New markers in predicting the severity of acute pancreatitis in the emergency department: Immature granulocyte count and percentage.

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  • Additional Information
    • Source:
      Publisher: Medknow Publications Country of Publication: India NLM ID: 2985196R Publication Model: Print Cited Medium: Internet ISSN: 0972-2823 (Electronic) Linking ISSN: 00223859 NLM ISO Abbreviation: J Postgrad Med Subsets: MEDLINE
    • Publication Information:
      Publication: Mumbai : Medknow Publications
      Original Publication: Bombay, India.
    • Subject Terms:
      Emergency Service, Hospital/*statistics & numerical data ; Granulocytes/*metabolism ; Inflammation/*blood ; Pancreatitis/*diagnosis; Acute Disease ; Adult ; Aged ; Biomarkers/blood ; C-Reactive Protein/metabolism ; Female ; Granulocyte Precursor Cells ; Humans ; Male ; Middle Aged ; Pancreatitis/blood ; Predictive Value of Tests ; Retrospective Studies ; Severity of Illness Index
    • Abstract:
      Background: Acute pancreatitis (AP) may vary in severity, from mild, self-limiting pancreatic inflammation to rapidly progressive life-threatening clinical course. If the severity of AP can be predicted early and treated quickly, it may lead to a decrease in morbidity and mortality rates. There?fore, we aimed to investigate the clinical utility of immature granulocyte count (IGC) and IGC percentage (IG%) in showing the severity of AP in this study.
      Methods: Two hundred and twenty-seven patients who were admitted to our emergency department and diagnosed with AP between March 1 and September 30, 2019, were included in the study. The patients were divided into two groups as mild and severe AP (MAP and SAP) according to the severity of the disease. Demographic characteristics of the patients, disease etiology, disease severity, and inflammation markers [white blood cell count (WBC), IGC, IG%, neutrophil-lymphocyte ratio (NLR), and C-reactive protein (CRP)] were recorded. Differences between the groups were statistically analyzed.
      Results: Of the patients included in the study, 183 (80.7%) were in the MAP group and 44 (19.3%) were in the SAP group. The mean WBC, NLR, CRP, IGC, and IG% levels were significantly higher in the SAP group compared to the MAP group. The power of IGC and IG% in predicting SAP was higher than other inflammation markers (WBC, NLR, and CRP) [(AUC for IGC: 0.902; sensitivity: 78.2%; specificity: 92.8%); (AUC for IG%: 0.843; sensitivity: 72.7%; specificity: 84.6%)].
      Conclusion: IGC and IG% show the severity of AP more effectively than WBC, NLR, and CRP, which are traditional inflammation markers.
      Competing Interests: None
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    • Contributed Indexing:
      Keywords: Acute pancreatitis; biomarker; immature granulocytes; inflammation; pancreatitis severity; severity
    • Accession Number:
      0 (Biomarkers)
      9007-41-4 (C-Reactive Protein)
    • Publication Date:
      Date Created: 20210203 Date Completed: 20210331 Latest Revision: 20220420
    • Publication Date:
      20231215
    • Accession Number:
      PMC8098866
    • Accession Number:
      10.4103/jpgm.JPGM_784_20
    • Accession Number:
      33533745