Aci̇l Servi̇se Kroni̇k Obstrükti̇k Akci̇ğer Hastaliği Akut Alevlenmesi̇ İle Başvuran Hastalarda Nötrofi̇l-Lenfosi̇t Ve Platelet-Lenfosi̇t Oranlarinin Hasta Prognozuna Etki̇si̇

Aksel, Gökhan

doi:10.24938/kutfd.365409

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi

2018

DOI: 10.24938/kutfd.365409

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Aci̇l Servi̇se Kroni̇k Obstrükti̇k Akci̇ğer Hastaliği Akut Alevlenmesi̇ İle Başvuran Hastalarda Nötrofi̇l-Lenfosi̇t Ve Platelet-Lenfosi̇t Oranlarinin Hasta Prognozuna Etki̇si̇

Gökhan Aksel¹

Abstract: Amaç: Bu çalışmanın amacı acil servise Kronik Obstrüktik Akciğer Hastalığı (KOAH) alevlenme ile başvuran hastaların prognozunu öngörmede Nötrofil-lenfosit oranı (NLO) ve Platelet-lenfosit oranının (PLO) etkinliğinin araştırılmasıdır. Gereç ve Yöntem: Çalışma retrospektif vaka kontrol çalışması olarak tasarlanmıştır. 1 Ocak 2016 ile 31 Aralık 2016 tarihleri arasında acil servise KOAH alevlenme ile başvuran tüm hastalar tarandı. Acil servisten taburcu olan veya servis yatışı yapılan hastalar iyi klinik sonlanım … Show more

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Are Neutrophil-Lymphocyte, Platelet-Lymphocyte, and Monocyte-Lymphocyte Ratios Prognostic Indicators in Patients With Chronic Obstructive Pulmonary Disease in Intensive Care Units?

DOĞANAY¹,

Cirik²

2022

Cureus

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Background and objective Chronic obstructive pulmonary disease (COPD) is a condition in which the expiratory airflow is restricted and is characterized by inflammation. Recently, inflammation-related biomarkers such as neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), and monocyte-lymphocyte ratio (MLR) have been used to predict the prognosis in COPD. The aim of this study was to evaluate the role of biomarkers such as NLR, PLR, and MLR in COPD patients in intensive care and to examine the ability of these markers to predict the prognosis [length of stay in hospital (LOSH), duration of mechanical ventilation (MV), length of stay in ICU (LOS ICU), and mortality]. Methods A total of 562 patients who were treated in the ICU between 2018 and 2019 were retrospectively reviewed. Among them, 369 were patients with COPD. We evaluated clinical data including patient demographics, Charlson Comorbidity Index (CCI), Acute Physiology and Chronic Health Evaluation II (APACHE II) score, Sequential Organ Failure Assessment (SOFA) score, LOS ICU, LOSH, duration of MV, as well as NLR, PLR, and MLR values. Data on patient deaths (30-day mortality) was obtained from the Death Notification System. Results Age, LOSH, CCI, and SOFA were found to predict mortality in COPD patients. In cases with mortality, age, inotropic use, MV duration, LOS ICU, APACHE II, CCI, SOFA, lymphocyte count, neutrophil count, platelet count, monocyte count, NLR, PLR, and MLR levels were statistically significantly higher than those in cases without mortality. There was a positive and low statistically significant relationship of NLR, PLR, and MLR with prognostic factors like MV duration, APACHE II scores, and SOFA scores. Conclusion The NLR, PLR, and MLR values may be used as prognostic indicators in COPD patients in intensive care. Although there are many studies endorsing the use of biomarkers such as NLR, PLR, and MLR as prognostic indicators, further comparative studies on this subject are still required to gain deeper insights into the topic.

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Are Neutrophil-Lymphocyte, Platelet-Lymphocyte, and Monocyte-Lymphocyte Ratios Prognostic Indicators in Patients With Chronic Obstructive Pulmonary Disease in Intensive Care Units?

DOĞANAY¹,

Cirik²

2022

Cureus

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Aci̇l Servi̇se Kroni̇k Obstrükti̇k Akci̇ğer Hastaliği Akut Alevlenmesi̇ İle Başvuran Hastalarda Nötrofi̇l-Lenfosi̇t Ve Platelet-Lenfosi̇t Oranlarinin Hasta Prognozuna Etki̇si̇

Cited by 1 publication

References 21 publications

Are Neutrophil-Lymphocyte, Platelet-Lymphocyte, and Monocyte-Lymphocyte Ratios Prognostic Indicators in Patients With Chronic Obstructive Pulmonary Disease in Intensive Care Units?

Are Neutrophil-Lymphocyte, Platelet-Lymphocyte, and Monocyte-Lymphocyte Ratios Prognostic Indicators in Patients With Chronic Obstructive Pulmonary Disease in Intensive Care Units?

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