Diagnostic value of neutrophil-to-lymphocyte ratio in emergency department patients diagnosed with acute pancreatitis

Purpose: Decreased lymphocyte count and increased neutrophil count may be associated with severe sepsis, bacteremia, and surgical stress. The neutrophil-to-lymphocyte ratio (NLR) may be used to assess inflammatory conditions and surgery. We evaluated whether NLR may be useful in the differentiation...

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Main Authors: Ahmet Ak, Ali Doğru, Aysegul Bayir, Emet Nazik, Hasan Kara, Mehmet Kafali, Osman Doğru, Selim Değirmenci
Format: Article
Language:English
Published: Cukurova University 2016-03-01
Series:Cukurova Medical Journal
Online Access:https://dergipark.org.tr/tr/download/article-file/206061
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author Ahmet Ak
Ali Doğru
Aysegul Bayir
Emet Nazik
Hasan Kara
Mehmet Kafali
Osman Doğru
Selim Değirmenci
author_facet Ahmet Ak
Ali Doğru
Aysegul Bayir
Emet Nazik
Hasan Kara
Mehmet Kafali
Osman Doğru
Selim Değirmenci
author_sort Ahmet Ak
collection DOAJ
description Purpose: Decreased lymphocyte count and increased neutrophil count may be associated with severe sepsis, bacteremia, and surgical stress. The neutrophil-to-lymphocyte ratio (NLR) may be used to assess inflammatory conditions and surgery. We evaluated whether NLR may be useful in the differentiation between biliary and nonbiliary acute pancreatitis. Material and Methods: Data from patients aged > 18 years who were diagnosed with acute pancreatitis between January 2011 and July 2014 were evaluated retrospectively. Patients were grouped as having biliary or nonbiliary pancreatitis. The white blood cell, neutrophil, and lymphocyte counts and NLR were evaluated and compared between the 2 groups. Results: In the 225 patients with acute pancreatitis (mean age, 59±18 y; 81 male patients [36%]), most patients had biliary pancreatitis (biliary, 144 patients [64%]; nonbiliary, 81 patients [36%]). Frequency of hypertension and mean arterial pressure were lower in patients who had biliary than nonbiliary pancreatitis. The mean white blood cell, neutrophil, and platelet counts were greater in patients who had nonbiliary than biliary pancreatitis. Conclusions: Although the NLR was increased in acute pancreatitis, there were no differences in NLR between patients who had biliary or nonbiliary acute pancreatitis. Therefore, the NLR is not useful in differentiating biliary from nonbiliary acute pancreatitis.
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spelling doaj.art-4383cddf425440b389e58fe735bbfc132023-02-15T16:14:10ZengCukurova UniversityCukurova Medical Journal2602-30402016-03-01411556048Diagnostic value of neutrophil-to-lymphocyte ratio in emergency department patients diagnosed with acute pancreatitisAhmet AkAli DoğruAysegul BayirEmet NazikHasan KaraMehmet KafaliOsman DoğruSelim DeğirmenciPurpose: Decreased lymphocyte count and increased neutrophil count may be associated with severe sepsis, bacteremia, and surgical stress. The neutrophil-to-lymphocyte ratio (NLR) may be used to assess inflammatory conditions and surgery. We evaluated whether NLR may be useful in the differentiation between biliary and nonbiliary acute pancreatitis. Material and Methods: Data from patients aged > 18 years who were diagnosed with acute pancreatitis between January 2011 and July 2014 were evaluated retrospectively. Patients were grouped as having biliary or nonbiliary pancreatitis. The white blood cell, neutrophil, and lymphocyte counts and NLR were evaluated and compared between the 2 groups. Results: In the 225 patients with acute pancreatitis (mean age, 59±18 y; 81 male patients [36%]), most patients had biliary pancreatitis (biliary, 144 patients [64%]; nonbiliary, 81 patients [36%]). Frequency of hypertension and mean arterial pressure were lower in patients who had biliary than nonbiliary pancreatitis. The mean white blood cell, neutrophil, and platelet counts were greater in patients who had nonbiliary than biliary pancreatitis. Conclusions: Although the NLR was increased in acute pancreatitis, there were no differences in NLR between patients who had biliary or nonbiliary acute pancreatitis. Therefore, the NLR is not useful in differentiating biliary from nonbiliary acute pancreatitis.https://dergipark.org.tr/tr/download/article-file/206061
spellingShingle Ahmet Ak
Ali Doğru
Aysegul Bayir
Emet Nazik
Hasan Kara
Mehmet Kafali
Osman Doğru
Selim Değirmenci
Diagnostic value of neutrophil-to-lymphocyte ratio in emergency department patients diagnosed with acute pancreatitis
Cukurova Medical Journal
title Diagnostic value of neutrophil-to-lymphocyte ratio in emergency department patients diagnosed with acute pancreatitis
title_full Diagnostic value of neutrophil-to-lymphocyte ratio in emergency department patients diagnosed with acute pancreatitis
title_fullStr Diagnostic value of neutrophil-to-lymphocyte ratio in emergency department patients diagnosed with acute pancreatitis
title_full_unstemmed Diagnostic value of neutrophil-to-lymphocyte ratio in emergency department patients diagnosed with acute pancreatitis
title_short Diagnostic value of neutrophil-to-lymphocyte ratio in emergency department patients diagnosed with acute pancreatitis
title_sort diagnostic value of neutrophil to lymphocyte ratio in emergency department patients diagnosed with acute pancreatitis
url https://dergipark.org.tr/tr/download/article-file/206061
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