Key result
Preoperative NLR and PLR are not linked to 30-day mortality after acute intestinal ischemia surgery.
Why the study?
It was unclear whether preoperative neutrophil-lymphocyte ratio and platelet-lymphocyte ratio could clinically predict postoperative mortality in patients undergoing surgery for acute intestinal ischemia.
Do preoperative NLR and PLR predict postoperative 30-day mortality in patients undergoing surgery for acute intestinal ischemia?
Cohort (n=37)
No
Do preoperative NLR and PLR predict postoperative 30-day mortality in patients undergoing surgery for acute intestinal ischemia?
p-value: p=>0.05
Preoperative NLR and PLR are not useful as independent predictors of 30-day postoperative mortality in patients undergoing surgery for acute intestinal ischemia.
NLR and PLR should not guide risk stratification before acute intestinal ischemia surgery; observational data leaves open whether other markers predict mortality.
Objective The current study was conducted to clarify whether the neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) are clinically useful in predicting postoperative mortality among patients undergoing surgery for acute intestinal ischemia (AII). Materials and methods The study was conducted as a retrospective investigation of 37 consecutive patients operated for AII between January 2014 and September 2019. Data regarding potential prognostic factors, including age, sex, preoperative white blood cell count (WBC), C-reactive protein (CRP), neutrophil, lymphocyte, and platelet counts were obtained from medical records. Results Univariate analysis revealed that age, WBC, and neutrophil count were predictors of postoperative mortality. In multivariate analysis, age (OR =1.14; 95% CI, 1.005-1.303; P=0.02) was found to be the only independent variable predicting postoperative mortality. Conclusions Preoperative NLR and PLR cannot be used as independent variables to predict postoperative 30-day mortality in patients with AII who underwent surgery.
No takes yet. Share an insight, caveat, or question.
Vural et al. (2019) conducted a cohort in Acute intestinal ischemia (n=37). Preoperative neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) was evaluated on 30-day postoperative mortality (p=>0.05). Preoperative neutrophil-lymphocyte ratio and platelet-lymphocyte ratio were not significantly associated with 30-day postoperative mortality in patients undergoing surgery for acute intestinal ischemia.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: