Affiliation:
1. Yaroslavl State Medical University; Regional Clinical Hospital
2. M. F. Vladimirsky Moscow Regional Research Clinical Institute
Abstract
The objective: to study information value of the neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) in the cardiac risk assessment in abdominal oncological surgery.Subjects and Methods. 94 patients of 68 [62‒73] years old who underwent elective surgery were examined.Results. Cardiovascular comortbidity was diagnosed in 69 (73.4%) patients. 11 (11.7%) perioperative cardiovascular complications were registered. Cardiac mortality was 4.3%. Hematological indices were not associated with cardiovascular diseases (NLR: OR = 0.59‒1.42; 95% CI 0.14‒2.60; p = 0.29‒0.74, PLR: OR = 0.99‒1.00; 95% CI 0.97‒1.01; p = 0.31‒0.99). NLR and PLR were not predictors of cardiovascular complications (OR = 0.67; 95% CI 0.19‒2.37; p = 0.46 and OR = 1.00; 95% CI 0.99‒1.01; p = 0.68) and cardiac death (OR = 0.21; 95% CI 0.01‒8.05; p = 0.23 and OR = 0.99; 95% CI 0.98‒1.01; p = 0.79).Conclusion. NLR and PLR cannot be recommended for the cardiac risk assessment in abdominal oncological surgery.
Publisher
FSBEI HE I.P. Pavlov SPbSMU MOH Russia
Subject
Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine,Emergency Medicine
Reference40 articles.
1. Vitkovsky Yu.A., Kuznik B.I., Solpov A.V. Pathogenetic significance of lymphocyte-to-platelet adherence. Meditsinskaya Immunologiya, 2006, vol. 8, no. 5-6, pp. 745-753. (In Russ.) doi.org/10.15789/1563-0625-2006-5-6-745-753.
2. Zabolotskikh I.B., Trembach N.V., Magomedov M.A. et al. Possibilities for preoperative risk assessment of adverse outcomes in abdominal surgery: preliminary results of the STOPRISK multicenter study. Vestnik Intensivnoy Terapii Im. А.I. Saltanova, 2020, no. 4, pp. 12-27. (In Russ.) doi.org/10.21320/1818-474X-2020-4-12-27.
3. Lomivorotov V.V., Lomivorotov V.N. Perioperative myocardial injury and infarction. Messenger of Anesthesiology and Resuscitation, 2019, vol. 16, no. 2, pp. 51-56. (In Russ.) doi.org/10.21292/2078-5658-2019-16-2-51-56.
4. Moroz V.V., Dobrushina O.R., Strelnikova E.P. et al. Predictors of cardiac complications of abdominal and pelvic operations in elderly and senile patients. Obschaya Reanimatologiya, 2011, vol. 7, no. 5, pp. 26-31. (In Russ.) doi.org/10.15360/1813-9779-2011-5-26.
5. Pismenny D.S., Savelyeva O.E., Zavyalova M.V. et al. Assosiation of the proinflammatory status and distant metastases in non-small cell lung cancer. Sovremennye Problemy Nauki i Obrazovaniya, 2020, no. 6. (In Russ.) doi.org/10.17513/spno.30317. Available: science-education.ru/ru/article/view?id=30317 (Accessed: 28.06.2022).
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