Is there Any Relationship Between Long-Term Mortality of Acute Pulmonary Embolism and Complete Blood Count Analysis?

Authors : Fatma TOKGÖZ AKYIL, Gökhan SÖĞÜT, Murat Erdal OZANTÜRK, Ahmet TOPBAŞ, Hasan TÜTÜNCÜLER, Mustafa AKYIL, Tülin SEVİM

Pages : 44-49

Doi:10.31067/acusaglik.832714

View : 32 | Download : 10

Publication Date : 2020-12-16

Article Type : Research Paper

Abstract :Purpose:Acute pulmonary embolism insert ignore into journalissuearticles values(PE); is a challenging disease as the third most common cause of cardiovascular death. Despite various scoring systems and blood parameters, more simple and practical predictors are being investigated. The objective of this study is to investigate the relationship between hospital and long-term mortality and complete blood count parameters, neutrophil-to-lymphocyte ratio insert ignore into journalissuearticles values(PLR); and platelet-to-lymphocyte ratio insert ignore into journalissuearticles values(PLR); in patients with acute PE. Patients and Methods:The present study is a retrospective observational study. Between June 2016 and June 2018, patients hospitalised in our chest diseases clinic with evident PE were included. Demographics, baseline complete blood count, D-dimer insert ignore into journalissuearticles values(mg/L); and C-reaktif protein insert ignore into journalissuearticles values(mg/L); values were recorded. In-hospital mortality and long-term mortality were investigated and predictors of mortality were analyzed. Results:Of all the 74 pateints, 36 insert ignore into journalissuearticles values(49%); were male and the mean age was 65±18 insert ignore into journalissuearticles values(20-89);. Embolus was localised in main pulmonary artery in 51%, right heart dysfunction were noted in 8 insert ignore into journalissuearticles values(10%); patients. Baseline NLR was significantly higher in patients who died in hospital insert ignore into journalissuearticles values(9.8±7.1 vs. 5.3±4.8, respectively); insert ignore into journalissuearticles values(P=0.037);. Additionally NLR was found as a predictor of long-term mortality insert ignore into journalissuearticles values(P=.,047);. The other predictors for long-term mortality were male gender insert ignore into journalissuearticles values(P=0.002);, advanced age insert ignore into journalissuearticles values(P=0.023); and lower hemoglobin insert ignore into journalissuearticles values(P=0.013); values. Conclusion:Acute PE may lead mortality and require close follow-up of patients. Higher NLR values relate both in-hospital and long-term mortality and may be used as a cheap, simple and useful prognostic predictor in patients with PE.
Keywords : lymphocyte, neutrophil, pulmonary embolism