Can neutrophil-lymphocyte ratio predict mortality in acute non-variceal upper gastrointestinal bleeding?

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dc.contributor.authorDertli, Ramazan
dc.contributor.authorToka, Bilal
dc.contributor.authorAsil, Mehmet
dc.contributor.authorKayar, Yusuf
dc.contributor.authorKarakarcayildiz, Ahmet
dc.contributor.authorGoktepe, Mevlut Hakan
dc.contributor.authorBiyik, Murat
dc.date.accessioned2024-02-23T14:31:42Z
dc.date.available2024-02-23T14:31:42Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractBACKGROUND: Acute non-variceal upper gastrointestinal bleeding (NVUGIB) is one of the common gastrointestinal problems and has a high mortality, especially in patients with poor hemodynamics. Therefore, treatment and follow-up should be managed dynamically. Neutrophil-lymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) are fast workable, cheap, and easy to calculate hematological parameters. We need easily accessible parameters as well as routine classifications such as Rockall score in the treatment and follow-up of NVUGIB patients, whose hemodynamics are unstable and progress with high mortality. In this study, we planned to evaluate NLR and PLR levels in patients with NVUGIB in the treatment follow-up with other scoring systems and their relationship with mortality in these patients. METHODS: Two hundred and forty-nine patients who were admitted to our clinic between January 2015 and January 2017 diagnosed with NVUGIB, and who underwent necessary examinations and follow-ups, were included in the study. The patients' Glasgow Blacthford, Rockall Score, NLR, and PLR levels were calculated at the first admission. RESULTS: One hundred and fifty-six of the patients were male (70.6%) and the mean age of all patients was 64.5 +/- 18.0 years. After follow-up and treatment, 28 (11.2%) patients died due to bleeding. High NLR and tachycardia at the time of admission and high patient age were found to be independent risk factors affecting the long of hospital stay. High Rockall score, high NLR at admission, and hypotension at admission were shown to be independent risk factors affecting mortality. CONCLUSION: Besides the use of various scoring systems in patients with NVUGIB, we think that the use of simple hematological parameters may be appropriate and the use of these hematological parameters may be useful in the management of patients with unstable hemodynamics.en_US
dc.identifier.doi10.14744/tjtes.2021.42900
dc.identifier.endpage633en_US
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue5en_US
dc.identifier.pmid35485469en_US
dc.identifier.scopus2-s2.0-85129780381en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage626en_US
dc.identifier.urihttps://doi.org/10.14744/tjtes.2021.42900
dc.identifier.urihttps://hdl.handle.net/20.500.12452/15318
dc.identifier.volume28en_US
dc.identifier.wosWOS:000795126700009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal Of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGlasgow Blatchfort Scoreen_US
dc.subjectNeutrophil-Lymphocyte Ratioen_US
dc.subjectPlatelet Lymphocyte Ratioen_US
dc.subjectRockall Scoreen_US
dc.subjectUpper Gastrointestinal Bleedingen_US
dc.titleCan neutrophil-lymphocyte ratio predict mortality in acute non-variceal upper gastrointestinal bleeding?en_US
dc.typeArticleen_US

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