An Appraisal of Clinical and Hematological Parameters Linked to Recurrence in Surgically Drained Primary Psoas Abscesses: A Retrospective Comparative Study

Authors : Nevzat GÖNDER, Oğuz KAYA, Volkan KILINÇOĞLU, Burçin KARSLI, Mahmut Gazi FIRAT, Orhan BUYUKBEBECİ

Pages : 380-6

Doi:10.37990/medr.1200306

View : 12 | Download : 9

Publication Date : 2023-05-15

Article Type : Research Paper

Abstract :Aim: Psoas abscess is rare infectious condition with frequent complications in the diagnosis and treatment process. Unfortunately, there is limited information in the literature about the prognostic factors that determine the prognosis of psoas abscess. Therefore, the aim of this study was to evaluate the clinical and laboratory parameters associated with recurrence in primary psoas abscess. Material and Methods: Fifty-two patients who were diagnosed with psoas abscess and treated with surgical drainage in a university hospital between 1998 and 2018 were included in our study. The patients were seperated into two groups as those who recovered after surgical drainage insert ignore into journalissuearticles values(Group A); and those who developed recurrence insert ignore into journalissuearticles values(Group B);. Clinical and laboratory data of the patients from the beginning of the preoperative period to the postoperative period were compared. Results: The mean age was 47.42±14.12 years in Group A and 53.81±15.83 years in Group B. The mean follow-up time was 43.96±14.29 months. The neutrophil to lymphocyte ratio was 11.38±1.69 in Group A and 18.75±2.31 in Group B insert ignore into journalissuearticles values(p=0.001);. The platelet to lymphocyte ratio was 114.96±30.31 in Group A and 139.70±42.25 in Group B insert ignore into journalissuearticles values(p=0.016);. The Acute Physiology and Chronic Health Evaluation insert ignore into journalissuearticles values(APACHE II); score was higher in Group B insert ignore into journalissuearticles values(p=0.001);. Conclusion: According to the results of the current study, the neutrophil to lymphocyte ratio, the platelet to lymphocyte ratio, the APACHE II score, and the delayed diagnosis are all important prognostic indicators linked to recurrence in instances with primary psoas abscess.
Keywords : Primer psoas absesi, nüks, cerrahi drenaj, nötrofil lenfosit oranı, trombosit lenfosit oranı, APACHE II skoru