The Utility of Neutrophil-to-Lymphocyte Ratio as a Severity Predictor of XXXX , Length of Hospital Stay and Postoperative Complication Rates.

@entity1 @entity32 @entity697 @entity698 @entity260 @entity1851
BACKGROUND: Numerous screening tools have been reported to aid in diagnosing @entity698 , but have poor severity prediction and lack accurate estimation of @entity260 or total length of hospital stay (LOS). AIM: This study aims at evaluating the utility of neutrophil-to-lymphocyte (NLR) ratio in predicting the severity of @entity698 , LOS and 30-day complication rates. METHODS: @entity1 who underwent appendicectomy over a 4-year period were evaluated. Demographics, blood results, severity of @entity698 , LOS and 30-day complications were recorded. Recommended cut-off values of NLR and @entity1851 ( @entity1851 ) for severity of @entity698 were determined using receiver operating characteristic analysis. The Mann-Whitney test was performed to assess the correlations between LOS and 30-day complications with NLR. RESULTS: A total of 663 @entity1 were included in the study of which 57.3% (n = 380) were male with mean @entity1 age of 23.6 years, and 461 appendix specimens (69.6%) had simple @entity32 on histological evaluation. A NLR of >6.35 or @entity1851 of >55.6 were statistically associated with severe @entity697 , with a median of one extra hospital day admission (p < 0.0001). Mean NLR was statistically higher in @entity1 with postoperative co(13.69 for severe vs. 7.29 for @entity698 group, p = 0.016). CONCLUSION: We advocate that NLR is a useful adjunct in predicting severity of @entity698 . It aids in delineating severe @entity32 requiring surgery without substantial delay.
