医学
全身炎症
回顾性队列研究
外科
单中心
心脏外科
内科学
炎症
作者
Amaury de Fréminville,Mary Saad,Édouard Sage,C. Pricopi,Marc Fischler,Bernard Trillat,Benjamin Salze,Tiffany Pascreau,Marc Vasse,Alexandre Vallée,Morgan Le Guen,Julien Fessler
标识
DOI:10.1053/j.jvca.2023.11.001
摘要
Objective
Evaluation of the association of inflammatory cell ratios, especially neutrophil-to-lymphocyte ratio (NLR), based on preoperative complete blood counts, with postoperative complications in lobectomy surgery. Design
This was a retrospective monocentric cohort study. Setting
The study was conducted at Foch University Hospital in Suresnes, France. Participants
Patients having undergone a scheduled lobectomy from January 2018 to September 2021. Interventions
There were no interventions. Measurements and Main Results
The authors studied 208 consecutive patients. Preoperative NLR, monocyte-to-lymphocyte ratio, platelet-to-lymphocyte ratio, systemic inflammation index, systemic inflammation response index, and aggregate inflammation systemic index were calculated. Median and (IQR) of NLR was 2.67 (1.92-3.69). No statistically significant association was observed between any index and the occurrence of at least one major postoperative complication, which occurred in 37% of the patients. Median postoperative length of stay was 7 (5-10) days. None of the ratios was associated with prolonged length of stay (LOS), defined as a LOS above the 75th percentile. Conclusions
The results suggested that simple available inflammatory ratios are not useful for the preoperative identification of patients at risk of postoperative major complications in elective lobectomy surgery.
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