Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?

Ayanoğlu, Tacettin; Olçar, Hacı ali; ÖZBEK, Emre Anıl; yalvaç, eyyüp serdar

doi:10.14744/tjtes.2020.57375

Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?

Anıl ÖZBEK, (Yozgat Şehir Hastanesi, Ortopedi ve Travmatoloji Kliniği, Yozgat, Türkiye)

Tacettin AYANOĞLU, (Yozgat Şehir Hastanesi, Ortopedi ve Travmatoloji Kliniği, Yozgat, Türkiye)

Hacı Ali OLÇAR, (Yozgat Şehir Hastanesi, Ortopedi ve Travmatoloji Kliniği, Yozgat, Türkiye)

Eyyüp Serdar YALVAÇ (Yozgat Şehir Hastanesi, Ortopedi ve Travmatoloji Kliniği, Yozgat, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

1 0

Yıl: 2020 Cilt: 26 Sayı: 4 Sayfa Aralığı: 607 - 612 Metin Dili: İngilizce DOI: 10.14744/tjtes.2020.57375 İndeks Tarihi: 21-10-2020

Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?

Öz:

BACKGROUND: Hip fractures in the orthogeriatric population are a health problem that causes mortality and morbidity, withan increasing frequency. The present study aims to investigate whether the preoperative neutrophil-to-lymphocyte ratio (NLR) isa predictive value for the postoperative mortality risk in patients who underwent only proximal femoral nail (PFN) surgery due topertrochanteric fractures (PTF). To our knowledge, there is not any study conducted with a similar population in the litertaure.METHODS: Fifty-five patients who were operated on by two National Board-certified surgeons with the PFN method were includedin our retrospective study. The patients were divided into two groups. Group A included the patients who lost their lives within thepostoperative first year (n=13), while Group B included the survivors (n=42). Preoperative NLR data, demographic information, durationof hospitalization, postoperative intensive care requirements (ICU) and comorbid diseases of all patients were recorded.RESULTS: In our study with a maximum follow-up period of 27 months, no statistically significant difference was found between thegroups concerning age, gender, body mass index, preoperative American Society of Anesthesiologists scores (ASA), types of fractures,ICU requirements, duration of hospitalization (p>0.05). However, the NLR was significantly higher in Group A (p<0.01), with a cut-offvalue of 5.25, sensitivity of 84.6% and specificity of 78.6%.CONCLUSION: We believe that the preoperative NLR is a predictive variable for orthopedic surgeons in assessing the postoperativemortality risk in orthogeriatric patients who presented to the emergency room due to PTF and were planned to undergo PFN surgery.

Anahtar Kelime:

Ameliyat öncesi nötrofil-lenfosit oranı pertrokanterik kırık nedeniyle proksimal femoral çivi planlanan ortogeriatrik popülasyon için ameliyat sonrası mortaliteyi belirlemede kullanılabilecek ameliyat öncesi bir değer midir?

Öz:

AMAÇ: Ortogeriatrik popülasyonda kalça kırığı mortalite ve morbiditeye neden olan ve giderek sıklığı artan bir sağlık problemidir. Çalışmamızın amacı pertrokanterik kırık nedeniyle sadece proksimal femur çivi (PFÇ) cerrahi yöntemi ile tedavi edilmiş hastalarda; ameliyat öncesi nötrofil-lenfosit oranının (NLO) ameliyat sonrası mortalite riski için preditif bir değer olup olmadığını irdelemektir. Literatürde benzer popülasyonda planmış başka bir çalışma tespit edilememiştir. GEREÇ VE YÖNTEM: Geriye dönük olarak planlanan çalışmamıza ulusal ortopedi kurul sertifikalı iki cerrah tarafından PFÇ yöntemi ile ameliyatı gerçekleştirmiş 55 hasta alındı. Hastalar ameliyat sonrası ilk bir yıl hayatını kaybedenler (Grup A [n=13]) ve hayatta kalanlar (Grup B [n=42]) olarak iki gruba ayrıldı. Tüm hastaların ameliyat öncesi NLO değerleri, demografik bilgileri, hastanede kalış süreleri, ameliyat sonrası yoğun bakım (POYB) ihtiyaçları ve komorbid hastalıkları kayıt altına alındı. BULGULAR: En uzun hasta takip süresi 27 ay olan çalışmamız sonucunda her iki grup arasında; yaş, cinsiyet, vücut kitle indeksi, ameliyat öncesi American Society of Anesthesiologist (ASA) skorları, kırık tipleri, POYB ihtiyaçları, hastanede kalış süreleri ve hastaların acil servis başvurusundan ameliyathaneye alınmasına kadar geçen süre açısından anlamlı fark saptanmadı (p>0.05). Bununla birlikte anlamlı şekilde grup A hastalarında NLO değeri daha yüksek gözlenmiş (p<0.01), kestirim değer 5.25, sensitivitesi %84.6, spesifitesi %78.6 idi. TARTIŞMA: Ameliyat öncesi NLO değerinin ortopedik cerrahlar açısından; pertrokanterik kırık nedeniyle acil servise başvuran ve PFÇ cerrahisi planlanan ortogeriatrik hastaların ameliyat sonrası mortalite riski için prediktif değişkenlerden olacağını düşünmekteyiz.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ÖZBEK E, Ayanoğlu T, Olçar H, yalvaç e (2020). Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?. , 607 - 612. 10.14744/tjtes.2020.57375
Chicago	ÖZBEK Emre Anıl,Ayanoğlu Tacettin,Olçar Hacı ali,yalvaç eyyüp serdar Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?. (2020): 607 - 612. 10.14744/tjtes.2020.57375
MLA	ÖZBEK Emre Anıl,Ayanoğlu Tacettin,Olçar Hacı ali,yalvaç eyyüp serdar Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?. , 2020, ss.607 - 612. 10.14744/tjtes.2020.57375
AMA	ÖZBEK E,Ayanoğlu T,Olçar H,yalvaç e Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?. . 2020; 607 - 612. 10.14744/tjtes.2020.57375
Vancouver	ÖZBEK E,Ayanoğlu T,Olçar H,yalvaç e Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?. . 2020; 607 - 612. 10.14744/tjtes.2020.57375
IEEE	ÖZBEK E,Ayanoğlu T,Olçar H,yalvaç e "Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?." , ss.607 - 612, 2020. 10.14744/tjtes.2020.57375
ISNAD	ÖZBEK, Emre Anıl vd. "Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?". (2020), 607-612. https://doi.org/10.14744/tjtes.2020.57375

APA	ÖZBEK E, Ayanoğlu T, Olçar H, yalvaç e (2020). Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?. Ulusal Travma ve Acil Cerrahi Dergisi, 26(4), 607 - 612. 10.14744/tjtes.2020.57375
Chicago	ÖZBEK Emre Anıl,Ayanoğlu Tacettin,Olçar Hacı ali,yalvaç eyyüp serdar Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?. Ulusal Travma ve Acil Cerrahi Dergisi 26, no.4 (2020): 607 - 612. 10.14744/tjtes.2020.57375
MLA	ÖZBEK Emre Anıl,Ayanoğlu Tacettin,Olçar Hacı ali,yalvaç eyyüp serdar Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?. Ulusal Travma ve Acil Cerrahi Dergisi, vol.26, no.4, 2020, ss.607 - 612. 10.14744/tjtes.2020.57375
AMA	ÖZBEK E,Ayanoğlu T,Olçar H,yalvaç e Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(4): 607 - 612. 10.14744/tjtes.2020.57375
Vancouver	ÖZBEK E,Ayanoğlu T,Olçar H,yalvaç e Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(4): 607 - 612. 10.14744/tjtes.2020.57375
IEEE	ÖZBEK E,Ayanoğlu T,Olçar H,yalvaç e "Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?." Ulusal Travma ve Acil Cerrahi Dergisi, 26, ss.607 - 612, 2020. 10.14744/tjtes.2020.57375
ISNAD	ÖZBEK, Emre Anıl vd. "Is the preoperative neutrophil-to-lymphocyte ratio a predictive value for postoperative mortality in orthogeriatric patients who underwent proximal femoral nail surgery for pertrochanteric fractures?". Ulusal Travma ve Acil Cerrahi Dergisi 26/4 (2020), 607-612. https://doi.org/10.14744/tjtes.2020.57375