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中性粒细胞与淋巴细胞比值预测非ST段抬高型心肌梗死院内死亡率的有效性

The Effectiveness of Neutrophil-Lymphocyte Ratio in Predicting in-Hospital Mortality in Non-ST-Elevation Myocardial Infarction.

作者信息

Avci Begüm Şeyda, Avci Akkan, Dönmez Yurdaer, Kaya Adem, Gülen Müge, Özer Ali İlker, Bulut Atilla, Koç Mevlüt, Nazik Hakan, Satar Salim

机构信息

Health Science University, Adana City Research and Training Hospital, Department of Internal Medicine, Adana, Turkey.

Health Science University, Adana City Research and Training Hospital, Department of Emergency Medicine, Adana, Turkey.

出版信息

Emerg Med Int. 2020 Mar 9;2020:8718304. doi: 10.1155/2020/8718304. eCollection 2020.

Abstract

BACKGROUND

Myocardial infarction is the most common cause of death all over the world. There are many studies in predicting mortality. The aim of this study was to determine the effectiveness of hematologic parameters measured at the moment of admission to the emergency room in predicting in-hospital mortality and to determine cutoff values of strongly predictive values.

METHODS

A total of 681 patients over 18 years of age, whose date could be obtained, were included in the study. From the hemogram parameters, white blood cells (WBC), red cell distribution width (RDW), mean platelet volume (MPV), and neutrophils-to-lymphocytes ratio (NLR) values were determined and recorded. CK-MB and high-sensitive troponin values were recorded as cardiac markers. For statistical analysis, "SPSS for Windows version 21" package program was used.

RESULTS

62.6% ( = 426) of the patients were male, and 37.4% ( = 426) of the patients were male, and 37.4% (.

CONCLUSION

According to the hemogram results which were acquired with a simple and cheap method, we found that WBC and especially NLR values obtained with a simple method can be used as powerful predictors.

摘要

背景

心肌梗死是全球最常见的死亡原因。在预测死亡率方面有许多研究。本研究的目的是确定在急诊室入院时测得的血液学参数在预测院内死亡率方面的有效性,并确定具有强预测价值的临界值。

方法

本研究纳入了681名18岁以上且可获取日期的患者。从血常规参数中,确定并记录白细胞(WBC)、红细胞分布宽度(RDW)、平均血小板体积(MPV)和中性粒细胞与淋巴细胞比值(NLR)的值。将肌酸激酶同工酶(CK-MB)和高敏肌钙蛋白值记录为心脏标志物。为进行统计分析,使用了“Windows版SPSS 21”软件包程序。

结果

62.6%(n = 426)的患者为男性,37.4%(n = 426)的患者为男性,37.4%(.

结论

根据通过简单且廉价的方法获得的血常规结果,我们发现通过简单方法获得的白细胞尤其是中性粒细胞与淋巴细胞比值的值可作为有力的预测指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e756/7085368/733f7db23a85/EMI2020-8718304.001.jpg

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