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Does a Negative Triple Test Reduce the Rate of Negative Appendectomy in Adults?

Mahmoud F. Sakr, Hossam M. Hamed, Hisham M. Al-Torky.

Abstract
Objectives: To investigate the negative predictive value (NPV) of the triple test (total leukocyte count [TLC], neutrophil percentage [NP], and C-reactive protein [CRP] level) in the diagnostic accuracy of acute appendicitis by reducing negative appendectomy rates (NARs) in adult patients.
Methods: The present prospective clinical study included 348 consecutive patients admitted to Ahmadi Hospital, Kuwait during 2010 and 2011 with the possible diagnosis of acute appendicitis. Children (

Key words: Acute appendicitis, leukocytic count, neutrophils, C-reactive protein, triple test 



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