Usefulness of admission hematologic parameters as diagnostic tools in acute pulmonary embolism

The Kaohsiung Journal of Medical Sciences
Ahmet CelikVeli Gokhan Cin

Abstract

The purpose of this study was to determine the role of red cell distribution width (RDW), neutrophil-lymphocyte ratio (NLR), and platelet-lymphocyte ratio (PLR) in the diagnostic phase of acute pulmonary embolism (PE). We screened 248 consecutive patients who were admitted to the emergency service with PE foremost in the differential diagnosis. Based on spiral computed chest tomography, the patients were divided into two groups. There were 112 confirmed cases of acute PE and 138 patients without PE. Blood samples were obtained within 2 hours of presentation and before starting any medication. There were no significant differences between the PE and the non-PE groups with respect to sex, age, frequency of disease, serum creatinine, sodium, and potassium (p > 0.05 for all). NLR, RDW, and PLR were higher in patients with PE than those without PE. High-sensitivity C-reactive protein, D-dimer, and troponin levels were also higher in patients with PE. RDW values were positively correlated with troponin levels (r = 0.147, p = 0.021). There were no correlations between RDW and NLR, PLR, or D-dimer. NLR had a highly positive correlation with PLR (r = 0.488, p < 0.001). In multivariate logistic regression analysis, troponin I, D-dimer, h...Continue Reading

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Citations

Dec 19, 2015·The Kaohsiung Journal of Medical Sciences·Fatih Mehmet YazarErtan Bülbüloglu
Oct 7, 2016·Journal of Clinical Laboratory Analysis·Hale AtesFatma Meric Yilmaz
Jan 9, 2019·International Angiology : a Journal of the International Union of Angiology·Selda TeloGamze Kirkil
Jun 23, 2019·Journal of Thrombosis and Thrombolysis·Lindsay HammonsEric Bondarsky
Dec 31, 2021·ANZ Journal of Surgery·Rıfat PeksözSabri Selçuk Atamanalp

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