Anatolian Journal of Emergency Medicine

Yazarlar: Selma ATAY İSLAM, Serkan Emre EROĞLU, Gökhan İŞAT, Gökhan AKSEL, Mehmet Muzaffer İSLAM

Konular:-

Anahtar Kelimeler:NLR,Ileus,Neutrophil-lymphocyte ratio

Özet: Aim Ileus presents itself with acute abdominal pain and is important for being a reason for hospitalization and an indication of surgery. The purpose of this study is to analyze the relationship between Neutrophil/Lymphocyte ratio (NLR) and the time of hospitalization and the prognosis of the diseasein patients who admitted to emergency department with ileus. Material and Methods This was a retrospective study of abdominal pain patients who diagnosed with ileus and hospitalized to the General Surgery Department between January 1, 2013 and December 31, 2015 in the University of Health Sciences Ümraniye Training and Research Hospital’s Emergency Service. The relationship between NLR and the duration of hospitalization and the rate of mortality was studied in the patients who are diagnosed with ileus. Results A total of 251 patients were included in this study. 143 (57%) of those patients were male and 108 (43%) were female. The median (min-max) NLR of the patients who died was found 11.65 (18.83-3.29), and of the patients who lived was found 5.21 (8.38- 3.30). Relationship between NLR and mortality was found statistically significant (Mann-Whitney U Test, p=0.03) but no significant difference was found between NLR and hospital length of stay (p = 0.818, Man-Whitney U test). Conclusion NLR is a cheap and widely accessible laboratory test. Our study was shown that it can be used for predicting mortality in patients with ileus. To our knowledge, no other study have been conducted to evaluate relationship between the NLR and prognosis of ileus. In addition to this, more prospective randomised studies in larger populations are needed for getting stronger evidence. 

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