Acıbadem Bakırköy Hospital, İstanbul, Turkey. 5Department of Cardiovascular Surgery, Medical Faculty of Acıbadem University, İstanbul, Turkey ...
Original Article / Özgün Makale
Turk Gogus Kalp Dama 2016;24(2):220-226 doi: 10.5606/tgkdc.dergisi.2016.12043
Does preoperative neutrophil-lymphocyte ratio indicate postoperative morbidity after repair of tetralogy of Fallot? Ameliyat öncesi nötrofil-lenfosit oranı Fallot tetralojisi tamiri sonrasında morbiditeyi gösterir mi? Emrah Şişli,1 Yusuf Kenan Yalçınbaş,2 Yasemin Türkekul,2 Adnan Yüksek,3 Arda Saygılı,4 C. Tayyar Sarıoğlu5 Institution where the research was done: Acıbadem Bakırköy Hospital, İstanbul, Turkey
Author Affiliations: Department of Cardiovascular Surgery, Medical Faculty of Ege University, İzmir, Turkey Departments of 2Cardiovascular Surgery, 3Anesthesiology and Reanimation, 4Pediatric Cardiology, Acıbadem Bakırköy Hospital, İstanbul, Turkey 5 Department of Cardiovascular Surgery, Medical Faculty of Acıbadem University, İstanbul, Turkey 1
ABSTRACT
ÖZ
Methods: In this retrospective study, 51 patients (30 males, 21 females; median age 2 years; 1-3. quartiles 1.19 to 3.65 years) who underwent tetralogy of Fallot repair between August 2011 and October 2013 were included. The study population was divided into two groups: group 1 including patients without morbidity and group 2 including patients with morbidity.
Çalışm a planı: Bu retrospektif çalışmaya, Ağustos 2011 - Ekim 2013 tarihleri arasında Fallot tetralojisi tamiri yapılan 51 hasta (30 erkek, 21 kadın; ortanca yaş 2 yıl; 1-3. çeyreklik 1.19-3.65 yıl) alındı. Çalışma popülasyonu iki gruba ayrıldı: morbidite gelişmeyen hastalardan oluşan grup 1 ve morbiditeli hastalardan oluşan grup 2.
Results: No mortality was observed in the study population. There was no significant difference in the median of preoperative neutrophil-lymphocyte ratio between the groups [0.87 (0.68-1.29) in group 1 vs. 0.75 (0.44-1.10) in group 2; p= 0.094]. Vasoactive inotrope score, duration of intubation, and mediastinal drainage index were significantly higher in group 2 (p= 0.014, p= 0.001 and p= 0.003, respectively). While preoperative and postoperative C-reactive protein were positively correlated with the corresponding neutrophil-lymphocyte ratio (p
