Open Access

Importance of the neutrophil‑to‑lymphocyte ratio as a prognostic factor in patients with spleen trauma: A single center experience

  • Authors:
    • Vlad Vunvulea
    • Bogdan Andrei Suciu
    • Iuliu Gabriel Cocuz
    • Nicolae Bacalbașa
    • Călin Molnar
    • Dana Valentina Ghiga
    • Ioana Hălmaciu
  • View Affiliations

  • Published online on: August 17, 2022     https://doi.org/10.3892/br.2022.1563
  • Article Number: 80
  • Copyright: © Vunvulea et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Abdominal trauma is a common diagnosis for patients admitted to the emergency room. Evaluation of the severity of such patients can sometimes be difficult due to rapid hemodynamic changes caused by the activation of inflammatory and anti‑inflammatory regulatory mechanisms. To evaluate the prognosis of trauma patients, it is crucial to identify these changes and adapt various treatment strategies. Using the records of the Mures County Emergency Clinical Hospital, 126 patients were included in the present study with traumatic splenic injury admitted over 6 years. Blood parameters such as the neutrophil, lymphocyte, and platelet counts, the neutrophil to lymphocyte ratio (NLR), and the platelet to lymphocyte ratio (PLR) were determined, and the association between these and the severity of the traumatic injury [quantified as the injury severity score (ISS)] was calculated. We used linear and multiple regression analyses to identify and quantify the relationships. We found statistically significant associations between the ISS and the NLR (P=0.002), with an AUC of 0.816 and a cut‑off value of NLR=6.075 (sensitivity=76.7%, specificity=74.3%), and between the ISS and hemoglobin (P<0.0001), hematocrit (P<0.0001), neutrophil count (P<0.0001), lymphocyte count (P=0.0224), and platelet count (P=0.0163). No association was found between the PLR and the severity of trauma. An elevated NLR at admission in trauma patients had significant predictive power for the severity of trauma. Patients with an NLR greater than the cut‑off value of 6.075 were more likely to have suffered serious injuries and undergone deterioration.

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October-2022
Volume 17 Issue 4

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Spandidos Publications style
Vunvulea V, Suciu BA, Cocuz IG, Bacalbașa N, Molnar C, Ghiga DV and Hălmaciu I: Importance of the neutrophil‑to‑lymphocyte ratio as a prognostic factor in patients with spleen trauma: A single center experience. Biomed Rep 17: 80, 2022
APA
Vunvulea, V., Suciu, B.A., Cocuz, I.G., Bacalbașa, N., Molnar, C., Ghiga, D.V., & Hălmaciu, I. (2022). Importance of the neutrophil‑to‑lymphocyte ratio as a prognostic factor in patients with spleen trauma: A single center experience. Biomedical Reports, 17, 80. https://doi.org/10.3892/br.2022.1563
MLA
Vunvulea, V., Suciu, B. A., Cocuz, I. G., Bacalbașa, N., Molnar, C., Ghiga, D. V., Hălmaciu, I."Importance of the neutrophil‑to‑lymphocyte ratio as a prognostic factor in patients with spleen trauma: A single center experience". Biomedical Reports 17.4 (2022): 80.
Chicago
Vunvulea, V., Suciu, B. A., Cocuz, I. G., Bacalbașa, N., Molnar, C., Ghiga, D. V., Hălmaciu, I."Importance of the neutrophil‑to‑lymphocyte ratio as a prognostic factor in patients with spleen trauma: A single center experience". Biomedical Reports 17, no. 4 (2022): 80. https://doi.org/10.3892/br.2022.1563