Association between Increased Neutrophil-To-Lymphocyte Ratio and Postoperative 1-Year Mortality in Elderly Patients with Pertrochanteric Hip Fracture

Hicabi Sezgin; Furkan Erdoğan; Özkan Öztürk; Emre Çalışal

Article Details

Association between Increased Neutrophil-To-Lymphocyte Ratio and Postoperative 1-Year Mortality in Elderly Patients with Pertrochanteric Hip Fracture

Authors:

Hicabi Sezgin | Furkan Erdoğan | Özkan Öztürk | Emre Çalışal

Publisher:

Kirsehir Ahi Evran University

Main Topics:

Ortopedi

Journal:

Ahi Evran Tıp Dergisi Vol.8 Issue 2, pp.223-228

Document Type:

Article

Publication Date:

8/2024

Document Language:

English

Document ID (Org No.):

2001324060

pISSN:

2619-9203

Keywords:

Abstract:

 Purpose: This study aimed to examine the prognostic value of perioperative NLR level in terms of mortality in the first postoperative year in elderly patients undergoing hip fracture surgery. Materials and Methods: The study included 236 patients 68.6 female and 31.4 male who met the specified criteria and had undergone hip fracture surgery. Complete blood counts were recorded at admission and on the fifth postoperative day. Neutrophil-to-lymphocyte ratios NLR at admission NLR-D0 and on the fifth postoperative day NLR-D5 were identified as the primary variables. Results: The mean age of the participants was 80.17.9 years min: 65 years to max: 99 years. The mean NLR-D0 and mean NLR-D5 values of surviving patients were 6.54 and 4.55, respectively. The mean NLR-D0 and mean NLR-D5 values of patients who died were 6.99 and 8.90, respectively. A significant difference was found in the NLR variability of the patients who survived and those who died. The examination of the effects of NLR-D0 and NLR-D5 parameters on mortality revealed no significant difference in NLR-D0 values between the patients who lived and those who died p0.05, but the NLR-D5 value was significantly higher in the patients who died. The mortality rate at the end of the first postoperative year was 35.2. Conclusion: A high NLR value NLR-D57.85 on the fifth postoperative day in elderly patients undergoing hip fracture surgery may be a predictor of 1-year mortality after hip fracture surgery.

 Purpose: This study aimed to examine the prognostic value of perioperative NLR level in terms of mortality in the first postoperative year in elderly patients undergoing hip fracture surgery. Materials and Methods: The study included 236 patients 68.6 female and 31.4 male who met the specified criteria and had undergone hip fracture surgery. Complete blood counts were recorded at admission and on the fifth postoperative day. Neutrophil-to-lymphocyte ratios NLR at admission NLR-D0 and on the fifth postoperative day NLR-D5 were identified as the primary variables. Results: The mean age of the participants was 80.17.9 years min: 65 years to max: 99 years. The mean NLR-D0 and mean NLR-D5 values of surviving patients were 6.54 and 4.55, respectively. The mean NLR-D0 and mean NLR-D5 values of patients who died were 6.99 and 8.90, respectively. A significant difference was found in the NLR variability of the patients who survived and those who died. The examination of the effects of NLR-D0 and NLR-D5 parameters on mortality revealed no significant difference in NLR-D0 values between the patients who lived and those who died p0.05, but the NLR-D5 value was significantly higher in the patients who died. The mortality rate at the end of the first postoperative year was 35.2. Conclusion: A high NLR value NLR-D57.85 on the fifth postoperative day in elderly patients undergoing hip fracture surgery may be a predictor of 1-year mortality after hip fracture surgery.

 Purpose: This study aimed to examine the prognostic value of perioperative NLR level in terms of mortality in the first postoperative year in elderly patients undergoing hip fracture surgery. Materials and Methods: The study included 236 patients 68.6 female and 31.4 male who met the specified criteria and had undergone hip fracture surgery. Complete blood counts were recorded at admission and on the fifth postoperative day. Neutrophil-to-lymphocyte ratios NLR at admission NLR-D0 and on the fifth postoperative day NLR-D5 were identified as the primary variables. Results: The mean age of the participants was 80.17.9 years min: 65 years to max: 99 years. The mean NLR-D0 and mean NLR-D5 values of surviving patients were 6.54 and 4.55, respectively. The mean NLR-D0 and mean NLR-D5 values of patients who died were 6.99 and 8.90, respectively. A significant difference was found in the NLR variability of the patients who survived and those who died. The examination of the effects of NLR-D0 and NLR-D5 parameters on mortality revealed no significant difference in NLR-D0 values between the patients who lived and those who died p0.05, but the NLR-D5 value was significantly higher in the patients who died. The mortality rate at the end of the first postoperative year was 35.2. Conclusion: A high NLR value NLR-D57.85 on the fifth postoperative day in elderly patients undergoing hip fracture surgery may be a predictor of 1-year mortality after hip fracture surgery.

 Amaç: Araştırma, yaşlı hastalarda kalça kırığı ameliyatı geçiren bireylerde perioperatif nötrofillenfosit oranının NLR mortalite üzerindeki prognostik değerini incelemeyi amaçlamaktadır. Araçlar ve Yöntem: Çalışmaya dahil edilen 236 hasta 68.6 kadın ve 31.4 erkek, belirlenen kriterlere uyan ve kalça kırığı ameliyatı geçiren bireylerden oluşmaktadır. Hastaların kabul anındaki tam kan sayımı ve beşinci postoperatif günkü değerleri kaydedilmiştir. Kabul anındaki NLR-D0 ve beşinci postoperatif günkü NLR-D5 NLR değerleri ana değişken olarak belirlenmiştir. Bulgular: Hastaların yaş ortalaması 80.17.9 yıldır 65-99. Hayatta kalan hastaların ortalama NLR-D0 ve NLR-D5 değerleri sırasıyla 6.54 ve 4.55tir. Vefat eden hastaların ise ortalama NLR-D0 ve NLR-D5 değerleri sırasıyla 6.99 ve 8.90dır. Hayatta kalanlar ve vefat edenler arasında NLR açısından anlamlı bir fark bulunmuştur. NLR-D0 değerlerinin yaşayanlar ve ölenler arasında anlamlı bir fark oluşturmadığı, ancak NLR-D5 değerinin ölenlerde belirgin şekilde yüksek olduğu görülmüştür. Birinci postoperatif yıl sonundaki mortalite oranı 35.2dir. Sonuç: Kalça kırığı ameliyatı geçiren yaşlı hastalarda beşinci postoperatif gündeki yüksek NLR değeri NLR-D57.85, 1 yıllık mortaliteyi öngörmede bir belirleyici olabilir.

Article Details

Association between Increased Neutrophil-To-Lymphocyte Ratio and Postoperative 1-Year Mortality in Elderly Patients with Pertrochanteric Hip Fracture

Authors:

Hicabi Sezgin | Furkan Erdoğan | Özkan Öztürk | Emre Çalışal

Publisher:

Kirsehir Ahi Evran University

Main Topics:

Ortopedi

Journal:

Ahi Evran Tıp Dergisi Vol.8 Issue 2, pp.223-228

Document Type:

Article

Publication Date:

8/2024

Document Language:

English

Document ID (Org No.):

2001324060

pISSN:

2619-9203

biomarkers

frailty

geriatric

survival

traumabiyobelirteçler

geriatri

kırılganlık

sağkalım

travma

Issues

Article Details

Authors: Hicabi Sezgin | Furkan Erdoğan | Özkan Öztürk | Emre Çalışal

Publisher: Kirsehir Ahi Evran University

Main Topics: Ortopedi

Journal: Ahi Evran Tıp Dergisi Vol.8 Issue 2, pp.223-228

Document Type: Article

Publication Date: 8/2024

Document Language: English

Document ID (Org No.): 2001324060

pISSN: 2619-9203

Issues

Authors:

Hicabi Sezgin | Furkan Erdoğan | Özkan Öztürk | Emre Çalışal

Publisher:

Kirsehir Ahi Evran University

Main Topics:

Ortopedi

Journal:

Ahi Evran Tıp Dergisi Vol.8 Issue 2, pp.223-228

Document Type:

Article

Publication Date:

8/2024

Document Language:

English

Document ID (Org No.):

2001324060

pISSN:

2619-9203