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GIÁ TRỊ CỦA TỶ LỆ LYMPHO BÀO VÀ TỶ LỆ BẠCH CẦU NEUTROPHIL/LYMPHOCYTE TRONG DỰ BÁO MỨC ĐỘ NẶNG Ở BỆNH NHÂN VIÊM TỤY CẤP
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Abstract
Objective: To determine the value of lymphocyte ratio (LR) and neutrophil to lymphocyte ratio (NLR) for prognosis of severe acute pancreatitis (AP). Subject and method: prospective, cross-sectional descriptive study carried out on 111 patients with AP in Digestive Department and Internal Medicine Emergency Department - Military Hospital 103. Laboratory parameters (LR, NLR) were assessed at admission and compared with AP grade based on the 2012 Revised Atlanta Classification. Results: LR had the good value for detection of severe AP with AUROC 0.87 (95%CI: 0.78 - 0.99), at the cut-off value of 0.12 with 90% sensitivity and 77.2% specificity. NLR predicted severe AP, equalled with LR (AUROC of 0.89, 95%CI: 0.80 - 0.99) , at the cut-off value of 6.29 with 90% sensitivity and 75.2% specificity. Conclusion: LR and NLR were the useful non-invasive index in prediction of severe AP.
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Keywords
Neutrophil to lymphocyte ratio, Lymphocyte ratio, Acute pancreatitis
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