Yıl: 2020 Cilt: 26 Sayı: 3 Sayfa Aralığı: 251 - 256 Metin Dili: İngilizce DOI: 10.5152/eurjther.2020.20067 İndeks Tarihi: 23-11-2020

The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19

Öz:
Objective: In December 2019, pneumonia associated with severe acute respiratory syndrome coronavirus 2 emerged in China, andhas been spread worldwide eventuating the coronavirus disease 2019 (COVID-19) pandemic. As of June 27, 2020, 195,883 peoplehave been diagnosed with COVID-19 in Turkey, among them 5082 are dead. Moreover, 9,999,606 people were infected worldwide.The neutrophil-to-lymphocyte ratio (NLR) has been reported as an inflammatory biomarker. This study aimed to evaluate the relationship between NLR on admission and in-hospital all-cause mortality in adult patients with COVID-19.Methods: This retrospective cohort study included a total of 455 COVID-19 patients from Turkey. The diagnosis of COVID-19 wasmade according to the World Health Organization’s interim guidance and confirmed by RNA detection of SARS-CoV-2. The NLRwas calculated for each patient.Results: The NLR on admission was found to be significantly higher in nonsurvivor COVID-19 patients than survivors (12.3 [0.8–137.3] vs. 3.2 [0.6–79.0], p<0.001). Forward stepwise logistic regression analysis was carried out to determine the independentpredictors of in-hospital all-cause mortality of patients with COVID-19. The analysis demonstrated that age [odds ratio (OR)=1.203,95% confidence interval (CI): 1.027–1.408, p=0.022], NLR (OR=1.261, 95% CI: 1.054–1.509, p=0.011), lactate dehydrogenase level(OR=1.013, 95% CI: 1.004–1.022, p=0.005), glomerular filtration rate (OR=0.920, 95% CI: 0.853–0.992, p=0.030), alanine transaminase level (OR=1.107, 95% CI: 1.011–1.212, p=0.028), and aspartate transaminase level on admission (OR=0.939, 95% CI: 0.888–0.993, p=0.027) were independent predictors of in-hospital all-cause mortality of patients with COVID-19. In the receiver operatingcharacteristic curve analysis, the sensitivity and specificity of the NLR for predicting in-hospital all-cause mortality were found tobe 92% and 53%, respectively, at the cut-off value of 3.Conclusion: The NLR on admission predicts in-hospital all-cause mortality of patients with COVID-19.
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APA ALLAHVERDİYEV S, Quisi A, harbalıoğlu h, alıcı g, genç ö, yıldırım a, KURT I (2020). The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19. , 251 - 256. 10.5152/eurjther.2020.20067
Chicago ALLAHVERDİYEV SAMİR,Quisi Alaa,harbalıoğlu hazar,alıcı gökhan,genç ömer,yıldırım abdullah,KURT IBRAHIM HALIL The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19. (2020): 251 - 256. 10.5152/eurjther.2020.20067
MLA ALLAHVERDİYEV SAMİR,Quisi Alaa,harbalıoğlu hazar,alıcı gökhan,genç ömer,yıldırım abdullah,KURT IBRAHIM HALIL The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19. , 2020, ss.251 - 256. 10.5152/eurjther.2020.20067
AMA ALLAHVERDİYEV S,Quisi A,harbalıoğlu h,alıcı g,genç ö,yıldırım a,KURT I The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19. . 2020; 251 - 256. 10.5152/eurjther.2020.20067
Vancouver ALLAHVERDİYEV S,Quisi A,harbalıoğlu h,alıcı g,genç ö,yıldırım a,KURT I The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19. . 2020; 251 - 256. 10.5152/eurjther.2020.20067
IEEE ALLAHVERDİYEV S,Quisi A,harbalıoğlu h,alıcı g,genç ö,yıldırım a,KURT I "The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19." , ss.251 - 256, 2020. 10.5152/eurjther.2020.20067
ISNAD ALLAHVERDİYEV, SAMİR vd. "The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19". (2020), 251-256. https://doi.org/10.5152/eurjther.2020.20067
APA ALLAHVERDİYEV S, Quisi A, harbalıoğlu h, alıcı g, genç ö, yıldırım a, KURT I (2020). The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19. European Journal of Therapeutics, 26(3), 251 - 256. 10.5152/eurjther.2020.20067
Chicago ALLAHVERDİYEV SAMİR,Quisi Alaa,harbalıoğlu hazar,alıcı gökhan,genç ömer,yıldırım abdullah,KURT IBRAHIM HALIL The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19. European Journal of Therapeutics 26, no.3 (2020): 251 - 256. 10.5152/eurjther.2020.20067
MLA ALLAHVERDİYEV SAMİR,Quisi Alaa,harbalıoğlu hazar,alıcı gökhan,genç ömer,yıldırım abdullah,KURT IBRAHIM HALIL The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19. European Journal of Therapeutics, vol.26, no.3, 2020, ss.251 - 256. 10.5152/eurjther.2020.20067
AMA ALLAHVERDİYEV S,Quisi A,harbalıoğlu h,alıcı g,genç ö,yıldırım a,KURT I The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19. European Journal of Therapeutics. 2020; 26(3): 251 - 256. 10.5152/eurjther.2020.20067
Vancouver ALLAHVERDİYEV S,Quisi A,harbalıoğlu h,alıcı g,genç ö,yıldırım a,KURT I The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19. European Journal of Therapeutics. 2020; 26(3): 251 - 256. 10.5152/eurjther.2020.20067
IEEE ALLAHVERDİYEV S,Quisi A,harbalıoğlu h,alıcı g,genç ö,yıldırım a,KURT I "The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19." European Journal of Therapeutics, 26, ss.251 - 256, 2020. 10.5152/eurjther.2020.20067
ISNAD ALLAHVERDİYEV, SAMİR vd. "The Neutrophil to Lymphocyte Ratio and In-Hospital All-Cause Mortality in Patients with COVID-19". European Journal of Therapeutics 26/3 (2020), 251-256. https://doi.org/10.5152/eurjther.2020.20067