Ali DUMAN, Bekir DAGLİ, Mucahit KAPCİ, Kenan Ahmet TURKDOGAN, Guneri KURUOZ, Ayhan AKOZ

Diagnosis of pulmonary embolism in patients mean platelet volume, neutrophil / lymphocyte ratio and platelet / lymphocyte ratio 's foresight

Pulmonary thromboembolic (PTE) is a disease the mortality and the incidence of which is high.Diagnosing PTE can be overlooked because PTE hasn’t ahard and an original clinic tableau. Recently, new marker studies continue in the diagnosis and the mortality prudence of MPV, NLR and PLR inpulmonary embolic diagnosis. Also, in our study we purposed to search the foresight of MPV, NLR and PLR in the diagnosis of pulmonary embolic.Through the patients who applied to our emergency room between 1 January 2014 and 1 January 2015, 42 patients diagnosed with pulmonarythromboembolic were taken by scanning retrospective. Thirty healthy people were taken to study for control group. The average age of 42 patients takento study was 67,90 ± 14,85. 24 (%57,1) of patients are women and 18 (%42,9) of are men. The average D-dimer of patients was 5052,40 ± 5839,95 , theaverage PLR was 0,19 ± 0,12 , the average NLR was 8,07 ± 6,00 and the average MPV was 9,95 ± 1,01. In the control group, the average PLR was 0,18 ±0,19 , the average NLR was 4,34 ± 4,26 and the average MPV was 8,79 ± 0,57. The average MPV,NLR and PLR of patient’s group was higher thancontrol group’s. When comparing the patients’ and the control’s group , NLR and MPV was signficantly high (p< 0.005) but PLR was not significantlyhigh. In our study when we compare the group of patients and control,NLR was significantly high but PLR wasn’t.

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1. Duman A, Salt Ö, Özkan S, Durukan P, Avcıl M. Demographic characteristics of patients with pulmonary thromboembolism. J Clin Exp Invest. 2015;6(1):10-5.
2. Guzel A, Yavuz Y, Şişman B, Duran L, Altuntaş M, Murat N. A Retrospective Evaluation of Patients Admitted to Emergency Departments with Pulmonary Thromboembolism. JAEM. 2015;14:8-11.
3. Kayrak M, Erdoğan HI, Solak Y Akilli H, Gül EE, Yildirim O, Erer M, Akilli NB, Bekci TT, Aribaş A, Yazici M. Prognastic value of neutrophil to lymphocyte ratio in patients with acute pulmonary embolism: a retrospective study. Heart Lung Circ. 2014;23(1):56-62.
4. Horne BD, Anderson JL, John JM, Weaver A, Bair TL, Jensen KR, Renlund DG, Muhlestein JB; Intermountain Heart Collaborative Study Group. Which white blood cell subtypes predict increased cardiovascular risk? J Am Coll Cardiol. 2005;45(10):1638-43.
5. Azab B, Shah N, Akermen M, McGinn Jr JT. Value of Platelet/lymphocyte ratio as apredictor of all-cause mortality after non-ST-elevation myocardial infarction. J Thromb Thrombolysis. 2012;34:326-34.
6. Talay F, Ocak T, Alcelik A Erkuran K, Akkaya A, Duran A, Demirhan A, Kar Kurt O, Asuk Z. A New Diagnostic Marker For Acute Pulmonary Embolism In Emergency Department: Mean Platelet Volume. Afr Health Sci. 2014;14(1):94-9.
7. Karabacak M, Doğan A, Türkdoğan KA Kapci M, Duman A, Akpinar O. Mean platelet volume is increased in patients with hypertensive crises. Platelets. 2014;25(6):423-6.
8. Karabacak M, Varol E, Türkdogan KA Duman A, Akpinar O, Karabacak P. Mean platelet volume in patients with carbon monoxide poisoning. Angiology. 2014;65(3):252-6.
9. Şen HS, Abakay Ö, Taylan M. The importance of mean platelet volume in early mortality of pulmonary embolism. J Clin Exp Invest. 2013;4(3):298-301.
11. Varol E, Icli A, Uysal BA, Ozaydin M. Platelets indi-cates in patients with acute pulmonary embolism. Scand J Clin Lab Invest. 2011;71(2):163-7.
12. Bozkuş F, Bilal B, Samur A, Çetinkaya A. Prognostic Value of Mean Platelet Volume and Neutrphil/Lymphocyte Ratio in Patients With Pulmonary Embolism. Acta Medica Mediterranea. 2015;31:109.
13. Celik A, Ozcan IT, Gundes A Topuz M, Pektas I, Yesil E, Ayhan S, Kose A, Camsari A, Cin VG.Usefulness of admission hematologic parameters as diagnostic tools in acute pulmonary embolism. Kaohsiung J Med Sci. 2015;31(3):145-9.
14. Kundi H, Balun A, Cicekcioglu H. The relation between plateletto-lymphocyte ratio and Pulmonary Embolism Severity Index in acute pulmonary embolism. Heart Lung. 2015;44(4):340-3.