : Vural N, Duyan M, Saridas A, Ertas E, Guven HC. The Predictive Value of Inflammatory Biomarkers in Distinguishing Testicular Torsion and Epididymo-Orchitis in the Emergency Department. Mev Med Sci. 2024; 4(3): 113-118
Description : Yazarların hiçbiri, bu makalede bahsedilen herhangi bir ürün, aygıt veya ilaç ile ilgili maddi çıkar ilişkisine sahip değildir. Araştırma, herhangi bir dış organizasyon tarafından desteklenmedi.Yazarlar çalışmanın birincil verilerine tam erişim izni vermek ve derginin talep ettiği takdirde verileri incelemesine izin vermeyi kabul etmektedirler. None of the authors, any product mentioned in this article, does not have a material interest in the device or drug. Research, not supported by any external organization. grant full access to the primary data and, if requested by the magazine they agree to allow the examination of data.
Email : [email protected]
Cite this Article As : Vural N, Duyan M, Saridas A, Ertas E, Guven HC. The Predictive Value of Inflammatory Biomarkers in Distinguishing Testicular Torsion and Epididymo-Orchitis in the Emergency Department. Mev Med Sci. 2024; 4(3): 113-118
Description : Yazarların hiçbiri, bu makalede bahsedilen herhangi bir ürün, aygıt veya ilaç ile ilgili maddi çıkar ilişkisine sahip değildir. Araştırma, herhangi bir dış organizasyon tarafından desteklenmedi.Yazarlar çalışmanın birincil verilerine tam erişim izni vermek ve derginin talep ettiği takdirde verileri incelemesine izin vermeyi kabul etmektedirler. None of the authors, any product mentioned in this article, does not have a material interest in the device or drug. Research, not supported by any external organization. grant full access to the primary data and, if requested by the magazine they agree to allow the examination of data.
The predictive value of pan immune-inflammation value, systemic immune-inflammatory index, and systemic inflammation response index in distinguishing testicular torsion and epididymo-orchitis in the emergency department, strArastirmaMakalesi,
2024, Vol. 4 (3)
2024, Vol. 4 (3)
Received :11.05.2024,
Accepted : 03.10.2024,
Published Online : 10.12.2024
Mevlana Medical Sciences Journal
ISSN: 2757-976X ;
E-ISSN: 2757-976X ;
Keywords
