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.
Authors
- Mahmoud Elhadidi (ORCID: https://orcid.org/0009-0009-7531-696X)
- Mohamed A. Awad (ORCID: https://orcid.org/0000-0002-4794-5269)
- Adham Elsaied (ORCID: https://orcid.org/0000-0003-4915-4177)
- Mohamed Elghazaly (ORCID: https://orcid.org/0000-0002-6952-780X)
- Moustafa Elayyouti
Institutions
- Mansoura University (EG)
- Bedford Hospital (GB)
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