We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Importance of the neutrophil-to-lymphocyte ratio as a prognostic factor in patients with spleen trauma: A single center experience.
- Authors
VUNVULEA, VLAD; SUCIU, BOGDAN ANDREI; COCUZ, IULIU GABRIEL; BACALBAȘA, NICOLAE; MOLNAR, CĂLIN; GHIGA, DANA VALENTINA; HĂLMACIU, IOANA
- Abstract
Abdominal trauma is a common diagnosis for patients admitted to the emergency room. Evaluation of the severity of such patients can sometimes be difficult due to rapid hemodynamic changes caused by the activation of inflammatory and anti-inflammatory regulatory mechanisms. To evaluate the prognosis of trauma patients, it is crucial to identify these changes and adapt various treatment strategies. Using the records of the Mures County Emergency Clinical Hospital, 126 patients were included in the present study with traumatic splenic injury admitted over 6 years. Blood parameters such as the neutrophil, lymphocyte, and platelet counts, the neutrophil to lymphocyte ratio (NLR), and the platelet to lymphocyte ratio (PLR) were determined, and the association between these and the severity of the traumatic injury [quantified as the injury severity score (ISS)] was calculated. We used linear and multiple regression analyses to identify and quantify the relationships. We found statistically significant associations between the ISS and the NLR (P=0.002), with an AUC of 0.816 and a cut-off value of NLR=6.075 (sensitivity=76.7%, specificity= 74.3%), and between the ISS and hemoglobin (P<0.0001), hematocrit (P<0.0001), neutrophil count (P<0.0001), lymphocyte count (P=0.0224), and platelet count (P=0.0163). No association was found between the PLR and the severity of trauma. An elevated NLR at admission in trauma patients had significant predictive power for the severity of trauma. Patients with an NLR greater than the cut-off value of 6.075 were more likely to have suffered serious injuries and undergone deterioration.
- Subjects
NEUTROPHIL lymphocyte ratio; PLATELET lymphocyte ratio; PROGNOSIS; TRAUMA centers; SPLEEN; ESOPHAGEAL varices; BLUNT trauma
- Publication
Biomedical Reports, 2022, Vol 17, Issue 4, p1
- ISSN
2049-9434
- Publication type
Article
- DOI
10.3892/br.2022.1563