NLR and CRP to albumin ratio as a predictor of in-hospital mortality in the geriatric ED patients

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dc.contributor.authorAyranci, Mustafa Kursat
dc.contributor.authorKucukceran, Kadir
dc.contributor.authorDundar, Zerrin Defne
dc.date.accessioned2024-02-23T14:02:03Z
dc.date.available2024-02-23T14:02:03Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractIntroduction: We aimed to investigate the role of neutrophil to lymphocyte ratio (NLR) and the C-Reactive Protein/Albumin Ratio (CAR), which are obtained from the first laboratory values of the elderly patients at admission to the emergency department (ED), in predicting in-hospital mortality. Methods: This retrospective observational study includes the patients aged 65 and above who applied to the emergency department for two months. The patients' neutrophil, lymphocyte, C-reactive protein (CRP), albumin, NLR and CAR values were recorded. Statistical analysis of NLR and CAR values was performed according to in hospital mortality and ED outcome. Results: 784 patients were included in the statistical analysis of the study. Increased NLR (8.82 (4.16-16.63), 4.76 (2.62-8.56), p<0.001) and increased CAR (21.39 (6.02-55.07), 4.82 (1.17-17.03), p < 0.001) values were found to be statistically significant in the group with mortality compared to the group without mortality. Increased NLR (AUC: 0.642) and increased CAR (AUC: 0.723) were a predictor of in-hospital mortality. It was found that in hospital mortality risk in patients with concurrent high NLR and CAR values (CAR'12.3, NLR'7.1) was 9.87 times more than the patients with concurrent low NLR and CAR values (CAR<12.3, NLR < 7.1). NLR and CAR values of the patients hospitalized in intensive care and service (NLR 7.21 (4.07-13.36), 5.77 (3.45-11.22); CAR 12.65 (2.79-36.8), 9.56 (1.74-33.97)) were found to be statistically significantly higher than those who were discharged (NLR 3.64 (2.26-7.02); CAR 2.88 (0.9-10.59)). Conclusion: According to our results, the concurrent high levels of NLR and CAR values were found to be more effective in predicting in-hospital mortality compared to a separate evaluation. (c) 2021 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.ajem.2021.01.053
dc.identifier.endpage55en_US
dc.identifier.issn0735-6757
dc.identifier.issn1532-8171
dc.identifier.pmid33578332en_US
dc.identifier.scopus2-s2.0-85100649727en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage50en_US
dc.identifier.urihttps://doi.org/10.1016/j.ajem.2021.01.053
dc.identifier.urihttps://hdl.handle.net/20.500.12452/11552
dc.identifier.volume44en_US
dc.identifier.wosWOS:000659352600010en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofAmerican Journal Of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEmergencyen_US
dc.subjectGeriatricsen_US
dc.subjectMortalityen_US
dc.subjectNeutrophilsen_US
dc.subjectLymphocytesen_US
dc.subjectC-Reactive Proteinen_US
dc.subjectAlbuminen_US
dc.titleNLR and CRP to albumin ratio as a predictor of in-hospital mortality in the geriatric ED patientsen_US
dc.typeArticleen_US

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