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- Title
Neutrophil to lymphocyte ratio: a novel marker for predicting hospital mortality of patients with acute type A aortic dissection.
- Authors
Kalkan, Mehmet Emin; Kalkan, Ali Kemal; Gündeş, Ahmet; Yanartaş, Mehmed; Oztürk, Semi; Gurbuz, Ahmet Seyfeddin; Ozturk, Derya; Iyigun, Taner; Akcakoyun, Mustafa; Emiroglu, Mehmet Yunus; Tuncer, Mehmet Altuğ; Koksal, Cengiz
- Abstract
Introduction: The inflammatory process has been reported to be associated with aortic dissection (AD) from the development to the prognosis. The aim of the study was to investigate a relationship between the neutrophil to lymphocyte ratio (NLR) and in-hospital outcomes in patients with acute aortic dissection (AAD) who underwent surgical repair. Methods: One hundred and eighty-four patients who were admitted with the diagnosis of type A AAD who underwent surgical repair at two large tertiary hospitals. According to their NLR, 91 patients had high NLR (>6.0) and 93 patients had low NLR (≥6.0). Results: The frequency of major bleeding, hospital-related infection, multi-organ dysfunction and mortality in hospital were higher in the high NLR group compared to the low NLR group. NLR, WBC count and operation duration were found to be independent predictors for in-hospital mortality. Conclusions: The novel inflammatory marker NLR may be used to predict worse outcomes and hospital mortality in patients with AAD treated by surgical repair.
- Subjects
AORTIC dissection; ACUTE diseases; BIOMARKERS; CHI-squared test; FISHER exact test; INFLAMMATION; LYMPHOCYTES; NEUTROPHILS; SCIENTIFIC observation; STATISTICAL hypothesis testing; T-test (Statistics); MULTIPLE regression analysis; CROSS-sectional method; RETROSPECTIVE studies; RECEIVER operating characteristic curves; DATA analysis software; HOSPITAL mortality; EVALUATION; DIAGNOSIS
- Publication
Perfusion, 2017, Vol 32, Issue 4, p321
- ISSN
0267-6591
- Publication type
Article
- DOI
10.1177/0267659115590625