Neutrophil/Monocyte Ratio: A new predictor of inhospital mortality in patients with spontaneous ascites infections

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dc.contributor.authorÜnal, Nalan Gülşen
dc.contributor.authorKarasu, Zeki
dc.contributor.authorAydemir, Sabire Şöhret
dc.contributor.authorÇelik, Ferit
dc.contributor.authorŞenkaya, Ali
dc.contributor.authorAslanov, Seymur
dc.contributor.authorÖzütemiz, Ahmet Ömer
dc.date.accessioned2023-01-12T20:33:25Z
dc.date.available2023-01-12T20:33:25Z
dc.date.issued2020
dc.departmentN/A/Departmenten_US
dc.description.abstractObjective: To determine the clinical features and in-hospital mortality predictors of spontaneous ascites infection (SAI).Materials and Methods: In this retrospective study, 496 patients with liver cirrhosis hospitalized at the gastroenterology clinic between 2015-2019 were screened. Of the 304 cases with ascites, 80 diagnosed with SAI were included in the study. Results: Spontoneus ascites infections (SAI) was detected in 80 (16.1%) of 496 hospitalized patients with cirrhosis. In cirrhotic patients with SAI, the most common reason for presentation to the hospital was altered mental status, which was observed in 26 (32.5%) patients. Thirty-one (38.8%) patients were diagnosed with spontaneous bacterial peritonitis, 41 (51.2%) with culture-negative neutrocytic ascites, eight (10%) with monomicrobial non-neutrocytic bacteria ascites. In-hospital mortality was observed in 25 (31.3%) patients, and one-year mortality rate was 35% with total 28 patients. A high MELD-Na score, history of SAI, presence of hepatic encephalopathy at the time of hospitalization, and a neutrophil/monocyte ratio of >9.1 were determined as the predictors of in-hospital mortality. A neutrophil/monocyte ratio of >9.1 predicted in-hospital mortality at 72% sensitivity and 62% specificity.Conclusion: Successfully predicting mortality in SAI, easily calculated by a hemogram examination, and providing inexpensive, effective and fast results, neutrophil/monocyte ratio presents as a useful marker.en_US
dc.identifier.doi10.5505/deutfd.2020.53325
dc.identifier.endpage252en_US
dc.identifier.issn2602-3148
dc.identifier.issue3en_US
dc.identifier.startpage243en_US
dc.identifier.trdizinid431913en_US
dc.identifier.urihttps://doi.org/10.5505/deutfd.2020.53325
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/431913
dc.identifier.urihttps://hdl.handle.net/11454/81356
dc.identifier.volume34en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofDokuz Eylül Üniversitesi Tıp Fakültesi Dergisien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleNeutrophil/Monocyte Ratio: A new predictor of inhospital mortality in patients with spontaneous ascites infectionsen_US
dc.typeArticleen_US

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