Blood Count-Derived Inflammatory Markers Correlate with Lengthier Hospital Stay and Are Predictors of Pneumothorax Risk in Thoracic Trauma Patients.

Vunvulea, Vlad; Melinte, Răzvan Marian; Brinzaniuc, Klara; Suciu, Bogdan Andrei; Ivănescu, Adrian Dumitru; Hălmaciu, Ioana; Incze-Bartha, Zsuzsanna; Pastorello, Ylenia; Trâmbițaș, Cristian; Mărginean, Lucian; Kaller, Réka; Kassas, Ahmad; Hogea, Timur

(1) Background: Trauma is one of the leading causes of death worldwide, with the chest being the third most frequent body part injured after abdominal and head trauma. Identifying and predicting injuries related to the trauma mechanism is the initial step in managing significant thoracic trauma. The purpose of this study is to assess the predictive capabilities of blood count-derived inflammatory markers at admission. (2) Materials and Methods: The current study was designed as an observational, analytical, retrospective cohort study. It included all patients over the age of 18 diagnosed with thoracic trauma, confirmed with a CT scan, and admitted to the Clinical Emergency Hospital of Targu Mureş, Romania. (3) Results: The occurrence of posttraumatic pneumothorax is highly linked to age (p = 0.002), tobacco use (p = 0.01), and obesity (p = 0.01). Furthermore, high values of all hematological ratios, such as the NLR, MLR, PLR, SII, SIRI, and AISI, are directly associated with the occurrence of pneumothorax (p < 0.001). Furthermore, increased values of the NLR, SII, SIRI, and AISI at admission predict a lengthier hospitalization (p = 0.003). (4) Conclusions: Increased neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), systemic inflammatory index (SII), aggregate inflammatory systemic index (AISI), and systemic inflammatory response index (SIRI) levels at admission highly predict the occurrence of pneumothorax, according to our data.

ROMANIA; PNEUMOTHORAX; MONOCYTE lymphocyte ratio; PLATELET lymphocyte ratio; NEUTROPHIL lymphocyte ratio; COMPUTED tomography; TOBACCO use

Diagnostics (2075-4418), 2023, Vol 13, Issue 5, p954

2075-4418

Academic Journal

10.3390/diagnostics13050954