Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightFurthermore, correlation analyses demonstrated no correlation of lengthof stay with PLR and NLR but an obvious correlation between cost of stay and PLR (r=0.412; p 0.05).Conclusion: The PLR is inflammatory marker that can be measured by an inexpensive and easily accessible test and can aid in theprediction of length and cost of hospital stay in patients with DFUs.
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Özet
Objective: The aim of this study was to determine the role of new inflammatory markers, including the platelet-to-lymphocyte ratio(PLR) and neutrophil-to-lymphocyte ratio (NLR), in the prediction of length and cost of hospital stay in patients with infecteddiabetic foot ulcers (DFUs).Methods: A total of 78 patients with DFUs who were admitted to our endocrinology clinic between January 2016 and July 2017were included. Patients were then divided into three groups according to the Wagner DFU classification system: group 1: 18 patients with grade 2 DFU (11 men, 7 women; mean age = 57.5±7 years); group 2: 44 patients with grade 3 DFU (18 men, 26 women;mean age = 59.7±8.7 years); and group 3: 16 patients with grade 4 DFU (10 men, 6 women; mean age = 59.9±11.6 years). Laboratory findings were retrospectively obtained from hospital records; the PLR and NLR were calculated in all groups. Length and costof hospital stay were recorded. Hospital costs were estimated in Turkish Lira (TL) based on the evaluation of glucose regulation,wound care, and antibiotic treatment.Results: The mean NLR was significantly lower in group 1 (2.8±0.9) than in group 2 (6.0±5.2; p=0.017) and group 3 (6.9±5.3;p=0.011). The mean PLR was significantly lower in group 1 (140.8±42.6) than in group 3 (222.1±95.5; p=0.006). The mean lengthof stay was 7.9±2.7 days in group 1, 15.0±8.9 days in group 2, and 12.5±8.9 days in group 3. The mean cost was 1,310.8±500 TLin group 1, 2,966.9±2105 TL in group 2, and 3,488.1±3603.1 TL in group 3. Length and cost of stay were both significantly lowerin group 1 than in groups 2 and 3 (p=0.011 and p=0.002, respectively). Comparative results showed that the length and cost ofhospital stay increased with increasing severity of DFUs. Furthermore, correlation analyses demonstrated no correlation of lengthof stay with PLR and NLR but an obvious correlation between cost of stay and PLR (r=0.412; p 0.05).Conclusion: The PLR is inflammatory marker that can be measured by an inexpensive and easily accessible test and can aid in theprediction of length and cost of hospital stay in patients with DFUs.