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Association Between Platelet-to-Lymphocyte Ratio and Preterm Necrotizing Enterocolitis
Introduction: Necrotizing enterocolitis (NEC) is a fatal condition for very-low-birth-weight infants. Necrotizing enterocolitis is a multi-factor phenomenon that results in intestinal mucosal damage and leads to intestinal necrosis. However, sensitive laboratory indicators for NEC are lacking, makin...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8604022/ https://www.ncbi.nlm.nih.gov/pubmed/34805031 http://dx.doi.org/10.3389/fped.2021.686880 |
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author | Zheng, Juan Wang, Hua |
author_facet | Zheng, Juan Wang, Hua |
author_sort | Zheng, Juan |
collection | PubMed |
description | Introduction: Necrotizing enterocolitis (NEC) is a fatal condition for very-low-birth-weight infants. Necrotizing enterocolitis is a multi-factor phenomenon that results in intestinal mucosal damage and leads to intestinal necrosis. However, sensitive laboratory indicators for NEC are lacking, making early diagnosis difficult. This study aimed to explore the relationship between the platelet-to-lymphocyte ratio (PLR) and NEC in preterm neonates to enable an earlier diagnosis of the condition. Methods: This was a retrospective case–control study of preterm neonates diagnosed with NEC between January 2018 and December 2019 in the West China Second University Hospital. Controls were selected from preterm neonatal intensive care unit (NICU) graduates, and they were matched for gestation and year of birth to the preterms diagnosed without NEC. In total, 93 and 107 infants were included in the NEC and control groups, respectively. Empowerstats analysis was used to identify the association between PLR and preterm NEC. Results: The NEC group had significantly higher PLR levels than the control group. PLR > 100 within 1 week before NEC diagnosis was a risk factor for NEC. There was a positive connection between PLR and preterm NEC. A PLR of >100 was determined as the optimal cutoff for predicting preterm NEC, with patients with PLR >100 having a higher risk of NEC [odds ratio (OR): 18.82 (95% confidence interval (CI): 2.93–120.98), p = 0.002]. Conclusions: A PLR of >100 within 1 week after clinical abnormalities is associated with a high risk of NEC in preterm neonates. |
format | Online Article Text |
id | pubmed-8604022 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-86040222021-11-20 Association Between Platelet-to-Lymphocyte Ratio and Preterm Necrotizing Enterocolitis Zheng, Juan Wang, Hua Front Pediatr Pediatrics Introduction: Necrotizing enterocolitis (NEC) is a fatal condition for very-low-birth-weight infants. Necrotizing enterocolitis is a multi-factor phenomenon that results in intestinal mucosal damage and leads to intestinal necrosis. However, sensitive laboratory indicators for NEC are lacking, making early diagnosis difficult. This study aimed to explore the relationship between the platelet-to-lymphocyte ratio (PLR) and NEC in preterm neonates to enable an earlier diagnosis of the condition. Methods: This was a retrospective case–control study of preterm neonates diagnosed with NEC between January 2018 and December 2019 in the West China Second University Hospital. Controls were selected from preterm neonatal intensive care unit (NICU) graduates, and they were matched for gestation and year of birth to the preterms diagnosed without NEC. In total, 93 and 107 infants were included in the NEC and control groups, respectively. Empowerstats analysis was used to identify the association between PLR and preterm NEC. Results: The NEC group had significantly higher PLR levels than the control group. PLR > 100 within 1 week before NEC diagnosis was a risk factor for NEC. There was a positive connection between PLR and preterm NEC. A PLR of >100 was determined as the optimal cutoff for predicting preterm NEC, with patients with PLR >100 having a higher risk of NEC [odds ratio (OR): 18.82 (95% confidence interval (CI): 2.93–120.98), p = 0.002]. Conclusions: A PLR of >100 within 1 week after clinical abnormalities is associated with a high risk of NEC in preterm neonates. Frontiers Media S.A. 2021-11-05 /pmc/articles/PMC8604022/ /pubmed/34805031 http://dx.doi.org/10.3389/fped.2021.686880 Text en Copyright © 2021 Zheng and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Zheng, Juan Wang, Hua Association Between Platelet-to-Lymphocyte Ratio and Preterm Necrotizing Enterocolitis |
title | Association Between Platelet-to-Lymphocyte Ratio and Preterm Necrotizing Enterocolitis |
title_full | Association Between Platelet-to-Lymphocyte Ratio and Preterm Necrotizing Enterocolitis |
title_fullStr | Association Between Platelet-to-Lymphocyte Ratio and Preterm Necrotizing Enterocolitis |
title_full_unstemmed | Association Between Platelet-to-Lymphocyte Ratio and Preterm Necrotizing Enterocolitis |
title_short | Association Between Platelet-to-Lymphocyte Ratio and Preterm Necrotizing Enterocolitis |
title_sort | association between platelet-to-lymphocyte ratio and preterm necrotizing enterocolitis |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8604022/ https://www.ncbi.nlm.nih.gov/pubmed/34805031 http://dx.doi.org/10.3389/fped.2021.686880 |
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