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Original Article

Online Publishing Date:
17 / 08 / 2023

 


PREOPERATIVE NEUTROPHIL TO LYMPHOCYTE RATIO AND PLATELET TO LYMPHOCYTE RATIO FOR PROGNOSIS AFTER EMBOLECTOMY

Serkan Mola, Gokay Deniz, Zihni Mert Duman, Muhammed Selim Yasar, Alp Yildirim, Garip Altintas.


Abstract
BACKGROUND: The neutrophil-to-lymphocyte ratio (NLR) and the platelet-to-lymphocyte ratio (PLR) are novel parameters that have been associated with inflammation in arterial embolism. This study aimed to evaluate NLR and PLR for the prediction of the prognosis in arterial embolism.

METHODS: 197 patients admitted to the hospital with acute extremity embolism who underwent embolectomy with a Fogarty balloon catheter between February 2019 to March 2022 were included in the study. Receiver Operating Characteristics (ROC) curve analysis was generated for NLR and PLT to predict postoperative mortality and amputation. Patients were divided into two groups according to the NLR cut-off value (Low NLR group; High NLR group). The DeLong test was used to compare the area under the curve (AUC) with each of these parameters.

RESULTS: The mean age of the patients was 67.4 ± 15.9 years. The male population was 114 (57.9%). The median neutrophil/lymphocyte ratio was 5.8 (Q1: 3.3- Q3: 10.4), median platelet /lymphocyte ratio was 193.4 (Q1: 128.7- Q3: 298.1). Hospital mortality occurred in 73 patients. ROC curve analysis was performed with NLR to predict hospital mortality. The AUC value was 0.723 (95% CI 0.649 - 0.798, p <0.05). The cut-off for NLR was calculated as 5.97 by predicting hospital mortality (specificity = %66, sensitivity = %70, likelihood ratio: 2.06).

CONCLUSION: High preoperative NLR is an independent mortality predictor for patients who underwent surgical embolectomy. Using NLR as a prognostic indicator for patients undergoing surgical embolectomy will be useful and cost-effective.

Key words: embolism, embolectomy, biomarkers


 
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How to Cite this Article
Pubmed Style

SM, Deniz G, Duman ZM, MSY, Yildirim A, Altintas G. PREOPERATIVE NEUTROPHIL TO LYMPHOCYTE RATIO AND PLATELET TO LYMPHOCYTE RATIO FOR PROGNOSIS AFTER EMBOLECTOMY. A-JMRHS . 2023; 1(2): 42-48. doi:10.5455/AJMRHS.1107202300011

Web Style

SM, Deniz G, Duman ZM, MSY, Yildirim A, Altintas G. PREOPERATIVE NEUTROPHIL TO LYMPHOCYTE RATIO AND PLATELET TO LYMPHOCYTE RATIO FOR PROGNOSIS AFTER EMBOLECTOMY. https://www.ajmrhs.com/?mno=153736 [Access: July 19, 2024]. doi:10.5455/AJMRHS.1107202300011

AMA (American Medical Association) Style

SM, Deniz G, Duman ZM, MSY, Yildirim A, Altintas G. PREOPERATIVE NEUTROPHIL TO LYMPHOCYTE RATIO AND PLATELET TO LYMPHOCYTE RATIO FOR PROGNOSIS AFTER EMBOLECTOMY. A-JMRHS . 2023; 1(2): 42-48. doi:10.5455/AJMRHS.1107202300011


Vancouver/ICMJE Style

SM, Deniz G, Duman ZM, MSY, Yildirim A, Altintas G. PREOPERATIVE NEUTROPHIL TO LYMPHOCYTE RATIO AND PLATELET TO LYMPHOCYTE RATIO FOR PROGNOSIS AFTER EMBOLECTOMY. A-JMRHS . (2023), [cited July 19, 2024]; 1(2): 42-48. doi:10.5455/AJMRHS.1107202300011


Harvard Style

, S. M., Deniz, . G., Duman, . Z. M., , . M. S. Y., Yildirim, . A. & Altintas, . G. (2023) PREOPERATIVE NEUTROPHIL TO LYMPHOCYTE RATIO AND PLATELET TO LYMPHOCYTE RATIO FOR PROGNOSIS AFTER EMBOLECTOMY. A-JMRHS , 1 (2), 42-48. doi:10.5455/AJMRHS.1107202300011


Turabian Style

, Serkan Mola, Gokay Deniz, Zihni Mert Duman, Muhammed Selim Yasar, Alp Yildirim, and Garip Altintas. 2023. PREOPERATIVE NEUTROPHIL TO LYMPHOCYTE RATIO AND PLATELET TO LYMPHOCYTE RATIO FOR PROGNOSIS AFTER EMBOLECTOMY. Asian Journal of Medical Research & Health Sciences (A-JMRHS), 1 (2), 42-48. doi:10.5455/AJMRHS.1107202300011


Chicago Style

, Serkan Mola, Gokay Deniz, Zihni Mert Duman, Muhammed Selim Yasar, Alp Yildirim, and Garip Altintas. "PREOPERATIVE NEUTROPHIL TO LYMPHOCYTE RATIO AND PLATELET TO LYMPHOCYTE RATIO FOR PROGNOSIS AFTER EMBOLECTOMY." Asian Journal of Medical Research & Health Sciences (A-JMRHS) 1 (2023), 42-48. doi:10.5455/AJMRHS.1107202300011


MLA (The Modern Language Association) Style

, Serkan Mola, Gokay Deniz, Zihni Mert Duman, Muhammed Selim Yasar, Alp Yildirim, and Garip Altintas. "PREOPERATIVE NEUTROPHIL TO LYMPHOCYTE RATIO AND PLATELET TO LYMPHOCYTE RATIO FOR PROGNOSIS AFTER EMBOLECTOMY." Asian Journal of Medical Research & Health Sciences (A-JMRHS) 1.2 (2023), 42-48. Print. doi:10.5455/AJMRHS.1107202300011


APA (American Psychological Association) Style

, S. M., Deniz, . G., Duman, . Z. M., , . M. S. Y., Yildirim, . A. & Altintas, . G. (2023) PREOPERATIVE NEUTROPHIL TO LYMPHOCYTE RATIO AND PLATELET TO LYMPHOCYTE RATIO FOR PROGNOSIS AFTER EMBOLECTOMY. Asian Journal of Medical Research & Health Sciences (A-JMRHS), 1 (2), 42-48. doi:10.5455/AJMRHS.1107202300011


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