Predicting postoperative pain with neutrophil/ lymphocyte ratio after arthroscopic rotator cuff repair

Öner, Keri̇m; Okutan, Ahmet Emin; Ayas, Muhammet Salih; Paksoy, Ahmet Emre; Polat, Ferdi

doi:10.1016/j.asmart.2020.03.001

Cited by 11 publications

(26 citation statements)

References 19 publications

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“…NLR, PLR, and LMR values are considered to be parameters that can determine the prognosis as an indicator of systemic inflammation in patients [36–39] . However, there are limited studies that investigate the relationship between inflammatory parameters and postoperative pain [2,23,25,35] . These studies have predominantly focused on the relationship between postoperative pain and NLR.…”

Section: Discussionmentioning

confidence: 99%

Is there a correlation between preoperative neutrophil-to-lymphocyte, platelet-to-lymphocyte, and lymphocyte-to-monocyte ratios and postoperative pain in video-assisted thoracoscopic surgery?

Ulger¹,

Baldemir²,

Zengin³

et al. 2022

Medicine

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Many thoracic surgery procedures are now performed with video-assisted thoracoscopic surgery (VATS). Postoperative pain is a common condition in patients undergoing VATS. In this study, we aimed to investigate whether neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and lymphocyte-to-monocyte ratio (LMR) are effective in evaluating postoperative pain in patients undergoing VATS.This prospective observational study was performed between March 2021 and September 2021 at a tertiary thoracic surgery center. The study included patients who had undergone elective VATS. Preoperative and postoperative NLR, PLR, LMR, hemogram values and postoperative visual analog scale (VAS) were recorded.A total of 105 patients were analyzed. A positive correlation was observed between postoperative monocyte, neutrophils and VAS resting and VAS cough levels in the early postoperative period. No significant correlation was found between preoperative and postoperative NLR, PLR, and LMR values and VAS rest and VAS cough values. When compared to the preoperative period, a negative correlation was found between the change in the postoperative LMR value and the VAS rest and VAS cough values in the early postoperative period.When compared to the preoperative period, the change in postoperative neutrophil, postoperative monocytes, and postoperative LMR values in patients undergoing VATS in thoracic surgery can be used as a guide in the objective evaluation of postoperative acute pain. It is the belief of the researchers that comprehensive new studies on this subject will contribute significantly to the determination of objective criteria in postoperative pain evaluation. Abbreviations: ASA = American Society of Anesthesiologists, IQR = interquartile range, IV = intravenous, LMR = lymphocyte/ monocytes rate, MPV = mean platelet volume, NLR = neutrophil/lymphocyte rate, PLR = platelet/lymphocyte rate, PNX = pneumothorax, RDW = red cell distribution width, VAS = visual analogue scale, VATS = video-assisted thoracoscopic surgery.

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Section: Discussionmentioning

confidence: 99%

Is there a correlation between preoperative neutrophil-to-lymphocyte, platelet-to-lymphocyte, and lymphocyte-to-monocyte ratios and postoperative pain in video-assisted thoracoscopic surgery?

Ulger¹,

Baldemir²,

Zengin³

et al. 2022

Medicine

View full text Add to dashboard Cite

show abstract

“…It is widely accepted as an efficient therapy for joint functional reconstruction around the world. Various complications after arthroscopic shoulder surgery have been reported, such as infection, bleeding, postoperative pain, joint stiffness, rotator cuff retear, deep venous thrombosis, and so on, 5 , 6 but spontaneous pneumothorax after surgery has been rarely reported.…”

Section: Discussionmentioning

confidence: 99%

Postoperative management of spontaneous pneumothorax in arthroscopic shoulder superior capsular reconstruction: A case report and review of literature

Lin

Chen

Zhang

2022

Chinese Journal of Traumatology

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“…They reported that the analgesic demand with NLR ≥2 correlates with increased post-operative pain, which is consistent with the results of our study. Öner et al [27] retrospectively evaluated pre-operative NLR and post-operative pain in 63 patients who underwent arthroscopic rotator cuff repair. The study summarized that pre-operative NLR was the most substantial factor predicting high acute pain levels.…”

Section: Discussionmentioning

confidence: 99%

Pre-operative Neutrophil-to-Lymphocyte Ratio is Associated with Post-operative Opioid Requirements and Length of Stay after Thoracotomy

Suranadi¹,

Senapathi²,

Wisnawa³

et al. 2020

Open Access Maced J Med Sci

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BACKGROUND: Surgical pain and prolonged hospital length of stay (LOS) affect a large proportion of patients after thoracotomy. Inflammation plays a crucial role in the mechanism and progression of pain and the outcomes. AIM: The objective of this study was to investigate the association between the pre-operative neutrophil-to-lymphocyte ratio (NLR) and post-operative pain and LOS in patients undergoing thoracotomy. METHODS: This was a retrospective, observational study on 157 patients who underwent thoracotomy under general anesthesia. We classified the subjects into two study groups: Group with for patients with NLR <2 and Group 2 for NLR ≥2. We measured the post-operative pain by gathering the data of post-operative opioid needs. We used Pearson’s and Spearman’s correlation tests to assess the association of the parameters. RESULTS: The mean of total oral morphine equivalent in the first 48 h following thoracotomy in Group 1 was 140.8 ± 60.4 mg compared to Group 2’s 109.7 ± 55.8 (p < 0.05). The median hospital’s LOS was longer in Group 2 compared to Group 1 (7 vs. 10, p < 0.001). We found a weak positive correlation between pre-operative NLR (R = 0.267, p = 0.002) and post-operative opioid requirements, and a weak positive correlation between pre-operative NLR and the hospital’s LOS (R = 0.345, p < 0.001). CONCLUSION: Pre-operative NLR correlates with post-operative opioid requirements and the time hospital’s LOS in patients who underwent elective thoracotomy.

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Predicting postoperative pain with neutrophil/ lymphocyte ratio after arthroscopic rotator cuff repair

Cited by 11 publications

References 19 publications

Is there a correlation between preoperative neutrophil-to-lymphocyte, platelet-to-lymphocyte, and lymphocyte-to-monocyte ratios and postoperative pain in video-assisted thoracoscopic surgery?

Is there a correlation between preoperative neutrophil-to-lymphocyte, platelet-to-lymphocyte, and lymphocyte-to-monocyte ratios and postoperative pain in video-assisted thoracoscopic surgery?

Postoperative management of spontaneous pneumothorax in arthroscopic shoulder superior capsular reconstruction: A case report and review of literature

Pre-operative Neutrophil-to-Lymphocyte Ratio is Associated with Post-operative Opioid Requirements and Length of Stay after Thoracotomy

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