The prognostic value of platelet-to-lymphocyte ratio in patients with extracorporeal membrane oxygenation / 中华急诊医学杂志
Chinese Journal of Emergency Medicine
;
(12): 1454-1458, 2021.
Article
in Chinese
| WPRIM
| ID: wpr-930194
ABSTRACT
Objective:
To analyze the potential role and prognostic value of platelet-to-lymphocyte ratio (PLR) at an early stage in arterial-venous extracorporeal membrane oxygenation (VA -ECMO).Methods:
Totally 83 adult patients with VA-ECMO from June 2018 to June 2020 treated at Emergency Department of Jiangsu Provincial Hospital were retrospectively analyzed. Baseline characteristics between survivors ( n=46) and non-survivors ( n=37) were compared. Logistic regression analysis was used to predict the risk factors associated with 28-day mortality in VA-ECMO patients. The cut-off value was calculated by the receiver operating characteristic (ROC) curve.Results:
PLR48-h ( OR=1.018,95% CI 1.001-1.036, P=0.039) and continuous renal replacement therapy (CRRT) ( OR=7.095,95% CI 1.099-45.799, P=0.039) were relevant risk factors of 28-day mortality in VA-ECMO patients. The cut-off value of PLR48-h was 156.3 [sensitivity 57.8%, specificity 86.1%, and area under the curve (AUC) 0.756]. Compared with the high PLR group (>156.3), the incidences of acute kidney injury (AKI) ( P<0.001) and bleeding events ( P=0.013) were significantly higher in the low PLR group (<156.3).Conclusions:
The early PLR reduction and CRRT application during VA-ECMO support are related to poor prognosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Prognostic study
/
Risk factors
Language:
Chinese
Journal:
Chinese Journal of Emergency Medicine
Year:
2021
Type:
Article
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