Bypassing the Delay: Directing Pediatric Intussusception Cases to the OR Through Inflammatory Marker Assessment

The mean CRP-to-albumin ratio (CAR) is significantly higher in cases requiring intestinal resection compared to those that do not require resection. LCR also provides useful information and should be used alongside the CAR in the decision-making process. If a patient's CAR exceeds 7.73 and if LCR is below 0.1233, they are more likely to need surgery due to necrosis. Given its statistical significance, CAR should be used as a key marker for predicting the need for intestinal resection. For each one-unit increase in CAR, the risk of needing intestinal resection increases by 1.42 times, which can aid in prioritizing patients for surgery, avoiding treatment delays, and enhancing patient outcome.

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Publication Details

Journal
World Journal of Surgery
Published
2025-04-19
DOI
https://doi.org/10.1002/wjs.12586
Primary Topic
Gastrointestinal disorders and treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Bypassing the Delay: Directing Pediatric Intussusception Cases to the OR Through Inflammatory Marker Assessment

Mahmoud Elhadidi, Mohamed A. Awad, Adham Elsaied, Mohamed Elghazaly et al.
1 links
World Journal of Surgery
Gastrointestinal disorders and treatments
article

Bypassing the Delay: Directing Pediatric Intussusception Cases to the OR Through Inflammatory Marker Assessment

Mahmoud Elhadidi, Mohamed A. Awad, Adham Elsaied, Mohamed Elghazaly, Moustafa Elayyouti
article en

Abstract

The mean CRP-to-albumin ratio (CAR) is significantly higher in cases requiring intestinal resection compared to those that do not require resection. LCR also provides useful information and should be used alongside the CAR in the decision-making process. If a patient's CAR exceeds 7.73 and if LCR is below 0.1233, they are more likely to need surgery due to necrosis. Given its statistical significance, CAR should be used as a key marker for predicting the need for intestinal resection. For each one-unit increase in CAR, the risk of needing intestinal resection increases by 1.42 times, which can aid in prioritizing patients for surgery, avoiding treatment delays, and enhancing patient outcome.

World Journal of SurgeryVol. 49(6)
Mansoura University (EG), Bedford Hospital (GB)
Good health and well-being
Openalex Percentile: Top 86%
Gastrointestinal disorders and treatments
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