Evaluation of neutrophil–lymphocyte ratio, platelet–lymphocyte ratio and red blood cell distribution width–platelet ratio as early predictor of acute pancreatitis in pregnancy

红细胞分布宽度 中性粒细胞与淋巴细胞比率 医学 淋巴细胞 血小板 内科学 胃肠病学 急性胰腺炎 全身炎症 接收机工作特性 平均血小板体积 免疫学 炎症 怀孕 生物 遗传学
作者
Mehmet İlhan,Gülşah İlhan,Ali Fuat Kaan Gök,Süleyman Bademler,Fatma Verit Atmaca,Cemalettın Ertekın
出处
期刊:Journal of Maternal-fetal & Neonatal Medicine [Informa]
卷期号:29 (9): 1476-1480 被引量:59
标识
DOI:10.3109/14767058.2015.1051026
摘要

Acute pancreatitis (AP) is a state of inflammation. It has been widely known that neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR) and red blood cell distribution width (RDW) to platelet ratio (RPR) reflect systemic inflammation. The aim of this study is to investigate whether these inflammatory markers could be used as reliable markers in early prediction of AP in pregnancy and if there is a relationship between disease severity and these markers.The study group consisted of 14 patients, who developed AP in ongoing pregnancy, and the control group consisted of 30 healthy pregnant women. NLR, PLR and RPR were calculated for both the groups.NLR was significantly elevated in the AP group when compared with the controls (p = 0.00), but there was no statistically significant difference in terms of PLR and RPR (p > 0.05). ROC curve analysis results for NLR showed that there was a significant prediction power of NLR for AP (R(2) = 0.842; p < 0.001). For NLR parameter, if cut-off value is chosen to be 4.1030, then sensitivity is 71.4% and specificity is 100.0%. There was statistically significant and positive correlation between C-reactive protein (CRP) and glucose with NLR (p = 0.001, p = 0.043). It was seen that Ranson was close to be significant (p = 0.051).NLR might be used as an early marker of AP and may have a role in prediction of disease severity.
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