Neutrophil to lymphocyte ratio as a diagnostic biomarker for the diagnosis of acute mesenteric ischemia
Yazarlar (6)
Çetinkunar Suleyman
T.C. Sağlık Bakanliği Adana Numune Eğitim ve Araştirma Hastanesine
Sude Hatun Aktımur
Ondokuz Mayis Üniversitesi
Ugurlucan Murat
Istanbul Üniversitesi
Nuraydın Özlem
Kırşehir Ahi Evran Üniversitesi, Türkiye
| Makale Türü | Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale) | ||
| Dergi Adı | Eur J Trauma Emerg Surg | ||
| Dergi ISSN | 1863-9933 Wos Dergi Scopus Dergi | ||
| Dergi Tarandığı Indeksler | SCI-Expanded | ||
| Makale Dili | İngilizce | Basım Tarihi | 06-2016 |
| Cilt / Sayı / Sayfa | 42 / 3 / 363–368 | DOI | 10.1007/s00068-015-0546-4 |
| Makale Linki | https://link.springer.com/article/10.1007/s00068-015-0546-4citeas | ||
| Özet |
| Purpose: Due to the diagnostic challenges and dreadful consequences of delayed treatment of acute mesenteric ischemia (AMI), a variety of diagnostic markers have been previously studied. However, the diagnostic value of neutrophil-to-lymphocyte ratio (NLR), which has been suggested to be a predictor of inflammation, has never been studied for AMI. Methods: The data of 70 patients who underwent laparotomy (n = 8) and/or bowel resection (n = 62) for AMI (n = 70) between January 2009 and March 2014 were retrospectively analyzed. To investigate the studied parameters’ role in the differential diagnosis of AMI, control groups were selected from most common reasons of inflammation-related emergent surgery, acute appendicitis (AA, n = 62) and normal appendix (NA, n = 61). White blood cell (WBC), red cell distribution width (RDW), NLR and mean platelet volume (MPV) values were recorded. Outcome variables of the study were defined as diagnostic and prognostic role of NLR in AMI. Results: RDW and NLR values were found to be higher in the AMI group than the AA group (p < 0.001 and p < 0.001). Also, WBC and MPV values were higher in the AMI group than the NA group (p = 0.001 and p < 0.001). Combined sensitivity, specificity, positive predictive value and negative predictive value of RDW and NLR for recommended cut-off values were 69.4, 71.2, 57.8 and 80.4 %, respectively. Conclusion: High NLR value (>9.9) seems to be a valuable diagnostic marker of acute mesenteric ischemia. Combined use of NLR, RDW and other clinical assessment, could help the diagnosis of AMI, especially in the absence of advanced imaging modalities and expert radiologic interpretation. |
| Anahtar Kelimeler |
| Acute mesenteric ischemia | Diagnosis | Differential diagnosis | Mean platelet volume | Neutrophil-to-lymphocyte ratio | Red cell distribution width |
BM Sürdürülebilir Kalkınma Amaçları
| Atıf Sayıları | |
| SCOPUS | 57 |
| Google Scholar | 90 |