Predictive value of systemic immune-inflammation index in patients with preterm labor

dc.contributor.authorSoykan Sert, Zekiye
dc.contributor.authorBülbül, Ramazan
dc.date.accessioned2022-09-28T12:58:06Z
dc.date.available2022-09-28T12:58:06Z
dc.date.issued2022
dc.departmentTıp Fakültesi
dc.description.abstractPurpose: The aim of this study was to investigate whether the systemic immune-inflammatory index (SII) could predict the development of preterm labor in pregnant women. Materials and Methods: Pregnant women aged 18 years and over who presented to our clinic with spontaneous labor between January 1, 2018, and December 31, 2021, had intact membranes, and had a single living fetus were retrospectively evaluated. The women were divided into two groups, preterm and term delivery, according to the week of delivery. The clinical and laboratory characteristics of the women were assessed. The patients' platelet-to-lymphocyte ratio (PLR), neutrophil-to-lymphocyte ratio (NLR), and SII (neutrophil count x platelet count/lymphocyte count) were calculated. Results: The study included 171 women with preterm labor and 173 women with healthy term labor. The PLR, NLR, and SII values were statistically significantly higher in the preterm group than in the term group. The multivariate logistic regression analysis showed that SII (odds ratio [OR]: 3.65, 95% confidence interval [CI]: 2.21-10.07) was an independent predictor of the development of preterm labor. We found that the power of SII to predict preterm labor (area under the curve [AUC]: 0.792) was higher than that of NLR (AUC: 0.725) or PLR (AUC: 0.716) alone. SII values higher than 789.3 predicted preterm labor with 68.4% sensitivity and 81.5% specificity. Conclusion: We found that SII was more valuable than NLR and PLR in the early detection of preterm labor. SII can help identify pregnant women at risk of developing preterm labor in the early stages of pregnancy.
dc.identifier.doi10.17826/cumj.1089119
dc.identifier.endpage703en_US
dc.identifier.issn2602-3032
dc.identifier.issn2602-3040
dc.identifier.issue2en_US
dc.identifier.startpage697en_US
dc.identifier.urihttps:/dx.doi.org/10.17826/cumj.1089119
dc.identifier.urihttps://hdl.handle.net/20.500.12451/9691
dc.identifier.volume47en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherÇukurova Üniversitesi
dc.relation.ispartofCukurova Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectSystemic Immune-Inflammation Index
dc.subjectPreterm Labor
dc.subjectPregnancy
dc.subjectSistemik İmmün-İnflamatuar İndeks
dc.subjectPreterm Doğum
dc.subjectGebelik
dc.titlePredictive value of systemic immune-inflammation index in patients with preterm labor
dc.typeArticle

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