Analysis of the Diagnostic Value of Peripheral Blood Indicators for Acute Pyelonephritis and the Influencing Factors of Poor Prognosis

Haiyang  Qian; Danni  Zhou; Hao  Wang

doi:10.18502/ijaai.v25i2.20798

Haiyang Qian Department of Emergency, Dongxihu District people’s Hospital, Wuhan, Hubei, China
Danni Zhou Department of Emergency, Dongxihu District people’s Hospital, Wuhan, Hubei, China
Hao Wang Department of Emergency, Dongxihu District people’s Hospital, Wuhan, Hubei, China

DOI: https://doi.org/10.18502/ijaai.v25i2.20798

Keywords: Acute pyelonephritis; C-reactive protein; Diagnosis; White blood cell count

Abstract

This study explored the diagnostic value of peripheral blood indices for acute pyelonephritis (APN) and the factors influencing poor prognosis.

A total of 118 patients with APN admitted to our hospital from January 2022 to June 2024 were retrospectively included as the observation group. Another 62 healthy volunteers were selected as the control group. Clinical data from the two groups were collected, and the diagnostic value of peripheral blood indices for APN was analyzed. The patients were divided according to their prognoses into good-prognosis group and poor-prognosis group, and the influencing factors of poor prognosis were identified by multivariate logistic regression analysis.

Compared to the control group, the white blood cell count (WBC) and C-reactive protein (CRP) were higher in the observation group, while IgG and C3 were lower. The areas under the curves (AUCs) of WBC, CRP, IgG, and C3 in the diagnosis of APN were 0.857, 0.846, 0.902, and 0.893, respectively, and their combined AUC was 0.981. After 3 months of follow-up, there were 43 cases of recurrence (36.44%). The multivariate logistic analysis showed that serum albumin< 35 g/L and a decrease of the IgG level were the influencing factors of poor prognosis in patients with APN.

In conclusion, WBC, CRP, IgG, and C3 had high value for the diagnosis of APN, and serum albumin< 35 g/L and the decrease of IgG level were the i factors influencing prognosis.