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- Title
The Association Between Peripheral Blood Neutrophil-to-Lymphocyte Ratio and Cirrhosis Complications in Adults with Compensated Liver Cirrhosis in Ahvaz, Iran.
- Authors
Hashemi, Seyed Jalal; Tosi, Mohsen Shokrian; Hajiani, Eskandar; Parsi, Abazar; Alavinejad, Pezhman
- Abstract
Background: The neutrophil-to-lymphocyte ratio (NLR) is an inflammation biomarker in patients with liver cirrhosis. While increased NLR is linked to poor clinical outcomes and mortality in diseases like cancers, its association with cirrhosis complications has been sparsely examined. Objectives: This study aimed to evaluate the association between NLR and cirrhosis complications in patients with compensated liver cirrhosis. Methods: This retrospective cohort study was conducted on 256 patients with compensated liver cirrhosis visiting the Gastroenterology Clinic of Imam Khomeini Hospital, Ahvaz, Iran, in 2020. The peripheral blood lymphocyte and neutrophil counts were evaluated, and the NLR was calculated by dividing the absolute neutrophil count by the absolute lymphocyte count. Cirrhosis complications were assessed based on clinical and laboratory evaluation during 1 year of follow-up. Results: During the retrospective follow-up period, 59 patients (23.05%) experienced cirrhosis complications such as spontaneous bacterial peritonitis (n = 23), gastrointestinal bleeding (n = 22), and hepatic encephalopathy (n = 14). The baseline NLR, Model for End-Stage Liver Disease (MELD) score and Child-Pugh score were significantly higher in patients who later developed complications than in those who did not (P < 0.0001). The NLR with an optimal cut-off of > 1.95 had a sensitivity of 84.75% and specificity of 93.91% in predicting complications during the 1-year follow-up (AUC = 0.905, P < 0.0001). Conclusions: Our results indicated that the NLR is a simple, non-invasive, and cost-effective marker for predicting short-term complications in patients with compensated liver cirrhosis.
- Subjects
IRAN; RISK factors of pneumonia; STATISTICS; ACADEMIC medical centers; HEPATIC encephalopathy; ANALYSIS of variance; PREDICTIVE tests; GASTROINTESTINAL hemorrhage; CIRRHOSIS of the liver; RETROSPECTIVE studies; ACQUISITION of data; FISHER exact test; QUANTITATIVE research; NEUTROPHIL lymphocyte ratio; RISK assessment; COMPARATIVE studies; SEVERITY of illness index; T-test (Statistics); QUALITATIVE research; DESCRIPTIVE statistics; MEDICAL records; CHI-squared test; DISEASE duration; RESEARCH funding; SENSITIVITY &; specificity (Statistics); STATISTICAL sampling; JUDGMENT sampling; DATA analysis software; RECEIVER operating characteristic curves; DATA analysis; LONGITUDINAL method; DISEASE risk factors; DISEASE complications; EVALUATION; ADULTS
- Publication
Shiraz E Medical Journal, 2023, Vol 24, Issue 8, p1
- ISSN
1735-1391
- Publication type
Article
- DOI
10.5812/semj-138859