Metin Gunduz1, Ilhan Ciftci1, Ahmet Cinar Yasti2, Ahmet Guven3. 1. Department of Pediatric Surgery, Selcuk University Medical Faculty Turkey. 2. Department of General Surgery, Hitit University Medical Faculty Turkey. 3. Department of Pediatric Surgery, Istanbul Silivri Medical Park Hospital Turkey.
Abstract
BACKGROUND: Red cell distribution width (RDW) is associated with mortality in certain diseases. Neutrophil-to-lymphocyte ratio [NLR] is being used as a decisive parameter in inflammatory diseases. The association between morbidity and RDW-NLR in children with burns is unclear. We aimed to evaluate effectivity of these markers in children with burn. METHODS: Retrospectively the treatment records of 39 children with second-degree superfisial, second-degree deep, and third-degree burns were evaluated. First group included patients those treated with grafts and second group included those treated with topical agents. Total body surface area [TBSA], age, RDW, NLR, sex, and albumin values were evaluated. The association of RDW and NLR with both groups were analysed. RESULTS: Patients in group 2 had mild increase in RDW and NLR values but it was not more statistically significant than in group 1. A positive relationship between NLR and length of hospital stay, TBSA and length of hospital stay, and RDW and lymphocyte values was found. A negative correlation between albumin values and length of hospital stay was found. CONCLUSION: NLR is associated with morbidity in patients with burns; although RDW has not any relationship with morbidity in pediatric scald burns. IJBT
BACKGROUND: Red cell distribution width (RDW) is associated with mortality in certain diseases. Neutrophil-to-lymphocyte ratio [NLR] is being used as a decisive parameter in inflammatory diseases. The association between morbidity and RDW-NLR in children with burns is unclear. We aimed to evaluate effectivity of these markers in children with burn. METHODS: Retrospectively the treatment records of 39 children with second-degree superfisial, second-degree deep, and third-degree burns were evaluated. First group included patients those treated with grafts and second group included those treated with topical agents. Total body surface area [TBSA], age, RDW, NLR, sex, and albumin values were evaluated. The association of RDW and NLR with both groups were analysed. RESULTS:Patients in group 2 had mild increase in RDW and NLR values but it was not more statistically significant than in group 1. A positive relationship between NLR and length of hospital stay, TBSA and length of hospital stay, and RDW and lymphocyte values was found. A negative correlation between albumin values and length of hospital stay was found. CONCLUSION: NLR is associated with morbidity in patients with burns; although RDW has not any relationship with morbidity in pediatric scald burns. IJBT
Authors: G Michael Felker; Larry A Allen; Stuart J Pocock; Linda K Shaw; John J V McMurray; Marc A Pfeffer; Karl Swedberg; Duolao Wang; Salim Yusuf; Eric L Michelson; Christopher B Granger Journal: J Am Coll Cardiol Date: 2007-06-18 Impact factor: 24.094