Diagnostic performance of hematological indices in early and late preeclampsia

To evaluate diagnostic performance of Neutrophil/lymphocyte ratio (NLR), Platelet to lymphocyte ratio (PLR) and platelecrit in the first and third trimester in preeclampsia. This was a single center case control study conducted between January 2015 and January 2021. Patients diagnosed with preeclamp...

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Main Authors: Dicle Iskender, Mehmet Obut, Ayse Keles, Ozgur Arat, Ozge Yucel Celik, Dilara Sarikaya, Mehmet Kaya, Mehmet Sinan Dal, Can Tekin Iskender
Format: Article
Language:English
Published: Society of Turaz Bilim 2022-03-01
Series:Medicine Science
Subjects:
Online Access:http://www.ejmanager.com/fulltextpdf.php?mno=135987
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author Dicle Iskender
Mehmet Obut
Ayse Keles
Ozgur Arat
Ozge Yucel Celik
Dilara Sarikaya
Mehmet Kaya
Mehmet Sinan Dal
Can Tekin Iskender
author_facet Dicle Iskender
Mehmet Obut
Ayse Keles
Ozgur Arat
Ozge Yucel Celik
Dilara Sarikaya
Mehmet Kaya
Mehmet Sinan Dal
Can Tekin Iskender
author_sort Dicle Iskender
collection DOAJ
description To evaluate diagnostic performance of Neutrophil/lymphocyte ratio (NLR), Platelet to lymphocyte ratio (PLR) and platelecrit in the first and third trimester in preeclampsia. This was a single center case control study conducted between January 2015 and January 2021. Patients diagnosed with preeclampsia were assigned as study population. The preeclamptic patients were assigned into two groups based on gestational weeks at diagnosis. Patients diagnosed before 34th gestational weeks were categorized as early preeclampsia and whereas patients diagnosed after 34th gestational weeks as late preeclampsia. Receiver operating characteristics curve was used to assess diagnostic value of first and third trimester NLR, PLR and platelecrit in preeclampsia. Detection rate of each variable was assessed for a 10% false positive rate. NLR in the first trimester have highest sensitivity of 30 % at a 90 % specificity to detect early preeclampsia. The area under curve (AUC) for NLR was 0.742 respectively. The best cut off for 1st trimester NLR was 4.98. PLR and platelecrit yielded low diagnostic performance. NLR in the first trimester has a moderate predictive performance for early preeclampsia. PLR was not different in preeclamptic cases and controls and platelecrit yielded a low diagnostic performance for preeclampsia. [Med-Science 2022; 11(1.000): 148-53]
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spelling doaj.art-64e0dd4892f146a486c284f1e22dae072024-02-03T07:29:09ZengSociety of Turaz BilimMedicine Science2147-06342022-03-011111485310.5455/medscience.2021.10.357135987Diagnostic performance of hematological indices in early and late preeclampsiaDicle Iskender0Mehmet Obut1Ayse Keles2Ozgur Arat3Ozge Yucel Celik4Dilara Sarikaya5Mehmet Kaya6Mehmet Sinan Dal7Can Tekin Iskender8Department of Hematology, Hematology and Stem Cell Transplantation Clinic, Ankara Oncology Education and Research Hospital, Ankara, Turkey Department of Perinatology, Health Sciences University, Etlik Zubeyde Hanım Womans Health Training and Research Hospital, Ankara, Turkey Department of Perinatology, Health Sciences University, Etlik Zubeyde Hanım Womans Health Training and Research Hospital, Ankara, Turkey Department of Perinatology, Health Sciences University, Etlik Zubeyde Hanım Womans Health Training and Research Hospital, Ankara, Turkey Department of Perinatology, Health Sciences University, Etlik Zubeyde Hanım Womans Health Training and Research Hospital, Ankara, Turkey Department of Perinatology, Health Sciences University, Etlik Zubeyde Hanım Womans Health Training and Research Hospital, Ankara, Turkey Department of Perinatology, Health Sciences University, Etlik Zubeyde Hanım Womans Health Training and Research Hospital, Ankara, Turkey Department of Hematology, Hematology and Stem Cell Transplantation Clinic, Ankara Oncology Education and Research Hospital, Ankara, Turkey Department of Hematology, a Hematology and Stem Cell Transplantation Clinic, Ankara Oncology Education and Research Hospital, Ankara, TurkeyTo evaluate diagnostic performance of Neutrophil/lymphocyte ratio (NLR), Platelet to lymphocyte ratio (PLR) and platelecrit in the first and third trimester in preeclampsia. This was a single center case control study conducted between January 2015 and January 2021. Patients diagnosed with preeclampsia were assigned as study population. The preeclamptic patients were assigned into two groups based on gestational weeks at diagnosis. Patients diagnosed before 34th gestational weeks were categorized as early preeclampsia and whereas patients diagnosed after 34th gestational weeks as late preeclampsia. Receiver operating characteristics curve was used to assess diagnostic value of first and third trimester NLR, PLR and platelecrit in preeclampsia. Detection rate of each variable was assessed for a 10% false positive rate. NLR in the first trimester have highest sensitivity of 30 % at a 90 % specificity to detect early preeclampsia. The area under curve (AUC) for NLR was 0.742 respectively. The best cut off for 1st trimester NLR was 4.98. PLR and platelecrit yielded low diagnostic performance. NLR in the first trimester has a moderate predictive performance for early preeclampsia. PLR was not different in preeclamptic cases and controls and platelecrit yielded a low diagnostic performance for preeclampsia. [Med-Science 2022; 11(1.000): 148-53]http://www.ejmanager.com/fulltextpdf.php?mno=135987diagnostic performanceneutrophil to lymphocyte ratioplatelet to lymphocyte ratioplatelecritpreeclampsia
spellingShingle Dicle Iskender
Mehmet Obut
Ayse Keles
Ozgur Arat
Ozge Yucel Celik
Dilara Sarikaya
Mehmet Kaya
Mehmet Sinan Dal
Can Tekin Iskender
Diagnostic performance of hematological indices in early and late preeclampsia
Medicine Science
diagnostic performance
neutrophil to lymphocyte ratio
platelet to lymphocyte ratio
platelecrit
preeclampsia
title Diagnostic performance of hematological indices in early and late preeclampsia
title_full Diagnostic performance of hematological indices in early and late preeclampsia
title_fullStr Diagnostic performance of hematological indices in early and late preeclampsia
title_full_unstemmed Diagnostic performance of hematological indices in early and late preeclampsia
title_short Diagnostic performance of hematological indices in early and late preeclampsia
title_sort diagnostic performance of hematological indices in early and late preeclampsia
topic diagnostic performance
neutrophil to lymphocyte ratio
platelet to lymphocyte ratio
platelecrit
preeclampsia
url http://www.ejmanager.com/fulltextpdf.php?mno=135987
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AT ozgurarat diagnosticperformanceofhematologicalindicesinearlyandlatepreeclampsia
AT ozgeyucelcelik diagnosticperformanceofhematologicalindicesinearlyandlatepreeclampsia
AT dilarasarikaya diagnosticperformanceofhematologicalindicesinearlyandlatepreeclampsia
AT mehmetkaya diagnosticperformanceofhematologicalindicesinearlyandlatepreeclampsia
AT mehmetsinandal diagnosticperformanceofhematologicalindicesinearlyandlatepreeclampsia
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