Predictability of Hematological Parameters in the Diagnosis of Cesarean Scar Pregnancy

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dc.contributor.authorDogru, Sukran
dc.contributor.authorAtci, Asli Altinordu
dc.contributor.authorAkkus, Fatih
dc.contributor.authorErdogan, Arif Caner
dc.contributor.authorAcar, Ali
dc.date.accessioned2024-02-23T14:17:01Z
dc.date.available2024-02-23T14:17:01Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractIntroduction Cesarean scar pregnancy (CSP) is an increasing clinical condition that causes serious maternal morbidity and mortality. This study aimed to evaluate if inflammation markers measured by hemogram can aid in the diagnosis of CSP.Materials and Methods A total of 86 patients were included in the study. The cases were divided as CSP ( n : 42) and normal pregnancy (NP) ( n : 44). At the time of admission, peripheral blood neutrophils, lymphocytes, monocytes, thrombocytes, systemic inflammatory index (SII) (neutrophil x platelet/lymphocyte), neutrophil-lymphocyte ratio, monocyte-lymphocyte ratio, and platelet-lymphocyte ratio were all measured. CSP and NP diagnoses were made by transabdominal or vaginal ultrasonography.Results In the CSP group, mean age ( p < 0.001), gravida ( p < 0.001), parity ( p < 0.001), number of surviving children ( p < 0.001), number of abortions ( p < 0.001), cesarean number ( p < .001), dilatation and curettage count ( p = 0.013), monocyte (M) value ( p = 0.039) and monocyte/lymphocyte value (MLR) ( p = 0.035) were significantly higher than the control group. The optimal M value cut-off value was found to be > 0.40, the sensitivity value was 78.57, and the specificity value was 50.00. AUC = 0.632 (SE = 0.061) for the MLR value. The optimal MLR cut-off value was found to be > 0.232, the sensitivity value was 61.90, and the specificity value was 63.64.Conclusion Hemogram parameters, which are simple, inexpensive, and easily accessible, M and MLR are significantly higher in the diagnosis of CSP and can be used as an auxiliary parameter for ultrasonography.en_US
dc.identifier.doi10.1055/s-0043-1761929
dc.identifier.endpage430en_US
dc.identifier.issn0974-2727
dc.identifier.issn0974-7826
dc.identifier.issue3en_US
dc.identifier.pmid37564226en_US
dc.identifier.startpage425en_US
dc.identifier.urihttps://doi.org/10.1055/s-0043-1761929
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12904
dc.identifier.volume15en_US
dc.identifier.wosWOS:000948819100001en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherThieme Medical Publ Incen_US
dc.relation.ispartofJournal Of Laboratory Physiciansen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCesarean Scar Pregnancyen_US
dc.subjectHemogram Parametersen_US
dc.subjectSystemic Inflammatory Indexen_US
dc.titlePredictability of Hematological Parameters in the Diagnosis of Cesarean Scar Pregnancyen_US
dc.typeArticleen_US

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