Diagnostic Value of The Ischemia Modified Albumin and Pentraxin 3 In Pediatric Appendicitis: A Meta Analysis

Authors

  • Diego Falchi University of Sassari, Faculty of Medicine, General Medicine and Practitioner, Sassari, Italy
  • Ayten Ceren Bakır Marmara University, Faculty of Medicine, Department of Pediatric Surgery, Istanbul, Turkey
  • Toni Risteski University Clinic for Pediatric Surgery, Faculty of Medicine, Ss. Cyril and Methodius, University in Skopje, N Macedonia
  • Hani Abu Tziam Department of Family Medicine, Clalit City, Lod, Israel
  • Seçil Yüksel Başakşehir Çam and Sakura City Hospital, Department of Pediatric Surgery, Istanbul, Turkey
  • Sena Inal Azizoğlu Başakşehir Çam and Sakura City Hospital, Department of Pediatrics, Istanbul, Turkey

DOI:

https://doi.org/10.5281/zenodo.6857498

Keywords:

Ischemia Modified Albumin, Pentraxin 3, Pediatric, Appendicitis

Abstract

Objective: In this meta-analysis, we aimed to review the diagnostic value of pentraxin 3 (PTX3) and ischemia-modified albumin (IMA) biomarkers in pediatric appendicitis.

Method: Studies focusing on the value of PTX3 and IMA in the diagnosis of appendicitis were searched related to the PubMed database. Only randomized prospective clinical trials were included in this study.

Results: After the screening, 6 articles based on the diagnostic value of IMA in appendicitis and 5 articles on the diagnostic value of PTX3 were reviewed. A total of 5 studies were included. The data of the 385 patients were reviewed. Sensitivity of PTX3 was 73-92% and specificity 88-100%, while IMA sensitivity was 89-96.7% and specificity was 26-99.7% in acute appendicitis.

Conclusion: Although the results of the present study indicate that PTX3 and IMA can be shown as biomarkers in the differential diagnosis of acute abdomen, further study is needed to determine the cut-off value.

References

Sivit CJ, Siegel MJ, Appelgate KE, et al. When appendicitis is suspected in children. Radiographics. 2001;21:247–262.

Buckius MT, McGrath B, Monk J, et al. Changing epidemiology of acute appendicitis in the United States: study period 1993–2008. J Surg Res. 2012;175:185–190.

Rud B, Vejborg TS, Rappeport ED, Reitsma JB, Wille-Jørgensen P. Computed tomography for diagnosis of acute appendicitis in adults. Cochrane Database Syst Rev. 2019 Nov 19;2019(11):CD009977. doi: 10.1002/14651858.CD009977.pub2. PMID: 31743429; PMCID: PMC6953397.

Hajibandeh S, Hajibandeh S, Hobbs N, Mansour M. Neutrophil-to-lymphocyte ratio predicts acute appendicitis and distinguishes between complicated and uncomplicated appendicitis: A systematic review and meta-analysis. Am J Surg. 2020 Jan;219(1):154-163. doi: 10.1016/j.amjsurg.2019.04.018. Epub 2019 Apr 27. PMID: 31056211.

Liu L, Shao Z, Yu H, Zhang W, Wang H, Mei Z. Is the platelet to lymphocyte ratio a promising biomarker to distinguish acute appendicitis? Evidence from a systematic review with meta-analysis. PLoS One. 2020 May 22;15(5):e0233470. doi: 10.1371/journal.pone.0233470. PMID: 32442179; PMCID: PMC7244160.

Fan Z, Zhang Y, Pan J, Wang S. Acute Appendicitis and Mean Platelet Volume: A Systemic Review and Meta-analysis. Ann Clin Lab Sci. 2017 Nov;47(6):768-772. PMID: 29263055.

Adams HL, Jaunoo SS. Hyperbilirubinaemia in appendicitis: the diagnostic value for prediction of appendicitis and appendiceal perforation. Eur J Trauma Emerg Surg. 2016 Apr;42(2):249-52. doi: 10.1007/s00068-015-0540-x. Epub 2015 May 22. PMID: 26038057.

Pepys MB, Hirschfield G. C-Reactive Protein: A Critical Update. Journal of Clinical Investigation 2003;111(12):1805–1812.

Inforzato A, Reading PC, Barbati E, Bottazzi B, Garlanda C, Mantovani A. The “Sweet” Side of a Long Pentraxin: How Glycosylation Affects Ptx3 Functions in Innate Immunity and Inflammation. Immunol 2012;3:407.

Nilay Günaştı, Şenay Balcı, Lülüfer Tamer, Pentraksinler, Mersin Univ Saglık Bilim Derg 2017;10(1).

Balhara J, Koussih L , Zhang J, Gounni S.A. Pentraxin 3: An Immuno-Regulator in the Lungs. Front Immunol 2013;4:127.

Duman L, Cesur Ö, Kumbul Doğuç D, Çelik S, Karaibrahimoğlu A, Savaş MÇ. Diagnostic value of serum pentraxin 3 level in children with acute appendicitis. Ulus Travma Acil Cerrahi Derg. 2020 Sep;26(5):699-704. English. doi: 10.14744/tjtes.2020.23258. PMID: 32946083.

Ates U, Bahadir K, Ergun E, Gollu G, Durmaz M, Gunay F, Erguder I, Bingol-Kologlu M, Yagmurlu A, Dindar H, Cakmak M. Determination of pentraxin 3 levels in diagnosis of appendicitis in children. Pediatr Int. 2020 May;62(5):624-628. doi: 10.1111/ped.14131. PMID: 31886585.

Oztan MO, Aksoy Gokmen A, Ozdemir T, Müderris T, Kaya S, Koyluoglu G. Pentraxin-3: A strong novel biochemical marker for appendicitis in children. Am J Emerg Med. 2019 Oct;37(10):1912-1916. doi: 10.1016/j.ajem.2019.01.010. Epub 2019 Jan 11. PMID: 30658876.

Chawla R, Goyal N, Calton R, Goyal S. Ischemia modified albumin: A novel marker for acute coronary syndrome. Indian J Clin Biochem 2006;21:77-82.

Gaze DC. Ischemia modified albumin: a novel biomarker for the detection of cardiac ischemia. Drug Metab Pharmacokinet 2009;24:333-41.

Sbarouni E, Georgiadou P, Voudris V. Ischemia modified albumin changes - review and clinical implications. Clin Chem Lab Med 2011;49:177-84

Piwowar A, Knapik-Kordecka M, Warwas M. Ischemia-modified albumin level in type 2 diabetes mellitus-Preliminary report. Dis Markers 2008;24:311-7.

Gunduz A, Turedi S, Mentese A, Altunayoglu V, Turan I, Karahan SC, et al. Ischemia-modified albumin levels in cerebrovascular accidents. Am J Emerg Med 2008;26(8):874-8.

Bhagavan NV, Lai EM, Rios PA, Yang J, Ortega-Lopez AM, Shinoda H, et al. Evaluation of human serum albumin cobalt binding assay for the assessment of myocardial ischemia and myocardial infarction. Clin Chem 2003;49(4):581-5.

Nazik S, Avci V, Küskü Kiraz Z. Ischemia-modified albumin and other inflammatory markers in the diagnosis of appendicitis in children. Ulus Travma Acil Cerrahi Derg. 2017 Jul;23(4):317-321. doi: 10.5505/tjtes.2016.11823. PMID: 28762455.

Ulusoy E, Çitlenbik H, Akgül F, Öztürk A, Şık N, Ulusoy O, Küme T, Yılmaz D, Duman M. Is Ischemia-Modified Albumin a Reliable Marker in Accurate Diagnosis of Appendicitis in Children? World J Surg. 2020 Apr;44(4):1309-1315. doi: 10.1007/s00268-019-05323-1. PMID: 31820057.

Dunn JCY. Appendicitis. In: Pediatric Surgery. Coran AG, Caldamone A, Adzick NS, Krummel TN, Laberge JM, Shamberger R, editors. 7th edition. Philadelphia: Elsevier Saunders; 2012.p.1255−63.

Rothrock SG, Pagane J. Acute appendicitis in children: emergency department diagnosis and management. Ann Emerg Med 2000;36:39−51.

Buyukbese Sarsu S, Sarac F. Diagnostic value of white blood cell and C-reactive protein in pediatric appendicitis. Biomed Res Int 2016;2016:6508619.

Grönroos JM. Do normal leucocyte count and C-reactive protein value exclude acute appendicitis in children? Acta Paediatr 2001;90:649−51. 13.

Shafi SM, Afsheen M, Reshi FA. Total leucocyte count, C-reactive protein and neutrophil count: diagnostic aid in acute appendicitis. Saudi J Gastroenterol 2009;15:117−20.

Basuguy, E. , Okur, M. H. , Arslan, S. , Aydoğdu, B. , Akdeniz, S. & Azizoğlu, M. (2020). Çocuklarda torakoport yardımlı laparoskopik apendektomi sonuçlarımız . Dicle Tıp Dergisi , 47 (3) , 727-734 . DOI: 10.5798/dicletip.800307

Sack U, Biereder B, Elouahidi T, Bauer K, Keller T, Tröbs RB. Diagnostic value of blood inflammatory markers for detection of acute appendicitis in children. BMC Surg 2006;6:15.

Benito J, Acedo Y, Medrano L, Barcena E, Garay RP, Arri EA. Usefulness of new and traditional serum biomarkers in children with suspected appendicitis. Am J Emerg Med 2016;34:871−6.

Asfar S, Safar H, Khoursheed M, Dashti H, al-Bader A. Would measurement of C-reactive protein reduce the rate of negative exploration for acute appendicitis?. J R Coll Surg Edinb 2000;45:21−4

Jangjoo A, Varasteh AR, Bahar MM, Meibodi NT, Aliakbarian M, Hoseininejad M, et al. Is C-reactive protein helpful for early diagnosis of acute appendicitis? Acta Chir Belg 2011;111:219−22.

Amalesh T, Shankar M, Shankar R. CRP in acute appendicitis--is it a necessary investigation?. Int J Surg 2004;2:88−9

Keles ME, Samadi A, Isikhan SY, Sener YZ, Sezgin A, Keles E, Lay I, Canpolat U. The Effect of Effort Test on the Levels of Ischemia Modified Albumin, 7-ketocholesterol and Cholestan-3β , 5α , 6β -triol and their Role in the Diagnosis of Coronary Artery Disease. J Med Biochem. 2019 May 11;38(3):249-255. doi: 10.2478/jomb-2018-0028. PMID: 31156334; PMCID: PMC6534955.

Derikx JP, Schellekens DH, Acosta S. Serological markers for human intestinal ischemia: A systematic review. Best Pract Res Clin Gastroenterol. 2017 Feb;31(1):69-74. doi: 10.1016/j.bpg.2017.01.004. Epub 2017 Feb 7. PMID: 28395790.

Kadioğlu H, Ömür D, Bozkurt S, Ferlengez E, Memmı N, Ersoy YE, Çıpe G, Müslümanoğlu M. Ischemia modified albumin can predict necrosis at incarcerated hernias. Dis Markers. 2013;35(6):807-10. doi: 10.1155/2013/185425. Epub 2013 Nov 27. PMID: 24379518; PMCID: PMC3860091.

Mentese A, Turkmen S, Karaguzel E, Karaca Y, Tatli O, Sumer AU, Yulug E, Turedi S. The predictive value of ischemia-modified albumin in long-term results of ischemia-reperfusion injury in an experimental testicular torsion model. Urology. 2012 Sep;80(3):689-94. doi: 10.1016/j.urology.2012.05.031. PMID: 22925245.

Yildirim A, Yildirim S, Topaloglu N, Tekin M, Kucuk A, Erdem H, Erbas M, Cakir DU. Correlation of ischemia-modified albumin levels and histopathologic findings in experimental ovarian torsion. Turk J Emerg Med. 2016 Mar 10;16(1):8-11. doi: 10.1016/j.tjem.2016.02.004. PMID: 27239631; PMCID: PMC4882193.

Yakut I, Tayman C, Oztekin O, Namuslu M, Karaca F, Kosus A. Ischemia-modified albumin may be a novel marker for the diagnosis and follow-up of necrotizing enterocolitis. J Clin Lab Anal. 2014 May;28(3):170-7. doi: 10.1002/jcla.21661. Epub 2014 Jan 6. PMID: 24395148; PMCID: PMC6807534.

Dumlu EG, Tokac¸ M, Bozkurt B et al (2014) Correlation between the serum and tissue levels of oxidative stress markers and the extent of inflammation in acute appendicitis. Clinics 69:677–682.

Kılıc¸ MO et al (2017) Ischemia-modified albumin as a predictor of the severity of acute appendicitis. Am J Emerg Med 35:92–95 14.

Turan E, Sevinc B, Kurku H et al (2017) The role of ischemia modified albumin levels in the diagnosis of acute appendicitis. Transl Surg 2:62–85 16.

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Published

2022-07-20

How to Cite

1.
Falchi D, Bakır AC, Risteski T, Abu Tziam H, Yüksel S, Inal Azizoğlu S. Diagnostic Value of The Ischemia Modified Albumin and Pentraxin 3 In Pediatric Appendicitis: A Meta Analysis. J Clin Trials Exp Investig [Internet]. 2022 Jul. 20 [cited 2024 Apr. 16];1(1 March-June):1-9. Available from: https://jctei.com/index.php/jctei/article/view/10