Kardiyak Arrest Olgularında Nötrofil Lenfosit ve Platelet Lenfosit Oranları ile Spontan Dolaşımın Geri Dönüşü Arasındaki İlişkinin Araştırılması

Amaç: Çalışmada, kardiyak arrest olgularında spontan dolaşımın geri dönüşü beklentisinin öngö- rülebilmesine yönelik olarak nötrofil-lenfosit ve platelet-lenfosit oranlarıyla spontan dolaşımın geri dönüşü arasındaki ilişkinin araştırılması amaçlandı. Yöntem: Acil servise 01 Ekim 2016-01 Haziran 2018 tarihlerinde başvuran hastalardan kardiyak arrest tanısı alanlar belirlendi. Demografik veriler, tam kan parametreleri, nötrofil-lenfosit ve platelet-lenfosit oranları, spontan dolaşımın geri dönüp dönmediği ile kardiyopulmoner resüsitas- yon süreleri kaydedildi. Hastalar, spontan dolaşımın geri döndüğü ve dönmediği olmak üzere 2 gruba ayrıldı. İki grup için nötrofil-lenfosit ve platelet-lenfosit oranları istatistiksel olarak analiz edildi. Bulgular: Çalışmaya toplam 216 olgu dahil edildi. Olguların 54’ünde (%25) spontan dolaşımın geri döndüğü bulundu. Tam kan parametreleri değerlendirildiğinde, beyaz küre, platelet ve nötrofil sayıları, nötrofil-lenfosit ve platelet-lenfosit oranları için spontan dolaşımı geri dönen ve dönme- yen gruplar arasında istatistiksel olarak anlamlı fark bulundu (p

The Relationship Between Return of Spontaneous Circulation and Neutrophil Lymphocyte and Platelet Lymphocyte Ratios in Cardiac Arrest Cases

Objective: The present study aimed to investigate the relationship between return of spontane- ous circulation (ROSC) and the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) regarding the prediction of ROSC in cardiac arrest (CA) cases. Method: Among the patients who presented to the emergency department between October 1, 2016 and June 1, 2018, cases that received the diagnosis of cardiac arrest were identified. Demographic data, complete blood count (CBC) parameters, NLR and PLR, whether ROSC was achieved or not, and time to cardiopulmonary resuscitation were recorded. The patients were divided into two groups as patients in whom ROSC was achieved and those in whom ROSC was not achieved. NLR and PLR were compared between the groups and statistically analyzed. Results: In total, 216 patients were included in the study. ROSC was achieved in 54 (25%) cases. When CBC parameters were evaluated, statistically significant differences were found between the white blood cell, platelet, and neutrophil counts as well as NLR and PLR values of the groups (p

Kaynakça

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