ArticleHippokratia
Contribution of neutrophil-to-lymphocyte ratio to decisions regarding sur-gical therapy in patients diagnosed with intestinal obstruction.
Article in Hippokratia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.
- Diagnostic accuracy of routine hematological biomarkers for complications and prognosis in bowel obstruction: a systematic review and meta-analysis.World journal of emergency surgery : WJES · 2025Pooled it
- Evaluation of the relationship between Hemoglobin, Albumin, Lymphocyte, Platelet (HALP) score and treatment modality and mortality in patients with ileus.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNeutrophil-to-lymphocyte ratio (NLR) has been reported to be a valuable diagnostic tool in the decision-making process for surgical procedures in cases requiring urgent intervention. It was also reported that NLR could be used as an independent predictor of septic shock, hospitalization in the intensive care unit, and death in patients with a liver abscess. This study aimed to investigate the contribution of the NLR, which is a cheap and easily calculable marker, to decisions regarding surgical therapy in patients with intestinal obstruction (IO).
methodsNinety-one patients hospitalized with IO were enrolled in this retrospective study. There were two groups: a surgical therapy group and a conservative therapy group. Complete blood count (CBC) parameters and NLR values were statistically evaluated to determine whether there was any difference between the groups.
resultsThe results obtained from the initial CBC tests were compared between the patients receiving surgical therapy (n =30) and conservative therapy (n =61). There was no statistically significant difference in white blood cell counts between the groups (p =0.225). However, there was a statistically significant difference in NLR values between the patients receiving surgical and conservative therapy (p =0.023).
conclusionSimilar to previous studies investigating other inflammation criteria, we found that high NLR values were statistically significant in favor of the surgical therapy group in determining the need for surgery in ileus cases. The data obtained in our study demonstrate that the NLR measurement contributes to early decision-making concerning surgical therapy in patients with IO at the time of their initial admission to the emergency department. HIPPOKRATIA 2019, 23(4): 160-164.
Indexed as
Identifiers
32742165PMC7377587W3048010053What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.