Journals / Anestezi Dergisi / 2019 / Cilt: 27 - Sayı: 3

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

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

Pages
204–209
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Data obtained in this study shows that white blood cell, platelet, and neutrophil counts as well as the NLR and PLR can predict ROSC.

📌 3 Key Takeaways

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Objective & Hypothesis: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.
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Key Findings & Data: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.
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Conclusion & Impact:Conclusion: Data obtained in this study shows that white blood cell, platelet, and neutrophil counts as well as the NLR and PLR can predict ROSC.
🔬Design:Research Article
📍Scope:2016 Verileri
⚙️Variables:Domain Parameters

Abstract

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<0.05). Conclusion: Data obtained in this study shows that white blood cell, platelet, and neutrophil counts as well as the NLR and PLR can predict ROSC.

Özet

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<0.05). Sonuç: Çalışmamızdan elde ettiğimiz veriler, beyaz küre, nötrofil ve platelet sayıları, nötrofil- lenfosit ve platelet-lenfosit oranlarının spontan dolaşımın geri dönüşü için öngörü sağlayabilece- ğini gösterdi.

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Cite This Article

BİLGE, S., ACAR, Y. A., CAN, D., ÖZKAN, G. (2019). The Relationship Between Return of Spontaneous Circulation and Neutrophil Lymphocyte and Platelet Lymphocyte Ratios in Cardiac Arrest Cases. Anestezi Dergisi, Cilt: 27 - Sayı: 3, 204–209. https://ajindex.com/articles/143041

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References (9)

  1. Durila M. Reversible causes of cardiac arrest 4 “Ts” and 4 “Hs” can be easily diagnosed and remembered follo- wing general ABC rule, Motol University Hospital app- roach. Resuscitation. 2018;126:e7. https://doi.org/10.1016/j.resuscitation.2018.03.013 https://www.resuscitationjournal.com/article/S0300- 9572(18)30123-0/pdf. [Accessed 08 May 2019].
  2. Mangla A, Daya MR, Gupta S. Post-resuscitation care for survivors of cardiac arrest. Indian Heart J. 2014;66 Suppl 1:S105-12. https://doi.org/10.1016/j.ihj.2013.12.028
  3. Truhlar A, Deakin CD, Soar J, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 4. Cardiac arrest in special circumstan- ces. Resuscitation. 2015;95:148-201. https://doi.org/10.1016/j.resuscitation.2015.07.017
  4. Weiser C, Schwameis M, Sterz F, et al. Mortality in patients resuscitated from out-of-hospital cardiac arrest based on automated blood cell count and neut- rophil lymphocyte ratio at admission. Resuscitation. 2017;116:49-55. https://doi.org/10.1016/j.resuscitation.2017.05.006
  5. Skrifvars MB, Vayrynen T, Kuisma M, et al. Comparison of Helsinki and European Resuscitation Council “do not attempt to resuscitate” guidelines, and a termination of resuscitation clinical prediction rule for out-of-hospital cardiac arrest patients found in asystole or pulseless electrical activity. Resuscitation. 2010;81:679-84. https://doi.org/ 10.1016/j.resuscitation.2010.01.033 Qin B, Ma N, Tang Q, et al. Neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) were useful markers in assessment of inflammatory respon- se and disease activity in SLE patients. Modern Rheumatology. 2016;26:372-6. https://doi.org/10.3109/14397595.2015.1091136
  6. Temiz A, Gazi E, Gungor O, et al. Platelet/lymphocyte ratio and risk of in-hospital mortality in patients with ST-elevated myocardial infarction. Med Sci Monit. 2014;20:660-5. https://doi.org/10.12659/MSM.890152
  7. Eftestol T, Wik L, Sunde K, Steen PA. Effects of cardio- pulmonary resuscitation on predictors of ventricular fibrillation defibrillation success during out-of-hospital cardiac arrest. Circulation. 2004;110:10-5. https://doi.org/10.1161/01.CIR.0000133323.15565.75
  8. Horne BD, Anderson JL, John JM, et al. Which white blood cell subtypes predict increased cardiovascular risk? J Am Coll Cardiol. 2005;45:1638-43. https://doi.org/10.1016/j.jacc.2005.02.054
  9. Tokgoz S, Keskin S, Kayrak M, Seyithanoglu A, Ogmegul A. Is neutrophil/lymphocyte ratio predict to short-term mor- tality in acute