Evaluation of hemogram parameters in the diagnosis of pulmonary embolism: Immature granulocytes and other new tips

dc.authorid0000-0002-4091-6465
dc.contributor.authorKarakurt, Gökhan
dc.contributor.authorGüven, Oya
dc.contributor.authorAynacı, Engin
dc.contributor.authorKerget, Buğra
dc.contributor.authorŞenkardeşler, Gizem
dc.contributor.authorDüger, Mustafa
dc.date.accessioned2024-02-29T07:16:45Z
dc.date.available2024-02-29T07:16:45Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Göğüs Hastalıkları Ana Bilim Dalı
dc.description.abstractPulmonary embolism (PE) is an important cause of sudden death and is difficult to diagnose. Therefore unnecessary radiological investigations are often resorted to. Although some inflammatory parameters in the hemogram have been found to play a role in the diagnosis of PE, many parameters have not been adequately investigated. We aimed to evaluate potential inflammatory parameters in hemogram in the diagnosis of PE and to determine the parameters with the highest diagnostic value. This single-center, retrospective study was performed by evaluating 114 cases with suspected PE admitted to the emergency department between January 2017 and June 2022. Among 114 cases, 62 cases with a definitive diagnosis of PE by pulmonary computed tomography angiography served as the PE group and 52 cases without PE served as the control group. Admission hemogram parameters of both groups were recorded. Potential chronic diseases and acute conditions affecting hemogram were excluded from the study. In the multivariate model; immature granulocyte (IG), neutrophil/lymphocyte ratio (NLR), monocyte % and platelet large cell ratio (P-LCR) were found to be significantly and independently effective in differentiating cases with and without PE (P?.05). Our findings suggest that high IG, high NLR, high monocyte %, and low P-LCR values have diagnostic value in cases with suspected PE. However the usability of IGs in the diagnosis of PE is a new finding. Hemogram is cheap, easily accessible, and potential inflammatory biomarkers in hemograms may increase physicians’ awareness in the diagnosis of PE.
dc.identifier.citationKarakurt, G., Güven, O., Aynacı, E., Kerget, B., Şenkardeşler, G. ve Düger, M. (2024). Evaluation of hemogram parameters in the diagnosis of pulmonary embolism: Immature granulocytes and other new tips. Clinical and Applied Thrombosis/Hemostasis, 30. https://dx.doi.org/10.1177/10760296241227212
dc.identifier.doi10.1177/10760296241227212
dc.identifier.issn1076-0296
dc.identifier.issn1938-2723
dc.identifier.pmid38348584
dc.identifier.scopus2-s2.0-85185117187
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://dx.doi.org/10.1177/10760296241227212
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12322
dc.identifier.volume30
dc.identifier.wos001162013300001en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorDüger, Mustafa
dc.language.isoen
dc.publisherSAGE Publications Inc.
dc.relation.ispartofClinical and Applied Thrombosis/Hemostasisen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectPulmonary Embolism
dc.subjectHemogram Parameters
dc.subjectImmature Granulocytes
dc.titleEvaluation of hemogram parameters in the diagnosis of pulmonary embolism: Immature granulocytes and other new tips
dc.typeArticle

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