Yıl: 2020 Cilt: 7 Sayı: 3 Sayfa Aralığı: 124 - 127 Metin Dili: İngilizce DOI: 10.47572/muskutd.677093 İndeks Tarihi: 15-06-2021

The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum

Öz:
This study was aimed to investigate the diagnostic value of theneutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio(PLR), platelet distribution width (PDW), mean platelet volume(MPV), plateletcrit (PCT) and red cell distribution width (RDW)in patients with hyperemesis gravidarum (HG). We conducted thisretrospective study in a tertiary center between August andDecember 2019.A total of 72 pregnant patients with HG and 78pregnant women without nausea and vomiting were included in thestudy. Hemoglobin (Hb), white blood cell count (WBC), neutrophilcount, lymphocyte count, platelet count, RDW, PDW, MPV, PCT,and CRP values were all derived from patients' medical files. Thestudent's t-test was used to compare the normally distributed data.Mann-Whitney U test was used to compare the non-normallydistributed data. The median NLR value of the HG group was 3.4(1.1-7.2), and the control group was 1.98 (1.0-4.6). This differencewas statistically significant (p<0.05). The median PLR value of theHG group (152.6 [69.8-338.1]) was significantly higher (p<0.05)than the PLR value of the control group (88.1 [48.3-201.2]). Theresults of this study suggest that NLR and PLR can be used aseffective markers in the diagnosis of HG. The increased values ofNLR and PLR also indicate that inflammation may act a crucialrole in the pathogenesis of HG.
Anahtar Kelime:

Sistemik İnflamatuar Belirteçlerin Hyperemezis Gravidarum Tanısındaki Rolü

Öz:
Bu çalışmada hiperemezis gravidarumu olan hastalarda nötrofillenfosit oranı (NLO), trombosit-lenfosit oranı (TLO), trombosit dağılım genişliği (TDG), ortalama trombosit hacmi (OTH), plateletcrit (PKT) ve eritrosit dağılım genişliğinin (EDG) tanısal değeri araştırılmıştır. Bu retrospektif çalışmayı üçüncü basamak bir merkezde Ağustos ve Aralık 2019 tarihleri arasında gerçekleştirdik. Çalışmaya hiperemezis gravidarumu olan 72 hasta ve bulantı ve kusması olmayan 78 gebe dahil edildi. Hemoglobin (Hb), EDG, TDG, OTH, PKT ve C-reaktif protein (CRP) değerleri hastaların tıbbi dosyalarından elde edildi. Normal dağılım gösteren verileri karşılaştırmak için Student's t testi, normal dağılıma uymayan verileri karşılaştırmak için Mann-Whitney U testi kullanıldı. HG grubunun ortanca NLO değeri 3.4 (1.1-7.2), kontrol grubunun 1.98 (1.0-4.6) idi. Bu farklılık istatistiksel olarak anlamlıydı (p<0.05). HG grubunun ortanca PLO değeri (152.6 [69.8-338.1]), kontrol grubunun PLO değerinden (88.1 [48.3- 201.2]) anlamlı olarak daha yüksekti (p<0.05). Bu çalışmanın sonuçları NLO ve PLO’nun HG tanısında etkili belirteçler olarak kullanılabileceğini düşündürmektedir. Artan NLO ve PLO değerleri, inflamasyonun HG patogenezinde önemli bir rol oynuyor olabileceğini de göstermektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Committee on Practice Bulletins-Obstetrics. ACOG Practice Bulletin No. 189: Nausea And Vomiting Of Pregnancy. Obstet Gynecol. 2018;131(1):15-30.
  • 2. Bustos M, Venkataramanan R, Caritis S. Nausea and vomiting of pregnancy - What's new? Auton Neurosci. 2017;202:62-72.
  • 3. Zur E. Nausea and vomiting in pregnancy: a review of the pathology and compounding opportunities. Int J Pharm Compd. 2013;17(2):113-23.
  • 4. Groleau D, Benady-Chorney J, Panaitoiu A, Jimenez V. Hyperemesis Gravidarum in the context of migration: when the absence of cultural meaning gives rise to ''blaming the victim''. BMC Pregnancy Childbirth. 2019;19(1):197.
  • 5. London V, Grube S, Sherer DM, Abulafia O. Hyperemesis Gravidarum: A Review of Recent Literature. Pharmacology. 2017;100(3-4):161-71.
  • 6. Oğlak SC, Aydın MF. Are neutrophil to lymphocyte ratio and platelet to lymphocyte ratio clinically useful for the prediction of early pregnancy loss? Ginekol Pol. 2020;91(9):524-7.
  • 7. Nadeau-Vallée M, Obari D, Palacios J, et al. Sterile inflammation and pregnancy complications: a review. Reproduction. 2016;152(6):277-92.
  • 8. Christiansen OB, Nielsen HS, Kolte AM. Inflammation and miscarriage. Semin Fetal Neonatal Med. 2006;11(5):302-8.
  • 9. Kalagiri RR, Carder T, Choudhury S, et al. Inflammation in Complicated Pregnancy and Its Outcome. Am J Perinatol. 2016;33(14):1337-56.
  • 10. Kuscu NK, Yildirim Y, Koyuncu F, Var A, Uyanik BS. Interleukin-6 levels in hyperemesis gravidarum. Arch Gynecol Obstet. 2003;269(1):13-5.
  • 11. Niemeijer MN, Grooten IJ, Vos N, Bais JM, van der Post JA, Mol BW. Diagnostic markers for hyperemesis gravidarum: a systematic review and metaanalysis. Am J Obstet Gynecol. 2014;211(2):150.e1-15.
  • 12. Engin-Ustun Y, Tonguç E, Var T, et al. Vaspin and Creactive protein levels in hyperemesis gravidarum. Eur Rev Med Pharmacol Sci. 2013;17(1):138-40.
  • 13. Caglayan EK, Engin-Ustun Y, Gocmen AY, et al. Is there any relationship between serum sirtuin-1 level and neutrophillymphocyte ratio in hyperemesis gravidarum? J Perinat Med. 2016;44(3):315-20.
  • 14. Tang J, Gao X, Zhi M, et al. Platelecrit: a sensitive biomarker for evaluating disease activity in Crohn's disease with low hsCRP. J Dig Dis. 2015;16(3):118-24.
  • 15. Yao C, Liu X, Tang Z. Prognostic role of neutrophillymphocyte ratio and platelet-lymphocyte ratio for hospital mortality in patients with AECOPD. Int J Chron Obstruct Pulmon Dis. 2017;12:2285-90.
  • 16. Dear CR, Shemar M, Ostrowski GAU, Painter RC. Management of severe pregnancy sickness and hyperemesis gravidarum. BMJ. 2018;363:k5000.
  • 17. Practice Bulletin Summary No. 153: Nausea and Vomiting of Pregnancy. Obstet Gynecol. 2015;126(3):687-8.
  • 18. Kaplan PB, Gücer F, Sayin NC, Yüksel M, Yüce A, Yardim T. Maternal serum cytokine levels in women with hyperemesis gravidarum in the first trimester of pregnancy. Fertil Steril. 2003;79(3):498-502.
  • 19. Kiyokawa Y, Yoneyama Y. Relationship between adenosine and T-helper 1/T-helper 2 balance in hyperemesis gravidarum. Clin Chim Acta. 2006;370(1-2):137-42.
  • 20. Verit FF, Erel O, Celik H. Paraoxonase-1 activity in patients with hyperemesis gravidarum. Redox Rep. 2008;13(3):134- 8.
  • 21. Kim MA, Han GH, Kwon JY, Kim YH. Clinical significance of platelet-to-lymphocyte ratio in women with preeclampsia. Am J Reprod Immunol. 2018;80(1):e12973.
  • 22. Wada H, Dohi T, Miyauchi K, et al. Mean platelet volume and long-term cardiovascular outcomes in patients with stable coronary artery disease. Atherosclerosis. 2018;277:108-12.
  • 23. Wincup C, Parnell C, Cleanthous S, et al. Red cell distribution width correlates with fatigue levels in a diverse group of patients with systemic lupus erythematosus irrespective of anaemia status. Clin Exp Rheumatol. 2019;37(5):852-54.
  • 24. Beyazit F, Öztürk FH, Pek E, Ünsal MA. Evaluation of the hematologic system as a marker of subclinical inflammation in hyperemesis gravidarum: a case control study. Ginekol Pol. 2017;88(6):315-9.
  • 25. Cintesun E, Akar S, Gul A, et al. Subclinical inflammation markers in hyperemesis gravidarum and ketonuria: A casecontrol study. J Lab Physicians. 2019;11(2):149-53.
  • 26. Jenne CN, Kubes P. Platelets in inflammation and infection. Platelets. 2015;26(4):286-92.
  • 27. Karateke A, Kurt RK, Baloğlu A. Relation of platelet distribution width (PDW) and platelet crit to preeclampsia. Ginekol Pol. 2015;86(5):372-5.
  • 28. Tayfur C, Burcu DC, Gulten O, et al. Association between platelet to lymphocyte ratio, plateletcrit and the presence and severity of hyperemesis gravidarum. J Obstet Gynaecol Res. 2017;43(3):498-504.
  • 29. Kurt RK, Güler A, Silfeler DB, Ozçil MD, Karateke A, Hakverdi AU. Relation of inflammatory markers with both presence and severity of hyperemesis gravidarum. Ginekol Pol. 2014;85(8):589-93.
APA Oglak S, obut m (2020). The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum. , 124 - 127. 10.47572/muskutd.677093
Chicago Oglak Süleyman Cemil,obut mehmet The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum. (2020): 124 - 127. 10.47572/muskutd.677093
MLA Oglak Süleyman Cemil,obut mehmet The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum. , 2020, ss.124 - 127. 10.47572/muskutd.677093
AMA Oglak S,obut m The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum. . 2020; 124 - 127. 10.47572/muskutd.677093
Vancouver Oglak S,obut m The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum. . 2020; 124 - 127. 10.47572/muskutd.677093
IEEE Oglak S,obut m "The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum." , ss.124 - 127, 2020. 10.47572/muskutd.677093
ISNAD Oglak, Süleyman Cemil - obut, mehmet. "The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum". (2020), 124-127. https://doi.org/10.47572/muskutd.677093
APA Oglak S, obut m (2020). The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, 7(3), 124 - 127. 10.47572/muskutd.677093
Chicago Oglak Süleyman Cemil,obut mehmet The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 7, no.3 (2020): 124 - 127. 10.47572/muskutd.677093
MLA Oglak Süleyman Cemil,obut mehmet The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, vol.7, no.3, 2020, ss.124 - 127. 10.47572/muskutd.677093
AMA Oglak S,obut m The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi. 2020; 7(3): 124 - 127. 10.47572/muskutd.677093
Vancouver Oglak S,obut m The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi. 2020; 7(3): 124 - 127. 10.47572/muskutd.677093
IEEE Oglak S,obut m "The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum." Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, 7, ss.124 - 127, 2020. 10.47572/muskutd.677093
ISNAD Oglak, Süleyman Cemil - obut, mehmet. "The Role of Systemic Inflammatory Markers in the Diagnosis of Hyperemesis Gravidarum". Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 7/3 (2020), 124-127. https://doi.org/10.47572/muskutd.677093