Admission neutrophil-to-lymphocyte ratio and postoperative mortality in elderly patients with hip fracture

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dc.authoridSalim Ersözlü / 0000-0002-5383-9665
dc.authorscopusidSalim Ersözlü / 8869531800
dc.authorwosidSalim Ersözlü / JGW-4733-2023
dc.contributor.authorTemiz, Aytun
dc.contributor.authorErsözlü, Salim
dc.date.accessioned2020-08-30T20:07:08Z
dc.date.available2020-08-30T20:07:08Z
dc.date.issued2019
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBACKGROUND: Hip fractures in elderly patients are associated with a high mortality rate. Most deaths associated with hip fracture result from complications after surgery. Recent studies suggest that the neutrophil-to-lymphocyte ratio (NLR), which is a laboratory marker used to evaluate systemic inflammation, may be useful to estimate excess mortality. This study aimed to investigate the prognostic value of admission NLR in elderly patients with hip fracture. METHODS: We evaluated patients admitted to the Orthopaedic Surgery Department of Balikesir-Edremit State Hospital. Inclusion criteria were female gender, age between 65 and 80 years, ASA score of 3, unstable intertrochanteric fracture treated with hemi-arthroplasty, and time between fracture and surgery less than 72 h. Patients with multiple fracture, previous same side or other side hip surgery, pathological fracture, such as fracture caused by tumor or metabolic bone disease (e.g., Paget's disease), and malignancies were excluded from this study (purposive sampling technique). Finally, "case" (group 1) was defined as patients who died within 1 year after surgery, whereas "control" (group 2) was defined as patients who survived. Patients in group 1 and 2 were statistically compared in terms of NLR value on hospital admission. A total of 22 patients (44%) were included in group 1, and 28 (56%) were included in group 2. RESULTS: We found that the admission NLR values of patients in the mortality group were significantly higher than those of patients in the control group (p<0.001). The cutoff value of NLR was calculated as 4.7 on ROC analysis. CONCLUSION: We believe that the NLR value at admission could be used for risk stratification of mortality in elderly patients with hip fracture.en_US
dc.identifier.citationTemiz, A., & Ersözlü, S. (2019). Admission neutrophil-to-lymphocyte ratio and postoperative mortality in elderly patients with hip fracture. Ulus Travma Acil Cerrahi Derg, 25(1), 71-74.en_US
dc.identifier.doi10.5505/tjtes.2018.94572en_US
dc.identifier.endpage74en_US
dc.identifier.issn1306-696Xen_US
dc.identifier.issue1en_US
dc.identifier.pmid30742290en_US
dc.identifier.scopus2-s2.0-85061278196en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage71en_US
dc.identifier.trdizinid341356en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2018.94572
dc.identifier.urihttps://hdl.handle.net/20.500.12713/703
dc.identifier.volume25en_US
dc.identifier.wosWOS:000461477900013en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.institutionauthorErsözlü, Salimen_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectElderlyen_US
dc.subjectHip Fractureen_US
dc.subjectNeutrophil-To-Lymphocyte Ratioen_US
dc.titleAdmission neutrophil-to-lymphocyte ratio and postoperative mortality in elderly patients with hip fractureen_US
dc.title.alternativeKalça kırıklı yaşlı hastalarda nötrofil-lenfosit oranı ve ameliyat sonrası mortaliteen_US
dc.typeArticleen_US

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