January 2022

Platelet-lymphocyte ratio as a potential marker in minor head traumas in emergency department admissions

Platelet-lymphocyte ratio in minor head traumas

Murat Muratoglu, Hayrettin Meftun Kaptan, Ishaaq Sakwa Eshikumo, Ebru Biyikli

Department of Emergency, Faculty of Medicine, Baskent University, Ankara, Turkey

DOI:10.4328/ECAM.10032 Received : 2021-09-13 Accepted : 2021-10-09 Published Online : 2021-12-31 Printed Online : 2022-01-01

Abstract

Aim: Neutrophil-Lymphocyte Ratio (NLR) and Platelet-Lymphocyte Ratio (PLR) are the blood biomarkers that are the indicators of the systemic inflammatory response. In this study, the utility of PLR, as a simple and effective blood biomarker that can be used in rapid diagnosis and treatment decision-making in patients that applied to emergency services with minor head trauma, was studied.

Material and Methods: The relationship between PLR and intracranial injury in patients who applied to the emergency department of our university hospital with a minor head trauma between January 01, 2018 and December 31, 2018, with the approval of the local ethics committee of our university, was retrospectively studied. Within this scope, tomography reports and laboratory results were retrospectively analyzed by scanning patient files through the hospital information management system. Computed tomography findings, age, application type, blood values were obtained and analyzed through the system. The data were analyzed using the SPSS program.

Results: Of the 200 patients studied, 99 (49.5%) were women and 101 (50.5%) were men, and the mean age was 60.47±23.8 years. Ischemic infarction was detected in 11 (5.5%) patients, subarachnoid hemorrhage in 8 (4%), subdural hematoma in 6 (3%), intraparenchymal hematoma in 4 (2%), and epidural hematoma in 1 (0.5%) patient. When the patients with and without intracranial pathology after trauma were compared, when comparing the mean NLR and PLR (p=0.055), no statistically significant difference was found.

Discussion: Even though NLR and PLR have a field of use in the follow-up and treatment of progressive diseases, the results are still controversial. There is no significant relationship for the use of NLR and PLR as a biomarker in deciding the diagnosis and treatment of patients with severe head trauma with minor or intracranial pathology.

Keywords: NLR, PLR, Emergency Medicine, Head Trauma

Corresponding Author: Murat Muratoglu, Department of Emergency, Faculty of Medicine, Baskent University, Fevzi Cakmak Street Number: 45 06490 Bahcelievler, Ankara, Turkey. GSM: +90 507 279 59 54 / +90 312 203 68 68 • F: +90 312 223 73 33 • E-Mail: muradov2000@mail.ru • Corresponding Author ORCID ID: https://orcid.org/0000-0002-9586-7509

How to cite this article: Murat Muratoglu, Hayrettin Meftun Kaptan, Ishaaq Sakwa Eshikumo, Ebru Biyikli. Platelet-lymphocyte ratio as a potential marker in minor head traumas in emergency department admissions. Eu Clin Anal Med 2022; 10(1): 1-4