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2025, Number 6

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Rev Mex Pediatr 2025; 92 (6)

Usefulness of serum albumin levels in the diagnosis of abdominal sepsis secondary to complicated appendicitis

Gil-Vargas M, Miguel-Sardanta ML, Fitz-Campos CA, Domínguez-Arellano G, Niño-Barrios D, García-Escalante HL

Language: Spanish
References: 16
Page: 222-226
PDF size: 307.03 Kb.


ABSTRACT

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.


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