The utility of the systemic immune inflammation and systemic inflammation response indices in suspected intermediate-risk pulmonary embolism.

IF 1.5 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Croatian Medical Journal Pub Date : 2024-02-29

Muhammed Fuad Uslu, Mustafa Yilmaz, Metin Ateşçelik, Feti Ahmet Atilgan

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引用次数: 0

Abstract

Aim: To evaluate the utility of the systemic immune inflammation index (SII) and systemic inflammation response index (SIRI) in diagnosing pulmonary embolism (PE) in emergency medicine.

Methods: We retrospectively reviewed the data of patients who presented to the emergency department and underwent contrast-enhanced computed tomography pulmonary angiography for suspected PE between January 1 and December 31, 2021. In 81/168 patients, the diagnosis of PE was confirmed and in 87/168 it was rejected. The data were analyzed with receiver operating characteristic analysis and binary logistic regression analysis.

Results: Patients with PE had a higher white blood cell count (P<0.001), neutrophils (P=0.002), monocytes (P=0.013), neutrophil/lymphocyte ratio (P<0.001), SII (P<0.001), and SIRI (P<0.001), and a lower lymphocyte count (P=0.002). The SII had a sensitivity of 75.31% and a specificity of 71.26%, while the SIRI had a sensitivity of 82.72% and a specificity of 68.97%. Binary logistic regression analysis showed that the Wells score, D-dimer level, and SII independently influenced the diagnosis of PE.

Conclusion: The SII and SIRI may be used to support the diagnosis of PE in the emergency department.

本刊更多论文

全身免疫炎症和全身炎症反应指数在疑似中危肺栓塞中的实用性。

目的：评估全身免疫炎症指数（SII）和全身炎症反应指数（SIRI）在急诊诊断肺栓塞（PE）中的实用性：我们回顾性分析了2021年1月1日至12月31日期间因疑似肺栓塞到急诊科就诊并接受造影剂增强计算机断层扫描肺血管造影术的患者数据。其中 81/168 例患者确诊为 PE，87/168 例患者拒绝确诊。数据分析采用接收器操作特征分析和二元逻辑回归分析：结果：PE 患者的白细胞计数（PC）较高：结论：SII 和 SIRI 可用于支持急诊科对 PE 的诊断。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Croatian Medical Journal 医学-医学：内科

CiteScore

3.00

自引率

5.30%

发文量

105

审稿时长

6-12 weeks

期刊介绍： Croatian Medical Journal (CMJ) is an international peer reviewed journal open to scientists from all fields of biomedicine and health related research. Although CMJ welcomes all contributions that increase and expand on medical knowledge, the two areas are of the special interest: topics globally relevant for biomedicine and health and medicine in developing and emerging countries.