OBES SURG (2017) 27:3124–3132 DOI 10.1007/s11695-017-2744-0 ORIGINAL CONTRIBUTIONS Diagnostic Performance of C-Reactive Protein in Detecting Post-Operative Infectious Complications After Laparoscopic Sleeve Gastrectomy 1,2 3 4 5,6,7 Fadia Dib & Lara Ribeiro Parenti & Anne Boutten & David Hajage & Jean-Pierre Marmuse Published online: 7 June 2017 Springer Science+Business Media New York 2017 Abstract POD5 (0.87; 95% CI 0.77–0.96). At this time point, a cut- Background Gastric leak is the most common and dreaded off of 115 mg/L yielded a sensitivity of 66.7% (95% CI 46.5– post-operative infectious complication (PIC) after laparoscop- 86.8%), a specificity of 95.1% (95% CI 93.9–96.3%), a pos- ic sleeve gastrectomy (LSG). Accurate identification of pa- itive and negative predictive values of 19.4% (95% CI 10.3– tients at risk postoperatively is of cardinal importance. 28.6%) and 99.4% (95% CI 99.0–100%), respectively, and a Objective The aim of this study is to assess the diagnostic positive and negative likelihood ratios (LRs) of 13.62 and performance of C-reactive protein (CRP) in predicting PICs 0.35, respectively. The combination of sequential assessments and the most optimal time to measure it. of CRP on POD3 and 5 provided a sensitivity of 84.4% (95% Methods CRP results were collected in patients undergoing
Obesity Surgery – Springer Journals
Published: Jun 7, 2017
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