Review article

https://doi.org/10.11613/BM.2016.020

The use of platelet indices, plateletcrit, mean platelet volume and platelet distribution width in emergency non-traumatic abdominal surgery: a systematic review.

Yasemin Ustundag Budak ; Department of Clinical Chemistry, Yuksek Ihtisas Education and Research Hospital, Bursa, Turkey
Murat Polat ; Department of General Surgery, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
Kagan Huysal ; Department of Clinical Chemistry, Yuksek Ihtisas Education and Research Hospital, Bursa, Turkey

Abstract

Platelet indices (PI) — plateletcrit, mean platelet volume (MPV) and platelet distribution width (PDW) — are a group of derived platelet parameters obtained as a part of the automatic complete blood count. Emerging evidence suggests that PIs may have diagnostic and prognostic value in certain diseases. This study aimed to summarize the current scientific knowledge on the potential role of PIs as a diagnostic and prognostic marker in patients having emergency, non-traumatic abdominal surgery. In December 2015, we searched Medline/PubMed, Scopus and Google Scholar to identify all articles on PIs. Overall, considerable evidence suggests that PIs are altered with acute appendicitis. Although the role of PI in the differential diagnosis of acute abdomen remains uncertain, low MPV might be useful in acute appendicitis and acute mesenteric ischemia, with high MPV predicting poor prognosis in acute mesenteric ischemia. The current lack of consistency and technical standards in studies involving PIs should be regarded as a serious limitation to comparing these studies. Further large, multicentre prospective studies concurrently collecting data from different ethnicities and genders are needed before they can be used in routine clinical practice.

Keywords

platelets; acute appendicitis; acute cholecystitis; acute mesenteric ischemia; platelet indices

Hrčak ID:

161685

URI

https://hrcak.srce.hr/161685

Publication date:

15.6.2016.

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