The correlation of routine hematological parameters with In-hospital mortality and length of hospital stay in patients with large middle cerebral artery infarction

dc.contributor.authorGüneş, Muzaffer
dc.date.accessioned2021-06-29T10:05:46Z
dc.date.available2021-06-29T10:05:46Z
dc.date.issued2020
dc.departmentTıp Fakültesi
dc.description.abstractObjective Neutrophil-to-lymphocyte ratio (NLR) and red blood cell distribution width (RDW) reflect inflammation and these parameters have not been studied in patients with large cerebral artery infarction. This study investigated the correlation of these inflammation parameters with in-hospital mortality and length of hospital stay (LOS) in patients with large middle cerebral artery (MCA) infarction. Materials and methods The study was conducted with patients who had large MCA (M1 and M2 segments) infarction. Clinical data of the patients and laboratory results at presentation were obtained from our database and recorded for statistical analysis. Multivariate logistic regression analysis was used to investigate the prognostic factors. The correlation between hematological parameters and LOS was investigated using Spearman's Rho and Pearson correlation tests. Results A total of 143 patients (48 patients with hospital mortality, 95 patients without hospital mortality) were included in the study. The median LOS in patients with hospital mortality [10 (2-90) days] was significantly higher compared to the patients without [7 (2-30) days] (p = 0.024). RDW-SD was found to be a poor prognostic factor according to the multivariate logistic regression model (p = 0.004). There was a significant but weak and positive correlation between LOS and NLR (p = 0.003, r: 0.248) and a significant but weak and negative correlation between LOS and eosinophil count (p = 0.001, r: -0.278). Conclusions High RDW at presentation is a poor prognostic factor in terms of in-hospital mortality in patients with large MCA infarction. In addition, a positive correlation has been found between NLR and LOS.
dc.identifier.doi10.7759/cureus.7886
dc.identifier.endpage-en_US
dc.identifier.issue4en_US
dc.identifier.startpage-en_US
dc.identifier.urihttps:/dx.doi.org/10.7759/cureus.7886
dc.identifier.urihttps://hdl.handle.net/20.500.12451/8220
dc.identifier.volume12en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherCureus
dc.relation.ispartofCureus
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAcute Ischemic Stroke
dc.subjectLength of Hospital Stay
dc.subjectMiddle Cerebral Artery Infarction
dc.subjectIn-hospital Mortality
dc.subjectHematological Parameters
dc.titleThe correlation of routine hematological parameters with In-hospital mortality and length of hospital stay in patients with large middle cerebral artery infarction
dc.typeArticle

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